The China Study by Thomas Campbell

(nextflipdebug5) #1

is known to be "overly positive and prescribing habits are less ap-
propriate as a result."17,21, 22

  • Research and academic medicine merely carry out the pharmaceu-
    tical industry'S bidding. This can happen because: the drug com-
    panies, and not researchers, may design the research, which allows
    the company to "rig" the study 23 , 24; the researchers may have a
    direct financial stake in the drug company whose product they are
    studyingI5, 25 ; the drug company may be responsible for collecting
    and collating the raw data, and then only selectively allowing re-
    searchers to view the data^2 ),26; the drug company may retain veto
    power over whether the findings are published, and may retain
    editorial rights over any scientific publications resulting from the
    research^2 ), 25, 2 7; the drug company may hire a communications firm
    to write the scientific article, and then find researchers willing to
    attach their names as authors of the paper after it has already been

  • The major scientific journals have turned into little more than mar-
    keting vehicles for drug companies. The leading medical journals
    derive their primary income from drug advertising. This advertis-
    ing is not adequately reviewed by the journal, and companies often
    present misleading claims about drugs. Perhaps more disconcert-
    ing, the majority of clinical trial research reported in the journals is
    funded by drug company money, and the financial interests of the
    researchers involved are not fully acknowledged.^24
    In the past couple of years there have been well-publicized scandals
    at major medical centers that confirm these charges. In one instance,
    a scientist's integrity was maligned in a variety of ways by both a drug
    company and her university administration after she found that a drug
    under study had strong side effects and it lost its effectiveness.^27 In an-
    other case, a scientist speaking out about the possible side effects of
    antidepressants lost a job opportunity at the University of Toronto.^26
    The examples go on and on.
    Dr. Marcia Angell, an ex-editor of the New England Journal oj Medicine,
    wrote a scathing editorial called "Is Academic Medicine for Sale?"15:

The ties between clinical researchers and industry include not
only grant support, but also a host of other financial arrangements.
Researchers serve as consultants to companies whose products
they are studying, join adviSOry boards and speakers' bureaus,
Free download pdf