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Healthy Skepticism Library item: 8545

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

Wolfe SM.
Real targets: doctors, drug firms
FDA Consumer 1980 Feb; 14:13


Abstract:

Drug companies and physicians who overprescribe are discussed as a source of overmedication problems. One out of 10 prescriptions filled by Americans are for drugs that are ineffective, costing the public over $1 billion a year and causing thousands of avoidable adverse drug reactions. In addition, the majority of ingredients in over-the-counter drugs on the market have been found by FDA to lack effectiveness, thus causing the public to waste money and endanger its health. There are at least 3 major categories of drugs which contribute to the problem of overmedication. First, drugs which lack evidence of effectiveness. Second, drugs used for problems better treated by nondrug therapies. And, third, dangerous drugs used when safer and equally or more effective alternatives are available. If FDA is to reduce overmedication, it needs to deal with drug companies and doctors rather than focusing on consumers.

 

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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