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Healthy Skepticism Library item: 15967

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

Wagner W, McGarity T.
Regulatory reinforcement of journal conflict of interest disclosures: How could disclosure of interests work better in medicine, epidemiology and public health?
J Epidemiol Community Health 2009; 63:(8):606-607
http://jech.bmj.com/cgi/content/extract/63/8/606?etoc


Abstract:

A variety of economic and ideological forces threaten the integrity of public health research.1–4 In response, the editors of the top biomedical journals now require conflict of interest disclosures for submissions. Their increasingly extensive disclosure policies have resulted in some progress towards protecting the integrity of public health research by disclosing for readers potential sources of author bias.5 6

Yet the journal editors appear to be reaching the limits of what they can realistically accomplish. Letters to the editor reporting undisclosed conflicts,7 editorial retractions of non-compliant articles8 and occasional news scandals9 10 are still far too common. Several empirical studies have also confirmed problematic levels of author non-compliance with journal disclosure policies.11 12 And journal editors themselves seem frustrated by the scope of the conflicts problem and their limitations in addressing it. As Catherine DeAngelis, editor-in-chief of JAMA, explained: “I’m not the F.B.I.” and cannot look “in the hearts, minds and souls . . .

 

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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