Healthy Skepticism Library item: 6712

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

Angell M, Kassirer JP.
Editorials and conflicts of interest
New England Journal of Medicine 1997; 336:729

Abstract:

It is very difficult to devise a conflict of interest policy that will be fair and reasonable in every case and therefore the Journal has not extended its policy to cover things like speakers’ fees. Stone is wrong about Manson’s consultancy not being relevant, but there was some misunderstanding about the nature of her consultancy. It is unrealistic to expect that editors would remember past disclosures of conflicts of interest. Fortunately many distinguished experts do not have financial arrangements with the manufacturers of products that they are studying. Although Manson’s consultancy had ended when the editorial was written, Faich’s was still ongoing and he violated the Journal’s conflict of interest rules.

Keywords:
*letter to the editor/United States/New England Journal of Medicine/disclosure/conflict of interest/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/INFLUENCE OF PROMOTION: PUBLICATION

Notes:

Reply to: Robert Salzman, New England Journal of Medicine 1997;336:728; Lance R. Stone, New England Journal of Medicine 1997;336:728; Eric F. Douglas, New England Journal of Medicine 1997;336:728; Nathan K. Blank, New England Journal of Medicine 1997;336:728-729; Michael D. Erisman, New England Journal of Medicine 1997;336:729.

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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