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Healthy Skepticism Library item: 7854

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 LR.
Food and Drug Administration
BMJ 2007 Jan 13; 334:55-56
http://www.bmj.com/cgi/content/full/334/7584/55?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=Food+and+Drug+Administration+&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT


Abstract:

More independent resources and alternative ways to identify adverse events are key

The Food and Drug Administration of the United States is now the patient on the examining table, with no shortage of attending doctors or nostrums. Months ago, the agency sought the advice of the National Academy of Sciences’ Institute of Medicine on its drug safety system. The resulting report echoed previous suggestions that the agency should be given more money and power and proposed altering current industry approaches to drug development.1 2 3 4 The drug industry, already smarting from tightened FDA drug safety standards, went into defensive mode.

The Institute of Medicine report will certainly play a key part in an upcoming debate in Congress over renewal of legislation that empowers the FDA to collect fees for a portion of the cost of reviewing applications for drug approval. The current user fee legislation expires 30 September 2007 and must be reauthorised by then; this will provide a vehicle . . .

 

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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