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Healthy Skepticism Library item: 4223

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

Rothman KJ.
The ethics of research sponsorship.
J Clin Epidemiol 1991; 44:


Abstract:

Growing concerns regarding ethics in science has prompted calls for reform. These proposals include the mandatory identification of funding source and prohibition of any financial connection between an investigator and a company whose product is being studied. Such reforms imply that scientific work supported by industry should not be considered reliable, that any potential for fraud or subconscious alteration of the work should be considered damning in itself. This thinking will promote an ad hominem evaluation of science, rather than an evaluation based on merits. The reality is that no scientist is impartial. To focus on the circumstances of the work rather than the work itself has the ironic effect of detracting from overall objectivity. Scientific objectivity does not arise through cultivation in the minds of individual scientists, none of whom can lay claim to this pinnacle of rationality, but by the process of open, rational criticism itself. Those who encourage that work be judged in respect to the funding source are slighting honest industry scientists and stifling rational discourse.

Keywords:
*analysis/United States/drug company sponsored research/bioethics/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/SPONSORSHIP: RESEARCH Conflict of Interest* Epidemiology/standards* Ethics, Medical* Research Support*

 

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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