Healthy Skepticism Library item: 3198

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

Kunin CM.
The relation between clinical investigators and the pharmaceutical industry.
Rev Infect Dis 1984 Jan-Feb; 6:(1):129-31

Abstract:

The issues of the relationship between academic physicians and the pharmaceutical industry are complex. The promotional activities of the industry have infiltrated virtually every aspect of medical education. We conduct trials that are considered to be research but that are actually premarketing promotion. The infectious disease community has been remarkably objective in evaluation of new agents, despite heavy promotion, but most of us have been willing to enjoy a meeting in luxurious surroundings. We as a profession must address these issues if we are to fulfill our primary responsibility to the public and to our patients.

Keywords:
*analysis/conflict of interest/relationship between medical profession and industry/sponsored symposia & conferences/continuing medical education/CME/drug company sponsored research/controlled circulation journals/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/PROMOTION DISGUISED: CLINICAL TRIALS/PROMOTION DISGUISED: JOURNAL SUPPLEMENTS, CONTROLLED CIRCULATION JOURNALS AND NEWSLETTERS/PROMOTION DISGUISED: SUPPORT FOR CME Drug Industry/economics* Humans Research Personnel* Research Support/economics* 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