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Healthy Skepticism Library item: 16415

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: news

Metherell M
Pharma cash integrity threat
The Age 2009 Sep 7
http://www.theage.com.au/national/pharma-cash-integrity-threat-20090906-fcur.html


Full text:

A LEADING psychiatrist who has received thousands of dollars from drug companies has broken cover, appealing for his colleagues to disclose the payments they routinely receive for industry-sponsored activities.

The medical profession faces a credibility problem of ‘‘unheralded proportions’‘ because of the money drug companies lavish on influential medical figures, says Philip Mitchell, who heads the school of psychiatry at the University of NSW.

Professor Mitchell has declared he was paid $6500 by three drug companies in 2007-08 for lectures, consultancies and as a company advisory board member, as well as international travel to give an invited lecture.

He told The Age the vast majority of medical experts that drug companies paid for their expertise were above reproach and ‘‘don’t just say what the companies want’‘.

But he says doctors now have a credibility problem following the ‘‘outing’‘ in the United States of payments – running into millions of dollars – by pharmaceutical companies to medical experts who supported their products.

In Australia, he said, ‘‘self-regulation by the medical profession has been largely ineffective’‘, despite the best intentions of groups within the profession.

‘‘This is a problem for both industry and the profession. We now have a major credibility problem with the public; it is an issue of trust’‘, Professor Mitchell said in a Medical Journal of Australia article out today.

Drug company largesse was aimed at senior doctors, usually academics, whose opinions were considered influential.

The industry group Medicines Australia produces a detailed record of drug company-sponsored educational and promotional events that show there were 30,000 such events last year. The disclosure is required by the Australian Competition and Consumer Commission but the requirement does not extend to disclosing the names of doctors receiving payments.

 

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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