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Healthy Skepticism Library item: 8272

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

Kassirer JP.
Author's Reply to Readers' Responses to 'Physicians on the Take'
Medscape General Medicine 2006; 8:(2):40
http://www.medscape.com/viewarticle/531613


Full text:

The proponents of a free-market approach in medicine seem willing to ignore its consequences: biased information, risks to patients, uncontrollable costs, and millions deprived of adequate care.1 I’m not. Extricating the profession from the financial magnetism of the pharmaceutical industry will force us to examine where we get and how we use our resources. Just because reducing our ties with industry will cost us money is no excuse for inaction. We must set impeccable, lofty professional standards: Just because such standards are difficult to realize is no excuse to diminish or discredit them. In my view, the money is not worth the risks to our patients and the denigration of our professionalism.

 

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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