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Healthy Skepticism Library item: 4998

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

Busfield J.
Pills, Power, People: Sociological Understandings of the Pharmaceutical Industry
2006; 40:(2):297-314
http://soc.sagepub.com/cgi/content/abstract/40/2/297?etoc


Abstract:

This article examines how sociology can contribute to an understanding of the work, power and impact of the pharmaceutical industry. Drawing in particular on Latour’s theoretical and empirical analysis of science, in conjunction with a more explicit consideration of power, it examines the scientific ‘fact making’ involved in the clinical trials of drugs designed to assess their safety and effectiveness, assessments that are the basis for securing approval for their release onto the market. It also examines post-approval drug assessments and the fuller evaluation of a drug that emerges with time. It shows how the industry’s control over this science, especially in the pre-approval stage, has helped to encourage extensive, and often excessive, use of pharmaceuticals.

Keywords:
clinical trials drug approval pharmaceutical industry power science

 

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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