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Healthy Skepticism Library item: 18607

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: Magazine

Elliott C
Making a Killing
Mother Jones 2010 Sep
http://motherjones.com/toc/2010/09


Notes:

CAFE study is published as:
Efficacy and Tolerability of Olanzapine, Quetiapine, and Risperidone in the Treatment of Early Psychosis: A Randomized,
Double-Blind 52-Week Comparison
http://ajp.psychiatryonline.org/cgi/content/full/164/7/1050
(free full text)


Full text:

It’s not easy to work up a good feeling about the institution that destroyed your life, which may be why Mary Weiss
initially seemed a little reluctant to meet me. “You can understand my hesitation to look other than with suspicion at
anyone associated with the University of Minnesota,” Mary wrote to me in an email. In 2003, Mary’s 26-year-old son, Dan,
was enrolled against her wishes in a psychiatric drug study at the University of Minnesota, where I teach medical
ethics. Less than six months later, Dan was dead. I’d learned about his death from a deeply unsettling newspaper series
by St. Paul Pioneer Press reporters Jeremy Olson and Paul Tosto that suggested he was coerced into a
pharmaceutical-industry study from which the university stood to profit, but which provided him with inadequate care.
Over the next few months, I talked to several university colleagues and administrators, trying to learn what had
happened. Many of them dismissed the story as slanted and incomplete. Yet the more I examined the medical and court
records, the more I became convinced that the problem was worse than the Pioneer Press had reported. The danger lies not
just in the particular circumstances that led to Dan’s death, but in a system of clinical research that has been
thoroughly co-opted by market forces, so that many studies have become little more than covert instruments for promoting
drugs. The study in which Dan died starkly illustrates the hazards of market-driven research and the inadequacy of our
current oversight system to detect them…

 

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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