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Healthy Skepticism Library item: 20365

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: Journal Article

Capozzi JD, Delsignore JL
Reimbursement incentives to physicians
The Journal of Bone and Joint Surgery 2004 Apr 1; 86:(4):876
http://jbjs.org/article.aspx?articleid=26471


Abstract:

An orthopaedic surgeon has been asked by an implant manufacturer to be a paid research consultant regarding a knee arthroplasty system. The device in question has been on the market for several years with little sales success. In addition to being reimbursed for the procedures, the surgeon would be paid $300 per qualified patient enrolled in the study. At specified follow-up intervals, the surgeon would be paid an additional $100 per case for data submitted. The researcher would receive $2500 if the results were published in a peer-reviewed journal and $1500 if they were published in a non-peer-reviewed journal.

 

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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