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Healthy Skepticism Library item: 9970

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

Goldacre B.
Given the choice, I'd have the miracle pill story
BMJ 2007 May 5; 334:(7600):932
http://www.bmj.com/cgi/content/full/334/7600/932


Abstract:

Complex problems have depressingly complex causes, and the solutions are often taxing and unsatisfactory

Looking at popular culture, it seems there’s something very attractive about simple biomedical explanations-and solutions-for complex social and psychological problems.

Four weeks ago the BMJ published a large randomised controlled trial, with a positive result: it showed that one treatment for children at high risk of developing conduct disorder could significantly improve antisocial behaviour (BMJ 2007:334:678-82). It was a well conducted trial, at multiple sites, with a novel result, on a subject specifically called for by NICE, and it even had a compelling cost effectiveness analysis.

Was this miracle pill reported as front page news in the Daily Mail, natural home of miracle cures and sinister hidden scares? Was it followed up on the health pages, with an accompanying photo feature, describing one child’s miraculous recovery, and an interview with a relieved mum with whom we could all identify?

No. In fact, this story was completely ignored by . . .

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.