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Healthy Skepticism Library item: 676

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

Horton R.
Spinning the risks and benefits of calcium antagonists.
Lancet 1995 Sep 2; 346:(8975):586-7

Keywords:
*analysis disinformation Bayer European Society of Cardiology calcium channel blockers conflict of interest press conferences and releases ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY INFLUENCE OF PROMOTION: CONFERENCE SPEAKERS PROMOTION DISGUISED: APPOINTMENTS AND RETAINERS PROMOTION DISGUISED: DISINFORMATION AND HARASSMENT


Notes:

At the Congress of the European Society of Cardiology meeting Furberg was asked to speak about his data which suggested that patients with high blood pressure who were receiving calcium channel blockers may have a higher risk of heart attack. His presentation was followed by three others on calcium channel blockers. After these sessions organization for a press conference began to discuss these issues. Bayer, the maker of one of the drugs, asking that other physicians be added to the panel to “balance” the “debatable” findings of Furberg. The person suggested by Bayer for his balanced position stated that Furberg’s data were “less than convincing” but presented no new data. After his statement there was loud applause and cheering from one section of the audience creating the impression that the weight of evidence was against Furberg. The pandering of the European Society of Cardiology to the pressure exerted by a pharmaceutical company-coincidentally, one of the conference’s major sponsors-is troubling.

 

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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