ENDO Messages for January, 2003: Re: Health Research and Care in America: a Bright, Shining Lie

Re: Health Research and Care in America: a Bright, Shining Lie

From: anonymous (anonymous@obgyn.net)
Thu Jan 30 07:13:47 2003

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At Wed, 29 Jan 2003, Victoria wrote: >
>> From: PUMPKIN4279@HOTMAIL.COM (lauren)
>>
>> This is yet another reason why all of us should take the studies we see
>> reported and the advice of anyone who stands to gain financially from
>> our pursuing a certain treatment program with a grain of salt. But when
>> you see an ad on TV for a new fad diet, you do the same thing. We just
>> need to learn that doctors and medical researchers are not totally
>> different from any other business people in the world. Any kind of
>> unconditional trust we may have placed in them was always misplaced:
>
>I don't think at one time that was true. When medicine was a lot simpler,
>back in the 70's time, you may have been able to be pretty sure they were on
>the mark. Times and situations were a lot more different then. People are
>different, and there is so much more we've learned in those years.
>
>> you have to make your own decisions based on a broad base of opinions,
>> because any one person (or corporation) is always fallible and subject
>> to financial pressures which conflict with your own best interest. So I
>> think the moral is not "don't trust anyone," but rather "view any advice
>> you get skeptically, do independat research, find out who proferred the
>> new theory and what their financial interest is, and basically take care
>> of yourself because very few other people put you at the top of their
>> priority list."
>
>True. I'd add that simply because they have a financial interest in it
>doesn't mean that is the end all of choice. INSMED had $$$ in INS-1 for PCOS
>treatment, but stopped the trials on the drugs because it didn't work as
>listed. There are other examples of this, so you just have to verify with
>other sources, like you said.
>
>There are other things besides money (ego would be the next) that someone
>would have an interest in too.
>
>--
>Victoria

>It isn't as much the doctors and researchers- it's more the fault of greedy pharmaceutical executives who are driving the sales force to influence doctors (with lavish trips and gifts). Unfortunately, doctors often believe what the salesmen (who have less scientific education) say and push the drugs on patients. The pharmaceutical companies also began advertising on TV, something unheard of years ago, pushing up demand for their product. Protected by patent laws, they were able to prevent competition and keep prices high. And once a drug is approved by the FDA for one use, it's legal for a doctor to prescribe it for lots of other things (encouraged by the salesperson

Ever been in a doctor's office when the drug sales people come in? Sometimes the salesperson is a young man, but typically it's a beautiful young woman, bringing theatre tickets and a dinner invitation. Fortunately, the companies are beginning to become more ethical after all of the Wall St. scandals last year.

I can remember 3 years ago when doctors and nurses insisted you couldn't get addicted to Oxycontin. That was what they were told by the sales force. And it wasn't true...couldn't they think for themselves?

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