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Healthy Skepticism Library item: 9041

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

Minhas R.
Statin utilisation--recognising the role of the invisible hand.
Int J Clin Pract 2007 Jan; 61:(1):3-6
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=17229171&query_hl=1&itool=pubmed_DocSum

Keywords:
Publication Types: Editorial PMID: 17229171 [PubMed - in process]


Notes:

“Evidence alone is not enough to generate prescriptions in today’s healthcare
systems

There is no evidence base for the ‘lower is better’ approach in primary
prevention

In a state-funded healthcare system prescribing freedom is not a right but a
privilege that may rapidly become unaffordable

If you manufacture the biggest selling prescription drug in the world and
your main competitor patent expires, what do you do? This is the situation
facing the pharmaceutical industry in many fields. Looked at another way,
should we expect a publicly funded health service to be able to effectively
marshal its own resources? Where do patients fit in to this picture and for
that matter what about doctors?

The expiry of the patent for simvastatin in May 2003 in the UK and lately in
the USA (April 2006) appears to have provoked a tenacious response to shore
up the sales of alternative lipid-lowering agents…”

 

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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