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Healthy Skepticism Library item: 5622

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: news

Blum J.
Scientists at FDA tell of outside pressures
Philadelphia Inquirer 2006 Jul 21
http://www.philly.com/mld/inquirer/living/health/15086911.htm


Full text:

Scientists at FDA tell of outside pressures
By Justin Blum
Bloomberg News, Fri, Jul. 21 http://www.philly.com/mld/inquirer/living/health/15086911.htm

Scientists at the Food and Drug Administration say they feel pressure to alter their work for nonscientific reasons and to provide misleading information, according to a survey released yesterday.

The FDA employees raised the concerns in an anonymous written survey conducted by the Union of Concerned Scientists. The Cambridge, Mass.-based nonprofit group seeks to draw attention to what it sees as misuse of science and technology.

“There are big problems at the FDA, particularly regarding independent science,” Francesca Grifo, director of the group’s Scientific Integrity Program, said in a telephone interview.

The survey results echo public complaints from FDA scientists who say their findings were dismissed on drugs including Merck & Co.‘s Vioxx painkiller and Barr Pharmaceuticals Inc.‘s morning-after contraceptive Plan B.

Merck pulled Vioxx from the market after a study linked the drug to a doubling of heart risks, and the FDA’s former head of women’s health resigned over an indefinite delay in a decision on making Plan B available without a prescription.

The Union of Concerned Scientists, which focuses on issues including the environment and the risks of genetically engineered crops, mailed surveys with 37 questions and an essay section to 5,918 FDA workers the group identified as scientists. Of those, 997 submitted responses, the organization said.

Agency spokeswoman Julie Zawisza said the survey was “highly unscientific, with a number of leading questions and innuendo.”

FDA would expect more rigor to support such far-reaching allegations and conclusions,” Zawisza said.

Of the respondents, 15 percent said they had been asked, for nonscientific reasons, “to inappropriately exclude or alter technical information or my conclusions in a FDA scientific document.” The question did not specify who had asked.

In another question, 17 percent of respondents said they had been asked by FDA officials to “provide incomplete, inaccurate or misleading information to the public, regulated industry, media, or elected/senior government officials.”

A statement that “FDA leadership is as committed to product safety as it is to bringing products to the market” prompted 37 percent to say they disagreed.

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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