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Healthy Skepticism Library item: 569

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

Deyo RA, Psaty BM, Simon G, Wagner EH, Omenn GS.
The messenger under attack -- intimidation of researchers by special-interest groups.
N Engl J Med 1997 Apr 17; 336:(16):1176-80


Abstract:

*analysis
United States
calcium channel blockers
editorial freedom
disinformation
academic freedom
intimidation
PROMOTION BY THIRD PARTIES: RESEARCHERS
PROMOTION DISGUISED: DISINFORMATION AND HARASSMENT


Notes:

(Limited to parts of article dealing with promotion.) Within weeks after the presentation of a paper at a conference assessing the association between myocardial infarction and the use of short-acting calcium channel blockers the author received requests for several companies for documents, tables, manuscripts and new analyses. Academic consultants to companies manufacturing these products issued blistering critiques and publicly questioned the investigators’ integrity. At least one mass mailing to physicians by an opinion leader gave no indication that its distribution was supported by pharmaceutical companies. While the manuscript describing the study was under editorial review, pharmaceutical manufacturers tried to discover the identity of the journal to which it had been submitted, and it appeared to the investigators that opponents were trying to interfere with the publication of the study. Numerous channels were used, including pressure exerted through the principal investigator’s dean.

 

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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