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Healthy Skepticism Library item: 19670

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: Electronic Source

Husten L
ACC CEO Jack Lewin Provides The Argument Against Industry Money
Cardio Brief 2011 May 6

Full text:

The ACC’s CEO Jack Lewin may have put forth the single best and most concise argument against industry funding of medical societies. Here’s what Lewin told ProPublica:
The “circus element” of the exhibit booths doesn’t unduly influence attendees, Lewin said. “I don’t buy a soft drink just because of the advertising… I buy it because I like it.”
Now we know that Lewin actually supports industry funding, but any thoughtful reflection about this statement will lead to the inevitable conclusion that people do buy soft drinks because of advertising and that the circus atmosphere of exhibit booths does influence attendees. Neither Coke nor Medtronic are idiots and they certainly don’t waste their money.
In fact, every defense of industry funding relies on this sort of double think:
Advertising doesn’t affect me.
Money can’t influence my medical decisions.
But it’s not true. It’s not even possible, because it’s impossible to fully understand and appreciate our ability to deceive ourselves. And it’s for precisely this reason that we rely on the scientific method to achieve an accurate understanding of our world and ourselves. And it’s for precisely this reason why medical societies like the ACC, if they want to retain the aura of scientific integrity, need to divest themselves of industry influence.
It shouldn’t even need to be said. Here’s how one well-known physician responded to Lewin’s statement:
“If it weren’t influencing the doctors, they wouldn’t be doing it,” said Dr. Gordon Guyatt, a health policy expert at McMaster University in Ontario.


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Email a Friend 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.