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Healthy Skepticism Library item: 4219

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

Rennie D.
Editors and advertisements? What responsibility do editors have for the advertisements in their journals
JAMA. 1991 May 08; 265:(18):2394-6


Abstract:

The author rejects the contention by Goldstein that medical journals running advertisements and doctors accepting gifts from industry are equivalent. He does not believe that the presence of advertising influences the selection of articles and that editors rarely have much idea of the contents of ads in their journals or know when certain ads will appear. A gift to a doctor is a direct bribe to influence prescribing habits, while money from journal advertising helps defray the heavy costs of disseminating new and accurate scientific and medical information. Ultimately, the author rejects Goldstein’s suggestions for altering the nature of journal advertising on the grounds that they stem from a belief that doctors are far too gullible to understand that an ad is an ad, and a belief that editors don’t know that they are judged by what they publish.

Keywords:
*editorial/journal advertisements/relationship between medical journals and industry/ad revenue/editorial freedom/ATTITUDES REGARDING PROMOTION: MEDICAL JOURNALS/INFLUENCE OF PROMOTION: PUBLICATION/PROMOTIONAL TECHNIQUES: JOURNAL ADVERTISEMENTS Advertising* American Medical Association Biomedical Research Drug Industry*/economics Editorial Policies* Ethics Interprofessional Relations Periodicals*/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