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Healthy Skepticism Library item: 19520

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Magazine

Relman AS, Angell M
America's Other Drug Problem: How the drug industry distorts medicine and politics.
The New Republic 2002 Dec 16
www.commercialalert.org/relmanangell.pdf


Full text:

The american health care
system cannot live without the
pharmaceutical industry, but
it may not be able to live with
it either, unless the industry
is greatly reformed. For better and for
worse, this enormous and hugely profitable
enterprise has become a dominating
presence in American life. It uses its great
wealth and influence to ensure favorable
government policies. It has also, with the
acquiescence of a medical profession addicted
to drug company largesse, assumed
a role in directing medical treatment, clinical
research, and physician education that
is totally inappropriate for a profit-driven
industry. Like most other for-profit corporations,
drug companies are impelled
primarily by the financial aspirations of
their investors and executives. This incentive
may serve useful social purposes in the
distribution of ordinary goods in most
markets, but prescription drugs are not
like ordinary goods, and the market for
drugs is not like other markets. The misconception
that drugs and their market
are like other goods and markets explains
most of the serious problems with the
pharmaceutical industry today.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909