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Healthy Skepticism Library item: 8031

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

Miller JD.
Conflict-of-interest spurs new rules, not consensus.
J Natl Cancer Inst 2006 Dec 6; 98:(23):1678-9
http://jnci.oxfordjournals.org/cgi/content/full/98/23/1678


Abstract:

Drug manufacturers spent $7.8 billion in 2004 influencing physicians. That works out to roughly $10,000 for every practicing doctor in the country, according to IMS Health, the company that monitors the industry’s finances.

They gave gifts, lucrative consulting contracts, and meals; they subsidized doctors’ professional conferences and advertised in their journals. They gave drug samples to physicians that were worth another $16 billion.

Now several major research universities and government institutions are setting new rules that limit researchers’ contact with pharmaceutical representatives. The policies range from extremely strict, like Stanford University’s new “no pens or pizza” policy that limits all gifts no matter the size, to less stringent arrangements that allow doctors to accept drug samples, consult for companies, or own limited amounts of stock in companies that fund their research.

A conference on conflict of interest at the Cleveland Clinic in September outlined many of the still-unresolved issues. Although . . .

The Pharma Problem

No Gifts, No Visits

The Bigger Game

Disclosure Discussion

Keywords:
Publication Types: News MeSH Terms: Advertising Conflict of Interest* Contracts* Humans Neoplasms/economics Physicians* United States

 

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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