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Healthy Skepticism Library item: 2470

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

Drazen JM, Curfman GD.
Financial associations of authors.
N Engl J Med 2002 Jun 13; 346:(24):1901-2
http://content.nejm.org/cgi/content/full/346/24/1901


Abstract:

The Journal reiterates principles underlying its policies on financial associations and introduces a revision. The Journal discloses sponsorship of studies and reports all financial relationships of authors, pertinent to the article. For review articles and editorials, which do not present new data, currently the Journal expects that authors will not have any financial interest in a company that makes a product discussed in the article. The ability to provide comprehensive, up-to-date information has been constrained by this policy. Therefore the policy statement is revised to ‘will not have any significant financial interest’. This acknowledges that not all financial associations are the same. The definition of ‘significant’ accords with that of the National Institutes of Health (NIH) and the Association of American Medical Colleges (AAMC) setting an upper limit (the de minimis level, currently $10,000) on the annual sum that a person may receive, and also considers any stock, stock options or patent positions. Such authors, through their institutions, must not have major research support or funding from relevant companies. In the end Journal editors are responsible for weighing available facts and for making decisions to prevent financial interests from infringing on editorial content while acknowledging that some level of interaction between academia and industry may facilitate the dissemination of scientific knowledge and its application.

Keywords:
*editorial United States

 

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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