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Medical Papers By Ghostwriters Pushed Hormone Therapy

krou writes "The New York Times reports on newly released court documents that show how pharmaceutical company Wyeth paid a medical communications firm to use ghost writers in drafting and publishing 26 papers between 1998 and 2005 backing the usage of hormone replacement therapy in women. The articles appeared in 18 journals, such as The American Journal of Obstetrics and Gynecology and The International Journal of Cardiology. The papers 'emphasized the benefits and de-emphasized the risks of taking hormones to protect against maladies like aging skin, heart disease and dementia,' and the apparent 'medical consensus benefited Wyeth ... as sales of its hormone drugs, called Premarin and Prempro, soared to nearly $2 billion in 2001.' The apparent consensus crumbled after a federal study in 2002 'found that menopausal women who took certain hormones had an increased risk of invasive breast cancer, heart disease and stroke.'"

289 comments

  1. Here come the Lawyers by BigGar' · · Score: 2, Insightful

    Well at least the ones that don't stroke out over the nearly endless possibilities...

    --


    Shop smart, Shop S-Mart.
    1. Re:Here come the Lawyers by Anonymous Coward · · Score: 5, Insightful

      Good! This is one of those cases where the pharmaceutical companies should be held accountable over and above the slap on the wrist the FDA will give them - if that.

    2. Re:Here come the Lawyers by Desler · · Score: 5, Insightful

      Why shouldn't they be sued? They willfully defrauded people into buying their products by lying to them about the risks. Isn't this something they should have to pay retribution to their customers for?

    3. Re:Here come the Lawyers by DrLang21 · · Score: 3, Insightful

      I'm curious to know if these journals are real respected peer reviewed publications. If so, they should be reviewing their peer review policies and/or looking at whether or not they were defrauded by the authors.

      --
      I see the glass as full with a FoS of 2.
    4. Re:Here come the Lawyers by MightyMartian · · Score: 2, Interesting

      Agreed. I think say, fining them two hundred times their gross worth and imprisoning their board of directors and corporate officers until every penny has been paid off ought to do the trick.

      --
      The world's burning. Moped Jesus spotted on I50. Details at 11.
    5. Re:Here come the Lawyers by timeOday · · Score: 3, Insightful
      Actually, lawyers are the ones who brought the truth to light in the first place:

      The documents on ghostwriting were uncovered by lawyers suing Wyeth and were made public after a request in court from PLoS Medicine, a medical journal from the Public Library of Science, and The New York Times.

      I do hope they win money from Wyeth. Heck, I don't even mind Wyeth pushing their agenda in the literature, if the science is good it should stand on its own. But being evasive and publishing with a hidden financial agenda is not cool, especially when lives are at stake.

    6. Re:Here come the Lawyers by basementman · · Score: 1

      In the US you can sue just about anyone for just about anything. It's just a question of whether or not you will win.

    7. Re:Here come the Lawyers by BigGar' · · Score: 1

      Here I try to somewhat amusing while pointing out the obvious and I get modded a Troll; sigh.
      And yes, I agree they should be sued, the company should be sued, the people who approved this should be sued and held criminally liable in my opinion. But try and point out the lawyers feeding frenzy is somehow off-base ....

      --


      Shop smart, Shop S-Mart.
    8. Re:Here come the Lawyers by Walter+White · · Score: 2, Informative

      I'm curious to know if these journals are real respected peer reviewed publications.

      It turns out that a lot of the studies being reported in the peer reviewed medical journals are funded by pharmaceutical companies. The studies that don't favor their products are simply not published.

    9. Re:Here come the Lawyers by Fallen+Kell · · Score: 4, Insightful

      No, no , no, no. You got it all wrong. They should be fined $80,000 for each $1 of product they sold, just like the RIAA got.

      --
      We were all warned a long time ago that MS products sucked, remember the Magic 8 Ball said, "Outlook not so good"
    10. Re:Here come the Lawyers by Bragador · · Score: 3, Informative

      A peer reviewed journal doesn't tell you that the article has real unfalsified results. The job of the journal is to see if the methodology is serious. So, if you fake your results and have a very well thought out methodology, you can be published. The burden of double checking the results is given to the readers, other scientists who would like to disprove the claims. That costs money and time so most people don't do it. They prefer to publish new discoveries instead.

    11. Re:Here come the Lawyers by ChefInnocent · · Score: 5, Insightful

      I think suing isn't going far enough. I think the person/team behind this and the board of directors should be criminally prosecuted. To fabricate data in pursuit of a few extra dollars while willfully allowing people to die because of the fabrication is wrong on a very fundamental level.

    12. Re:Here come the Lawyers by Korin43 · · Score: 3, Interesting

      Destroying the company wouldn't be helpful. I think a better solution would be to fine the board of directors (and anyone else in on this) for 100% of the money they've ever made while working there + all of their shares in the company + jail time.

    13. Re:Here come the Lawyers by ioshhdflwuegfh · · Score: 2, Informative

      I'm curious to know if these journals are real respected peer reviewed publications.

      You betcha. From the web site of one of them:

      With a 2008 impact factor of 3.453 (previously 2.917 or an 18% increase), the American Journal of Obstetrics & Gynecology [AJOG] (The Gray Journal) is now ranked 7th of 61 journals in the Obstetrics & Gynecology category, according to the latest Journal Citation Reports(r) 2008, published by Thomson Reuters.

      from [AJOG]

    14. Re:Here come the Lawyers by Anonymous Coward · · Score: 5, Insightful

      I respectfully disagree; I think corporate death penalty is the appropriate route to go.

      All assets of the company are seized by the government, all patents are made public domain, liquid assets (cash and similar instruments) are distributed amongst the victims, the rest is auctioned off to pay for court costs.

      Then, the former shareholders of the company can sue the board of directors and anybody else who no longer has corporate immunity, for causing all of their investment to go away because the company committed crimes against humanity.

      This would put every single company on notice: You exist to serve the people; you are allowed to eck out a profit insofar that you do not commit crimes against us. Companies are only people on paper, and I have no compunctions about putting them to death for crimes against the people they are supposed to serve.

    15. Re:Here come the Lawyers by Trepidity · · Score: 4, Interesting

      That's true, but journals' reputations still do depend on a perception that the studies they publish are generally high-quality and honest. So I could see a case for these journals suing Wyeth for the damage to their reputations that these papers have caused.

    16. Re:Here come the Lawyers by ioshhdflwuegfh · · Score: 1

      I mostly agree with you, with one correction: journals, generally speaking, don't check methodology, reviewers do that, and, I'd like to add, they look also at the names and affiliations of authors, and these are an important factor as well.

    17. Re:Here come the Lawyers by davester666 · · Score: 2, Informative

      Yes, each article was reviewed, in that the reviewer made sure the sponsor company had purchased the proper number of pages of advertising with them to support the costs of including the article in their periodical.

      --
      Sleep your way to a whiter smile...date a dentist!
    18. Re:Here come the Lawyers by ioshhdflwuegfh · · Score: 2, Interesting

      That's true, but journals' reputations still do depend on a perception that the studies they publish are generally high-quality and honest. So I could see a case for these journals suing Wyeth for the damage to their reputations that these papers have caused.

      Science just does not work that way. You don't establish reputation of your journal in court. It's too late now.

    19. Re:Here come the Lawyers by HangingChad · · Score: 5, Insightful

      This is one of those cases where the pharmaceutical companies should be held accountable over and above the slap on the wrist the FDA will give them...

      Then there are insurance companies hauling bus loads of loud, fat people to public meetings on health care. Industry busy trying to undermine public discussion and fudge research results. Big oil has been doing the same thing only a lot longer. When I was doing research for DoE they were paying for research later used to undermine the conservation programs put in place in the wake of the '74 oil embargo. And it worked. Between the push by the oil companies and the Saudis increasing production, DoE's direction on oil policy was changing rapidly by '82. Less than 10 years after lines at the gas pump people were buying vehicles the size of a Bangladesh apartment.

      There's a fine line between engaging in freedom of speech and manipulation. Actually, it's not all that fine. At some point we're going to need to take a hard look at whether the artificial person that is a corporation has the same right to free speech as an individual. Unless you're fabulously wealthy, corporations have a major advantage in getting their free speech packaged and delivered to market. Then there are efforts, like this one, of deliberate deception. Where are the consequences? Why aren't there stunning, quarterly number tanking, breath-taking fines for this kind of behavior? If one of us got caught doing something similar, we could face fraud charges.

      --
      That's our life, the big wheel of shit. - The Fat Man, Blue Tango Salvage
    20. Re:Here come the Lawyers by OldGeek61 · · Score: 1

      The FDA do anything to Big Corp, never happen. Just look what their doing to the electronic cigarette for the tobacco corps.

    21. Re:Here come the Lawyers by e9th · · Score: 4, Informative

      Some the the journals are published by Elsevier, which cropped up here last May for publishing entire bogus journals!

      Last time they pimped for Merck, now Wyeth. If anyone needs to be punished, it's Elsevier.

    22. Re:Here come the Lawyers by ObsessiveMathsFreak · · Score: 5, Interesting

      They willfully defrauded people into buying their products by lying to them about the risks.

      Defrauded. Falsified. Lied. But what does that even mean anymore?

      The reality is our society is so mired in exaggeration, misrepresentations, doublespeak, non-denial denials, irrelevant conclusions, marketing lies, cover your ass language and general bullshit that we, as a culture, have probably lost the ability or even the inclination to discriminate truth and lies.

      And by discriminate, I don't mean being able to tell one from the other. I mean we have actually lost much of our capacity to actually care whether anyone is telling the truth or lying to us. Truthfulness is no longer rewarded. Indeed it is often punished. Falsehood is conversely rarely, if at all punished and is most often rewarded. This is the culture we live in, so why should people recognize any intrinsic ethic in telling the truth or unethical in lying? Even organizations that are supposed to deal in disclosing the truth are widely recognized and accepted to be mostly peddling lies.

      Did Wyeth actually lie? Do you think you would be able to "prove" in a court of law that a single thing they paid to have printed was in fact a lie, rather than a simple massaging of data or a case of being liberal with the truth. The latter won't be enough to secure a conviction as well the Wyeth layers know. And besides, who care if people lie anyway.

      Companies don't have honor or morals or ethics. If they break their word, even on a signed contract, no one is going to come after them. There's not going to be a permanent black mark on their reputations. With the world the size it is, the same holds true for people as well. Sure, some of us might get indignant about it all, but most people will never even hear about it, and most of those that do will forget about it by the next morning.

      This is the society we, as democracies, have chosen for ourselves. The fruits of our decision should come as no surprise to anyone.

      --
      May the Maths Be with you!
    23. Re:Here come the Lawyers by nedlohs · · Score: 2, Interesting

      Surely the doctors who put their names on the papers are the ones who should both be sued and also have their reputations for research completely trashed.

    24. Re:Here come the Lawyers by geekoid · · Score: 1

      Publishing is just the first step in per review, not the final say all.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    25. Re:Here come the Lawyers by blackest_k · · Score: 1, Flamebait

      There are benefits to hormone therapy for women as well as negative effects.

      http://www.center4research.org/wmnshlth/2009/hrt02-2009.html

      "It's important to note that only 2.5% of the women in the study experienced health problems. So, while the percentage increase in some diseases was rather large, the risk for most patients remained relatively small. That does not mean these risks are not important however."

      The pro's and cons and associated risks and benefits is complicated and research is still on going.
      while some women have decided that they do not want to risk hormone therapy others continued in spite of the
      greater risks now known to exist.

      3 weeks ago I had to choose to have a drug with a 5% chance of giving me a bleed on the brain 20:1 sounds bad doesn't it till you know it was almost certain death if I didn't take it.

      While its bad that the real risks were hidden, you do have to remember hormone therapy can increase the quality of life for many women, and suing the drug company just increases the cost of drugs and treatments including those that are unrelated to hormone therapy. Is this practice exceptional? I doubt it.

      If you sue this company your just making drugs cost more and could be making the difference between patients living or dieing due to the ability to pay for more expensive treatments.

      I don't expect this to be a popular view especially with many Slashdot readers being both young and healthy.
      but for older readers, who start the day with their daily meds, perhaps they would be less appreciative of the calls to make their drugs either unavailable or far more expensive.

      Theres a good number of people with incurable diseases and cancers hoping and praying that the drug companies find effective treatments before they die. When you look at it that way a 2.5 % chance of some negative effect occurring isn't worth pushing a drug company to bankruptcy or delaying bringing new treatments to market.

    26. Re:Here come the Lawyers by Will.Woodhull · · Score: 5, Insightful

      I disagree with the idea of fining the perpetrators.

      These are white collar RICO Act violations involving fraud by mail and conspiracies that cross state lines. The individuals involved should be identified by the FBI and charged by the US Attorney General. Each one of them has conspired to defraud healthcare providers and bona fide researchers, in a manner that has caused the deaths of some USA citizens and placed many more at high risk of cancer or other diseases.

      There is no way in hell that the USA is going to get decent health care, no matter what Congress does, until these kinds of white collar crimes in the healthcare industry are addressed for what they are: felonies that indirectly cause death and suffering to the general public.

      --
      Will
    27. Re:Here come the Lawyers by Areyoukiddingme · · Score: 2, Insightful

      I have mod points, but I want to answer this one because there is no +1 Unvarnished Truth option.

      I'm sad now.

    28. Re:Here come the Lawyers by ragefan · · Score: 2, Insightful

      ...and take their own "medicines".

    29. Re:Here come the Lawyers by erroneus · · Score: 5, Insightful

      I'd like to see murder or similar charges placed against the people involved. If I did anything that indirectly caused the death of any single individual, I doubt anyone would have any problems with charging me with some sort of death related crime. Why are these jackholes immune? Corporate officers gave orders and directions and approval for these acts that ultimately resulted in the deaths of people. Had they not done so, they would not be responsible.

    30. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      This is new? Look at the hideously unscientific body of HIV/AIDS research that has been going on for decades, originating with Gallo's semi-fabricated paper. Business as usual - just get people to rally around your cause - women needing hormones, etc, and the medical bullshit will just be ignored (hint: look for a followup to this story later).

    31. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      The reason there were lines was because of Nixon's brain dead price controls, not because of the embargo or any 'shortage'. Price controls create shortages. Economics 101.

    32. Re:Here come the Lawyers by Anonymous Coward · · Score: 3, Insightful

      They are immune because they are insanely wealthy and big time political donars/bribers.

    33. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      The journals will NEVER sue the pharmaceutical companies. Just look at the glossy ads inside the pages of these journals. Pharmaceutical companies are the biggest contributors of these journals. You don't bite that hand that feeds you.

    34. Re:Here come the Lawyers by TubeSteak · · Score: 1

      If you sue this company your just making drugs cost more and could be making the difference between patients living or dieing due to the ability to pay for more expensive treatments.

      I don't expect this to be a popular view especially with many Slashdot readers being both young and healthy.
      but for older readers, who start the day with their daily meds, perhaps they would be less appreciative of the calls to make their drugs either unavailable or far more expensive.

      Let me explain, very simply, why "older readers" are already paying too much for their drugs:
      Dividends

      Dividends basically mean "we've been making so much money, we can give it away instead of reinvesting."
      Over the last four quarters, they've paid out $1.569 Billion in dividends.
      And Wyeth has been paying out steadily increasing dividends since 1987.

      --
      [Fuck Beta]
      o0t!
    35. Re:Here come the Lawyers by bit01 · · Score: 1

      Theres a good number of people with incurable diseases and cancers hoping and praying that the drug companies find effective treatments before they die. When you look at it that way a 2.5 % chance of some negative effect occurring isn't worth pushing a drug company to bankruptcy or delaying bringing new treatments to market.

      Yes it is. These drug companies are providing you with false hope. Those numbers you are quoting are very likely marketing numbers that have little connection with reality. The company provided those numbers, not some objective third party. The negative studies will have been discarded, the data outliers quietly dropped, the bad results simply ignored and soft measures like "quality of life" spun like crazy.

      Doctors love to claim the marketing doesn't affect them however the drug companies wouldn't do it if it didn't work. You do know that drug companies spend far more on marketing than research, don't you? Of course, they try to hide those numbers with doctor "education" (really, incredibly biased marketing material) being fraudulently considered as development.

      In fact, I can't even be sure you're not a drug company marketer fraudulently pretending to be an objective third party. If you are, ever thought of getting a real job, you know, one where you contribute to the community instead of being a parasite?

      Many drug companies are little better than the snake oil peddlers of days past with shiny white lab coats and a marketing department. If you can't see that then you are deluded. I've lost count of the number of drugs in long term use that have turned out to be insanely expensive placebos and some even actively harmful.

      There needs to be full accountability with people going to jail for any fraud at all and the companies of those people shut down.

      What you really want, a dangerous drugs program for those seriously ill, should be allowed but only with serious controls that give absolutely total transparency so that patients and their doctors can make fully informed decisions. And that means at a minimum objective, third party testing of the drugs, not drug company testing.

      ---

      An unobtrusive ad is a non-functional ad. It is a non-sustainable business model.

    36. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      I am a "ghostwriter". First. Did Wyeth "fabricate" data. No. Did they misrepresent the side effects? Well... Potentially not. I haven't seen the papers. Let me tell you how clinical trials are written up. The trial has a massive study report containing all results and analyses. There are a subset of those that are chosen for writing up -- usually to comply with CONSORT guidelines (google it) and all manner of guidelines relevant to the therapy area and country where the journal is published. Add to this that there is bias in the trial. Govt funded trials tend to be less favourale to novel drugs than the mfr's trials-- even if the trials are run identically, with no jiggery pokery. Unless clinical trials are massive and long term, certain things will be missed -- perhaps the Fed's trial was bigger, longer or somehow better? Medical writers report the facts from the study report. Adverse events are reported in the results; in tables and usually in grat detail in the supplementary details bit of the journal's website. It's open. Its' all there. What of emphasis? If it's in the results, that fair. You'd have to be implying that the discussion of the results massively misled the audience. If the trial missed it, or somehow this data mysteriously failed to get in to the study report, how is this the medical communications agency's fault? As long as I've worked in the game, my involvement has been acknowleged in the paper. But it's the authors that take responsibility for it. They sketch it out; I fill in the gaps; they review and have final approval. Don't blame the ghostwriter! I think we are easy targets, but if nefariousness is going on, it's before we're involved.

    37. Re:Here come the Lawyers by chiguy · · Score: 1

      If this upsets you, then stop just whining on slashdot. No one here can do a damn thing about it.

      Go to http://www.usa.gov/Contact/Elected.shtml and contact everyone who represents you and get something done.

      There is NO BETTER TIME THAN NOW to get changes to the way medicine is monetized in America.

      --
      passetspike!
    38. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      The bad thing is not the 2.5% chance of negative effects, but the fact they consciously masked it in order to increase their profit. I might make the decision and take the risk, but I just want to be the best informed beforehand.

      For those willing to go on and take the treatment no matter the risks, this information may be of low value, but for the rest -the ones who gives the extra benefits they get from lying-, knowing about the negative effects may be the reason not to medicate.

    39. Re:Here come the Lawyers by amilo100 · · Score: 1

      Less than 10 years after lines at the gas pump people were buying vehicles the size of a Bangladesh apartment.

      "Big Oil" did not create a market for SUVs. Stupid Americans want big SUVs and that is why they exist. The DoE or Big Oil can not magically change public opinion and desires. In any case, due to high labour costs, Big 3 US automakers can not produce smaller cars and still make a profit.

    40. Re:Here come the Lawyers by blackest_k · · Score: 0, Redundant

      First time I've ever been called an Industry Shill, however I don't work for any drug company. If you had clicked the link I provided you would have seen that the studies that give that 2.5% figure are the studies that concluded that hormone therapy had harmful effects and resulted in a 50% reduction in the use of hormone therapy.

      heres the link again, it is quite readable.

      http://www.center4research.org/wmnshlth/2009/hrt02-2009.html

      To provide a better sense of the additional risks that come with combination hormone therapy, the study data can be summarized more simply. Compared to a group of 10,000 women taking placebo, 10,000 women taking combination hormone therapy will experience:
      -- 7 more heart attacks
      -- 8 more strokes
      -- 8 more cases of breast cancer
      -- 18 more blood clots
      -- 6 fewer cases of colorectal cancer
      -- 5 fewer hip fractures

      Largely the negative effects are an increase in blood clots, which kind of leads on to my next point.

      Me and my grandfather have one thing in common we both had coronaries however his was in the 50's and mine was 3 weeks ago. His killed him, I'm recovering pretty well. The difference are the drug treatments and therapies that have been developed. I've now got a stent in my heart, thats an alternative to a bypass, which was first tried in 1977. Hoping for new treatments to be developed false hope? Well its clear that medical science has advanced since my grandfather had his heart attack, I would be dead without the drug that busted that clot that was killing me.

      A Coronary is what happens when a clot blocks an artery feeding oxygenated blood to your heart after 20-30 minutes your heart muscle starts to die, after enough damage, heart failure the inability to pump blood occurs.

      Smoking increases the load on the heart and narrows arteries, fat and high cholesterol result in a build up of fat lining the arteries and when this breaks off it causes a bleed and a clot. Obviously losing weight will reduce the amount of fat your carrying and reduce the strain on your heart. You can make 'lifestyle' changes
      to reduce the risks something which everyone should be doing. The supermarkets are full of junk that is liable to kill us.

      Seems that the risks of Hormone Therapy could be mitigated by the same lifestyle changes that I'm having to make after my heart attack. Actually I'd strongly recommend making changes before experiencing the effects of poor diet, lack of exercise and smoking.

      The original poster was asking why Wyeth shouldn't be totally nailed for misrepresenting the risks of hormone therapy and while I don't think its right what they did I also don't see a need to bring out the pitchforks and torches either and I'm cynical enough to see that any punishment thats given out is going to be paid for by the people needing the drugs and treatments.

        I'd like to hear a womans point of view regarding hormone therapy and its benefits and dangers. Hormone therapy is quite widespread even now, its certainly in a different league to some of the other notorious drug treatments that have been brought out and then proven to be harmful.

    41. Re:Here come the Lawyers by migla · · Score: 1

      This still leaves most of those who profit from this without accountability. Shareholders are not accountable. Sure, they can loose the investment, but they can profit from murder without accountability.

      --
      Some of my favourite people are from th US; Vonnegut, Chomsky, Bill Hicks.
    42. Re:Here come the Lawyers by erroneus · · Score: 1

      "Profiting from murder" can get rather nebulous. It's best to limit liability to those who directly made the decisions, orders and directives. Without such limits, *I* might be considered liable for what happens in foreign nations by the order of former president Bush. I didn't vote for him and disapproved of what he did and of the results. But fuel prices did whatever they did and are still remarkably lower in the U.S. than in other nations and so one could assert that we are "profiting from murder" as well even though my objections mean zero to the whole situation. And I certainly can't prevent my tax dollars from going to it and not paying taxes? Well let's say I've done that before and it didn't lead to a good place so that's not really a matter of choice either.

    43. Re:Here come the Lawyers by Eivind+Eklund · · Score: 1

      I've lost count of the number of drugs in long term use that have turned out to be insanely expensive placebos and some even actively harmful.

      There needs to be full accountability with people going to jail for any fraud at all and the companies of those people shut down.

      Maybe this indicate that we need a new legal standard for scientific papers? So that when you declare "This is a scientific paper", you need to declare a number of things, e.g.

      • Conflicts of interest
      • Who are the real authors of the paper (what rough percentage / which involvement has each person has)
      • What's the real sources of funding
      • "We have not done any kind of conscious spin of the data" (Like "The truth, the whole truth, and nothing but the truth")

      And if you misrepresented any of these, you would take a legal penalty, similar to the penalty for perjury. The consequences of scientific misconduct has larger scope than most legal misconduct; so why should scientific misconduct have lesser penalties and legal safeguards?

      --
      Doubting the existence of evolution is like doubting the existence of China: It just shows that you're uninformed.
    44. Re:Here come the Lawyers by migla · · Score: 1

      Yes, what you describe is of course not just or acceptable.

      I'm not convinced that shareholders shouldn't in principle have more accountability, though. Why not let them be a bit more accountable for what the "machines" that they own and unleash into the world are up to.

      I guess it would require more transparency into the dealings of publicly traded businesses. Obviously we shouldn't hold people responsible for things they can have no knowledge about.

      --
      Some of my favourite people are from th US; Vonnegut, Chomsky, Bill Hicks.
    45. Re:Here come the Lawyers by shadowofwind · · Score: 1

      I've known a number of people in my life who would strongly agree with you here. And push come to shove, when their own comfort is on the line, most of them sell out. There's more than one way to sell out, and people often don't represent it to themselves that way, but that's how it looks to me.

      To whatever extent a few people will also turn that critical eye on themselves, and stand firm with their moral vision when making choices in their own lives, I think they can accomplish a lot. The corrupt tendencies are weaker than the moral motive, in that the corruption tends to act without commitment in a lot of different directions. I think there is still a lot of strength in our culture (I'm speaking as an American), and those who can see it just have to be true to it. So while I agree with you totally, I think there's room for optimism here.

    46. Re:Here come the Lawyers by Cigarra · · Score: 1

      Sounds nice. But what does the LAW say? I mean, doesn't every crime / offense / felony have an expected punishment written in some code?

      --
      I don't have a sig.
    47. Re:Here come the Lawyers by rtb61 · · Score: 1

      Easiest test, what if an individual had done it directly rather than a corporation, you know, the snake oil salesman type. So a person sells chemicals to women telling them they will be healthier if they take them knowing full well it wont cure in fact it will kill some of them, bearing in mind this individual has full access to doctors, scientists, chemists and the latest laboratory equipment, so ignorance is now excuse, it is just another lie.

      Likely charges would be fraud, criminal negligence and manslaughter. That manslaughter charge of course would be subject to review dependent upon how many women where killed, one or two versus hundreds and even thousands. If corporate executives where actually tried for their crimes as justice demands, you could pretty well guarantee that the top 100 serial killers of the 20th century would all be corporate executives.

      --
      Chaos - everything, everywhere, everywhen
    48. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      ... corruption tends to act without commitment... ... I'm speaking as an American...

      I think your point is an interesting (suspiciously reasonable and deserving of further consideration/investigation) one, but I'm not clear how culture or nationality would make a difference.
      peace (and mild variations),
      coward gerry

      ps -- looking at fruit one time, i wondered where the difference between ripening and rotting lies

    49. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      This.

      You're already at +5 Insightful, so I can't mod you any higher. Your post is worth +10 Insightful, or more. No need to curb competition or over-regulate or anything like that. Just reinstate some real and actual accountability with concrete consequences for those who decide to fuck everyone else over.

      Simple, and would most likely be very effective.

      And thus, we will never see anything like it.

      At least not in (most of) our lifetime(s).

    50. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      Im thinkin Arbys.

    51. Re:Here come the Lawyers by palegray.net · · Score: 1

      Let's make this simple. Anyone who had direct knowledge of these actions, and did nothing about it, should be held to the same standard of accountability. Federal charges should be filed on the lot of them.

    52. Re:Here come the Lawyers by TheTurtlesMoves · · Score: 1

      The reality is our society is so mired in exaggeration, misrepresentations, doublespeak, non-denial denials, irrelevant conclusions, marketing lies, cover your ass language and general bullshit that we, as a culture, have probably lost the ability or even the inclination to discriminate truth and lies.

      Are you suggesting that this is somehow only recent?

      Its the way its always been.

      --
      The Grey Goo disaster happened 3 billion years ago. This rock is covered in self replicating machines!
    53. Re:Here come the Lawyers by ultranova · · Score: 1

      I'm not convinced that shareholders shouldn't in principle have more accountability, though. Why not let them be a bit more accountable for what the "machines" that they own and unleash into the world are up to.

      Because then investing becomes even more risky to Joe Average who has to work for a living and thus doesn't have time to investigate the actions of any potential target of investment in any detail as Joe Bigbucks does. The world is degenerating back to an aristocratic class structure fast enough as is, let's not hasten it on its way to that Hell.

      The ones doing the decisions on companies are its executives and the board of directors. Sure, they may be faced with the unfortunate choice of behaving unethically - even psychopathically, as in this case - or being fired, but hey: they are supposedly paid so much because the job is so hard, so they can bloody well grow a spine and take it. I mean, I wouldn't be excused for murder just because I'd lost my job if I hadn't done it, and I don't get paid that much.

      --

      Forget magic. Any technology distinguishable from divine power is insufficiently advanced.

    54. Re:Here come the Lawyers by Anonymous Coward · · Score: 0

      And there are many left-leaning groups that also organize protests, recruit people to go, arrange transport to/from the protests, etc. Why is it different when a corporation does the same thing?

    55. Re:Here come the Lawyers by migla · · Score: 1

      The world is degenerating back to an aristocratic class structure fast enough as is, let's not hasten it on its way to that Hell.

      I sure wouldn't want that, so I think I'll be flip-flopping on this issue.

      What I would want, is more transparency into what the powerful are up to. The approach of making that happen (in the real of business-power) through accountability of profiteers would be a hack, I guess, since punishing people is not the goal. The goal is making the world a better place.

      I'm open for other suggestions on quick fixes for justice and equality and all that.

      --
      Some of my favourite people are from th US; Vonnegut, Chomsky, Bill Hicks.
    56. Re:Here come the Lawyers by migla · · Score: 1

      FYI: I suck at English and typing.

      --
      Some of my favourite people are from th US; Vonnegut, Chomsky, Bill Hicks.
  2. Unfortunately... by ioshhdflwuegfh · · Score: 1

    TFA is unreachable...

    1. Re:Unfortunately... by Anonymous+Cowar · · Score: 1

      apparently it's ghost-hosted as well...

    2. Re:Unfortunately... by ioshhdflwuegfh · · Score: 3, Informative

      Here are few links:
      Philadelphia Inquirer,
      UPI (Two quotes: "Ghostwriters paid by U.S. pharmaceutical giant Wyeth worked on dozens of articles published in medical journals under doctors' names, court documents indicate." and "A Wyeth spokesman said the ghostwritten articles were scientifically sound and subject to peer review by the journals that published them.")
      NYT

  3. Who ya gonna call? by Anonymous Coward · · Score: 3, Funny

    When there's something weird
    In your study results
    Who you gonna call?
    Ghostwriters!

  4. Wyeth isn't alone by Lurker2288 · · Score: 4, Insightful

    Wyeth may have gotten caught, but don't kid yourself that every major pharma company isn't doing the exact same thing.

    1. Re:Wyeth isn't alone by ILuvRamen · · Score: 1

      I read that they, as a whole, stopped giving free notepads and clocks and pens and ice cream and subs to doctors at hospitals in person cuz it was costing too much. Geeeee, I wonder what they re-routed the money towards! I doubt they just completely cut out that form of marketing and didn't replace it. Contracted astroturfing apparently had better results so they dumped the pens and hired more writers. That's my theory at least.

      --
      Google's Super Secret Search Algorithm: SELECT @search_results FROM internet WHERE @search_results = 'good'
    2. Re:Wyeth isn't alone by wizardforce · · Score: 2, Insightful

      This is precisely why in science, real science, we have the scientific method which requires that experiments/studies etc. be repeatable. All it would take is for these fraudulent claims to be tested and it is over for the fools who tried to usurp the system.

      --
      Sigs are too short to say anything truly profound so read the above post instead.
    3. Re:Wyeth isn't alone by Nightspirit · · Score: 4, Insightful

      Unless the people retesting are the same ones who submitted it in the first place (either via ghost writers, sham corporations, etc). Then it becomes like artificial sweeteners, where you have a mountain of evidence stating that it is safe (from the corporations, or people funded by the industry) and some research stating that it isn't safe, and the end result is people are confused and no one knows what to really believe.

    4. Re:Wyeth isn't alone by geekoid · · Score: 1

      "Unless the people retesting are the same ones who submitted it in the first place "
      then it isn't the scientific method. It needs to be tested by other groups as well.
      Obviously the same person redoing a test and saying it passed as very limited value.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    5. Re:Wyeth isn't alone by anglico · · Score: 1

      Well I could be wrong but we were told that there was a law passed about the pharmaceutical reps giving out pens and other trinkets. They (Lawmakers) somehow felt that this was influencing the doctors decisions in what they prescribed. I've personally NEVER seen/heard a doctor say they prescribe a certain med because of the gifts they got, nor have they just glossed over the results of their patient's complaints about said medications. I have been to some of the lunches here at the clinic and heard the doctors say "well we have been getting complaints of and what is doing to correct this?"

    6. Re:Wyeth isn't alone by JohnFluxx · · Score: 1

      duh, but how does anyone know whether it has been double checked by an outside group or not?

    7. Re:Wyeth isn't alone by Chris+Burke · · Score: 1

      This is precisely why in science, real science, we have the scientific method which requires that experiments/studies etc. be repeatable. All it would take is for these fraudulent claims to be tested and it is over for the fools who tried to usurp the system.

      Well on the one hand, not all science is physics. It can be very difficult and expensive to conduct a medical study, and repeatability is to some extent hampered by a thousand uncontrolled variables. Grams and electron volts don't vary, but people (and all biological systems) do and so even if you're picking a proper sample population that is statistically meaningful, it is nevertheless a different population than was used in the other study. Not to say that repeatability is impossible, or that a valid study's results should be completely at odds with a repeat of the study. Just that it is really not so easy as repeating an experiment and getting the exact same answer. So don't be too surprised that nobody's first reaction to seeing the study in a journal was "We need to duplicate these results right now!"

      On the other hand, it was a different study that helped show that the original study was bad.

      --

      The enemies of Democracy are
    8. Re:Wyeth isn't alone by drunken_boxer777 · · Score: 3, Informative

      It's not that the notepads and pens they handed out to doctors cost too much, it's that the trade group representing drug companies voluntarily agreed to stop the practice.

      And not only has ghostwriting been around forever, but the drug companies have long hired well-respected doctors as consultants (at high rates), or paid for them to give lectures (again, at high rates). These well-respected doctors (called 'Key Opinion Leaders') have considerable influence within their specialty.

      Disclosure: I arrange for doctors to work as consultants for drug companies.

    9. Re:Wyeth isn't alone by ColdWetDog · · Score: 4, Interesting

      I read that they, as a whole, stopped giving free notepads and clocks and pens and ice cream and subs to doctors at hospitals in person cuz it was costing too much. Geeeee, I wonder what they re-routed the money towards! I doubt they just completely cut out that form of marketing and didn't replace it. Contracted astroturfing apparently had better results so they dumped the pens and hired more writers. That's my theory at least.

      No, the reason they dropped the pens / pencils / paper AND the cruises to the Bahamas AND the free golf AND the fancy dinners wasn't cost. The costs were cheap compared to the benefits they wrought. They stopped them because of the noise and bad press (and the belated 'ethics' whitepaper by the AMA and other trade groups).

      The ghost writing and the funding of spurious research is / was one step removed from this in the public's eye. Now the heat is one here and big Pharma will paper over this issue and continue some other way of pushing their agenda. Look to lobbying for the next big push. If you take away an individual doctor's role in deciding which drug or treatment to prescribe and bump it up to a committee or better yet, a legislator, then you can pay a K Street firm a couple of times per year and not worry about having an army of drug reps running around.

      Big Pharma has it's strategy mapped out for any possible occasion. They're smart, cunning and have been playing this game for a long time. Resistance is futile....

      --
      Faster! Faster! Faster would be better!
    10. Re:Wyeth isn't alone by _Sprocket_ · · Score: 1

      This is precisely why in science, real science, we have the scientific method which requires that experiments/studies etc. be repeatable. All it would take is for these fraudulent claims to be tested and it is over for the fools who tried to usurp the system.

      The question is, who's going to do the repeat? If an experiment is prohibitively expensive to recreate it offers a natural cover for fraud. Not that scientific method isn't a Good Thing. But one can't just utter it as an incantation against the demons of deceit.

    11. Re:Wyeth isn't alone by Sir_Lewk · · Score: 1

      It might not be fair, but that doesn't change the fact that physics isn't a better, more scientific science.

      --
      "linux is just DOS with a UNIX like syntax" -- Galactic Dominator (944134)
    12. Re:Wyeth isn't alone by MaskedSlacker · · Score: 1

      Disclosure: I arrange for doctors to work as consultants for drug companies.

      Would you like your execution to be by quartering, or by lions? Because that's the mood of this thread right now.

    13. Re:Wyeth isn't alone by Chris+Burke · · Score: 1

      It might not be fair, but that doesn't change the fact that physics isn't a better, more scientific science.

      Huh?

      I wasn't saying anything like "physics is better" or "physics is more science-y".

      I was saying that by its very nature it is easier to reproduce results in physics experiments. Anyone can reproduce the Michelson-Morley or Young Double Slit experiments or measure the Gravitational Constant or the permittivity of free space or the diffraction index of air and get the exact same answer as everyone else to the limits of their measuring devices.

      It's just a practical difference between what the sciences are studying, not their status as sciences.

      --

      The enemies of Democracy are
    14. Re:Wyeth isn't alone by blackraven14250 · · Score: 1

      Yeah. Mr X publishes in favor, Mr Y publishes against, Mr Z and Mr A publish for, in that order, and all do it under their own name. You now have a body of evidence to refute Mr Y, even though Mr X, Mr Z and Mr A are paid by Wyeth. You don't know that because Wyeth won't tell who they paid to say what.

    15. Re:Wyeth isn't alone by ioshhdflwuegfh · · Score: 1

      It might not be fair, but that doesn't change the fact that physics isn't a better, more scientific science.

      Fact? What fact? You write as if you know what you're talking about.

    16. Re:Wyeth isn't alone by geekoid · · Score: 1

      The outside group writes a paper.
      Do you people realize we are talking about the most fundamental part of the scientific method?

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    17. Re:Wyeth isn't alone by geekoid · · Score: 1

      But we aren't talking about published studies. We are talking about papers written based on meta-studies.
      People in the community do understand the difference.

      Not to excuse this behaviour, it's abhorrent and unehtical. However it isn't in mark against the scientific method.

       

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    18. Re:Wyeth isn't alone by Jamie+Lokier · · Score: 1

      When you can't tell it's the same person because they are using ghost writers, it looks like science but it isn't.

      That's the problem.

      If it's lots of different people with the related vested interests, the problem is subtler but still significant. Then it's biased science.

      You can't retest all the evidence yourself, and you can't afford to pay other people to do it, so you can't tell what's science and what merely looks like science.

    19. Re:Wyeth isn't alone by budgenator · · Score: 1

      Physics is getting very statistical nowadays too; sometimes you have too squint your eyes and tilt your head just right to see some of the results from high-energy physics as well.

      --
      Apocalypse Cancelled, Sorry, No Ticket Refunds
    20. Re:Wyeth isn't alone by Chris+Burke · · Score: 1

      Physics is getting very statistical nowadays too; sometimes you have too squint your eyes and tilt your head just right to see some of the results from high-energy physics as well.

      Yeah, I suppose that's true.

      Which just goes to emphasize my point -- a lot of slashdotters seem to think all science should be like the physics experiments I described where everything is nice and clean and everything is 100% repeatable, and that if it's not it can't be science. But that's just wishful thinking.

      --

      The enemies of Democracy are
    21. Re:Wyeth isn't alone by Solandri · · Score: 1

      Unless the people retesting are the same ones who submitted it in the first place (either via ghost writers, sham corporations, etc). Then it becomes like artificial sweeteners, where you have a mountain of evidence stating that it is safe (from the corporations, or people funded by the industry) and some research stating that it isn't safe, and the end result is people are confused and no one knows what to really believe.

      While using ghostwriters is obviously wrong, I'm curious how exactly is an experimental drug or food additive supposed to get studies on it done if it isn't funded by the company developing it? Are the pharmaceutical companies supposed to go around to researchers asking, "Could you please do some studies on this new drug/food additive we're developing? We can't pay you or give you anything to compensate you for your time and effort, but it would really help us out if you did it. So could you do it, pretty please?" And you can't really rely on researchers who get interested on their own because (1) they usually only get interested after the drug/food additive is in widespread use and think "Hmm, this stuff seems to be everywhere. I wonder if it's really safe?", and (2) they are often interested because they have an agenda of their own (if the company making/selling the stuff isn't funding it, someone else has to be funding it).

      Obviously there's a lot of room for improvement to the process. But it seems to me an outright rejection of any corporate-sponsored research is just as flawed as blind acceptance of corporate-sponsored research. The funding for it has to come from somewhere, and the logical choice to make pay for it is the company developing it. Getting the FDA to act as a blind (accepting the funding with one hand while conducting the research with the other) seems like it could be a solution. But for a drug to even be considered by the FDA, the FDA requires you to give them research results which show the drug is promising.

    22. Re:Wyeth isn't alone by AK+Marc · · Score: 1

      But how do you know they are an outside group? It's not like the industry finds one and only one group/scientist.

    23. Re:Wyeth isn't alone by GooberToo · · Score: 2, Interesting

      Then it becomes like artificial sweeteners, where you have a mountain of evidence stating that it is safe (from the corporations, or people funded by the industry)

      As for the oldest of artificial sweeteners (Saccharin), there is actually mountains of evidence that it is safe. The "evidence" which shows it to be unsafe was originally sponsored by sugar growers (direct competition). In fact, research clearly shows sugar to be far, far, far, far, far more dangerous, bringing horrible disease to every culture to which it is introduced and yet law required a cancer warning on the product which is actually far safer.

    24. Re:Wyeth isn't alone by DynaSoar · · Score: 1

      This is precisely why in science, real science, we have the scientific method which requires that experiments/studies etc. be repeatable.

      Welcome to a new incoming member of the scientific professions (some of us actually look up those links from the user names).

      A tip for you from experience: Yes, proper design and methodology requires replicability. However, Wyeth and those of us out here in the lab trenches both know how hard it is just to get funded for initial research. It is almost unheard of to get funded for replications. You can get funded for an extension of previous work that requires replication as a first step, and discover contradictory results, or suspect a problem and get funded to disprove the previous work, but even those don't happen often. BigPharma banks (literally) on this. And should someone actually get funded to replicate and find problems, Wyeth et al. has deep pockets and can fund plenty of replications of their own, with obvious results. Not to say we never win this one -- just that we have to do it primarily with ingenuity. A bushel full of ornery helps, stomping your feet and yelling until people turn and listen. And when you get evidence, accuse the originators of scientific misconduct in the proper venues. Obviously it can be done because it was in this case, but it's a struggle. It's also very rewarding when you win one.

      Best of luck.

      --
      "I may be synthetic, but I'm not stupid." -- Bishop 341-B
    25. Re:Wyeth isn't alone by Anonymous Coward · · Score: 0

      Resistance is futile....

      Fuck that. Resistance is difficult, but hardly futile. But just give up, like everyone else in America does. This is why the country is falling to shit. People have lost the "can-do" attitude that is a core component of the generations American's idolize so much. This is what happens when one is pampered and given everything they want, they don't learn that if it's really important you are going to have one hell of a fight on your hands.

    26. Re:Wyeth isn't alone by MikeBabcock · · Score: 1

      No, its a prevention of the scientific method's effect instead.

      The scientific method of retesting works fine, but those on the outside analyzing the results have their analysis abilities severely crippled when false results are crept into sufficient data samples.

      --
      - Michael T. Babcock (Yes, I blog)
  5. Investment by Anonymous Coward · · Score: 0

    Well you know companys have to protect their research investment at any cost. Who cares about people? They don't!

  6. The constant gardener ? by lbalbalba · · Score: 0, Offtopic

    The Constant Gardener is a 2001 novel by John le Carré. It tells the story of Justin Quayle, a British diplomat whose activist wife is murdered. Believing that there is more behind the murder, he seeks to uncover the truth behind her death, and finds an international conspiracy of corrupt bureaucracy and pharmaceutical money. (source: http://en.wikipedia.org/wiki/The_Constant_Gardener)

  7. Perhaps now people will isten? by Kokuyo · · Score: 3, Insightful

    Yeah right...

    This happens when you trust people who make money when you don't feel well. When will people learn that doctors do not profit from you being healthy? Neither do pharmaceutical companies. Taking medicine in the belief that whoever gave it to you wanted you to feel better is very naive.

    It's stuff like this, and many personal experiences, that make me so cynical toward doctors. It's a sad state of things, but there you have it.

    1. Re:Perhaps now people will isten? by geekoid · · Score: 3, Insightful

      Your an idiot.
      I know quite a few doctors, and all of them want to see their patients get healthy. It's not like they don't have enough business.

      What does a Doctor gain by prescribing you a treatment that isn't needed?

      I am of course tlkaing about science based medicine, Natural path, homeopaths, acupuncturist and others of there ilk are a different matter. They charge of treatments that do no damn good.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    2. Re:Perhaps now people will isten? by aaandre · · Score: 1

      Also, drug advertising on TV. Like candy for old people.

    3. Re:Perhaps now people will isten? by Red+Flayer · · Score: 0

      Taking medicine in the belief that whoever gave it to you wanted you to feel better is very naive.

      They want you to feel better. They just don't want you to *be* better. They want you dependent on their drugs, or on doctor visits.

      FWIW, many years ago I attended a College of Pharmacy. It wasn't until just over 4 years into the program that I realized I didn't want to work in the industry for ethical reasons. The thing that got me the most... the pharma industry, including the colleges, described "quality of life" to be the biggest issue. Not curing disease, not curing underlying causes... but maintenance treatment of symptoms, and underlying causes of those symptoms.

      Pharma companies --> Grants to universities --> universities stress the pharma companies' agendas --> university graduates go to work at the pharma companies and the pharmacies and the clinical settings.

      I felt as though they were trying to brainwash me into thinking that aggressive chemical treatment was the best solution for any ailment.

      I'm cynical, and somewhat jaded, but I really feel that the pharma industry needs to be ripped apart. For all the well-intentioned individuals within the companies, there is a lot of evil shit going on for the sake of profit.

      --
      "Trolls they were, but filled with the evil will of their master: a fell race..." -- J.R.R. Tolkien on Olog-hai
    4. Re:Perhaps now people will isten? by fuckface · · Score: 1

      I'd say the problem lies more in the insurance companies than anyone else. They don't want to pay a claim unless you can prove that you're suffering from some condition. Pro-active health care just isn't in their lexicon.

    5. Re:Perhaps now people will isten? by Ardaen · · Score: 1

      Unfortunately, these studies are probably aimed at the doctors, not the patients. Convince the doctor and often you've convinced the patient. The doctor's intent usually isn't the problem.

    6. Re:Perhaps now people will isten? by wizardforce · · Score: 1

      almost nothing that has been produced in society was for someone else's greater good but rather in exchange for something of value to the producer. The system requires selfishness on the part of essentially everyone involved [pharma to research and produce the drug] the patient to stay reasonably informed and the government to enforce laws against fraud. The real problems arise when the power balance is broken: the government doesn't do its job of going after fraud or big pharma defrauding the patient or the patient using government as a baseball bat to do anything other than its basic purpose- police just laws.

      --
      Sigs are too short to say anything truly profound so read the above post instead.
    7. Re:Perhaps now people will isten? by wizardforce · · Score: 1

      From what I've encountered, the overuse of diagnostics etc. that don't do any real good seems to be the result of a fear of being sued for not doing enough to diagnose/treat the patient. As far as I am concerned such suits should be binding against actual malpractice. That is, failures on the part of the doctor's end that would not be considered a reasonable response. operating on the wrong leg, prescribing a drug that is clearly labeled as being a dangerous allergen to the patient etc..

      --
      Sigs are too short to say anything truly profound so read the above post instead.
    8. Re:Perhaps now people will isten? by geekoid · · Score: 1

      Except these weren't real studies, they were meta-studies and all doctors I know understand the value of meta studies.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    9. Re:Perhaps now people will isten? by Anonymous Coward · · Score: 0

      Your an idiot.

      What does a Doctor gain by prescribing you a treatment that isn't needed?

      Because health insurance companies and pharmaceutical companies are known provide financial incentives to health care providers (i.e., doctors) to use (or not) specific treatments or drugs. Believing that all medical practitioners are altruistic, ethical, or even honest strikes me as idiocy.

    10. Re:Perhaps now people will isten? by Da_Biz · · Score: 1

      I am of course tlkaing about science based medicine, Natural path, homeopaths, acupuncturist and others of there ilk are a different matter.

      I can't speak for either naturopathy or homeopathy, but to lump all acupuncturists into failing to practice medicine with an empirical basis is just nebulous.

      My father went to the UCLA Center for East-West Medicine (which works closely with UCLA Medical School) to study acupuncture:
      http://www.cewm.med.ucla.edu/

      He credits part of his very successful career in acupuncture (which included a lot of collaboration with MDs to treat chronic illnesses) to having participated in this program.

      There are acupuncturists (and medical doctors, for that matter) who fail to center their decisions around evidence-based medicine. That noted, to declare that "all doctors" from a certain discipline as being of no value is hardly a scientific way to approach it.

    11. Re:Perhaps now people will isten? by Jamie+Lokier · · Score: 1

      1. Some Doctors make extra cash by prescribing particular treatments.

            Crackdown on Doctors Who Take Kickbacks [New York Times]

      2. Even when Doctors don't make direct cash, it is said some of them make indirect benefits such as courses which are disguised nice holidays.

      3. Even when Doctors don't benefit personally, medical industry reps do benefit from their products being chosen. Behind the Doctor is a whole industry of pressures and reality distortion fields who's agenda includes their own profit, and does not have your health at the top. Doctors are human and are not immune from pressure and reality distortion fields.

      2. You are wrong to say "Natural path, homeopaths, acupuncturist and others of there ilk are a different matter. They charge of treatments that do no damn good."
      Some of them aren't effective, some of them are. Some patients benefit, some do not. It sounds like you don't.

      Even if it's just due to psychology or psychosomatic response, when that does you good, it's good.
      Some people think if it's psychology you can do it yourself and get the same result.
      That's not true for everyone.

    12. Re:Perhaps now people will isten? by Rakishi · · Score: 2, Insightful

      Not curing disease, not curing underlying causes... but maintenance treatment of symptoms, and underlying causes of those symptoms.

      This isn't star trek, you can't take out a magical pill out of your pocket that makes a woman grow a new kidney. Hell, you we most of the time can't even make drugs to cure simple symptoms without causing horrible side effects. Don't blame pharmaceutical companies for the simple fact that science doesn't understand most of what's going on.

      The job of the pharmaceutical companies isn't to choose the best treatment plan for patients, that's what doctors are for. Quite often that treatment plan involves things such as lifestyle changes, surgery, therapy and so on that have nothing to do with drugs companies.

      Most drugs aren't cures for the simple fact that if a cure exists you don't need other drugs. If a cure doesn't exist you do need drugs. If you need drugs then you should try to make them the best and most pleasant drugs possible. You can't blame drug companies any more than you can blame high crime neighborhoods on police for having too many officers assigned to them.

    13. Re:Perhaps now people will isten? by Chris+Burke · · Score: 3, Insightful

      This happens when you trust people who make money when you don't feel well. When will people learn that doctors do not profit from you being healthy? Neither do pharmaceutical companies. Taking medicine in the belief that whoever gave it to you wanted you to feel better is very naive.

      Yeah, that's why my doctor has encouraged me to eat better and exercise so that I don't have to take anti-cholesterol or blood pressure medication.

      --

      The enemies of Democracy are
    14. Re:Perhaps now people will isten? by blackraven14250 · · Score: 1

      Except that when 80% of all studies say it's good because Wyeth flooded the journals with their own studies, it's not so easy.

    15. Re:Perhaps now people will isten? by Red+Flayer · · Score: 1

      The job of the pharmaceutical companies isn't to choose the best treatment plan for patients, that's what doctors are for. Quite often that treatment plan involves things such as lifestyle changes, surgery, therapy and so on that have nothing to do with drugs companies.

      The drug companies have a huge amount of sway with doctors, with insurance companies (for approved treatments, etc). In a clinical setting, the pharmacist is often as important to the treatment plans as the doctors are. But it's not really about MD vs PharmD vs RN, it's the entire health care industry. Doctors also have some of the same incentives as the pharma companies to ensure repeat business, and while I think they tend to weight those concerns less, the entire health care industry in the US stinks.

      As an aside, please check how much money is spent on R&D by the drug companies on maintenance drugs vs. "cure" drugs. It's not even close in terms of cash. It's very clear where the drug companies interests lie, and it's very clear that over time this impacts the kind of cure/treatments are available.

      I'm biased, of course. But that's where I stand.

      --
      "Trolls they were, but filled with the evil will of their master: a fell race..." -- J.R.R. Tolkien on Olog-hai
    16. Re:Perhaps now people will isten? by Mr.+Slippery · · Score: 2, Interesting

      What does a Doctor gain by prescribing you a treatment that isn't needed?

      Your money? In a fee-for-service scheme, the more treatments my doctor gives me, the more she gets paid. Fortunately, my own physician is a person of high moral character; and an office visit with a family practitioner doesn't get the sort of payments from an insurance company that drug therapies or surgeries do.

      I am of course tlkaing about science based medicine

      As this incident proves, "science" and "medicine" are often far apart.

      Natural path, homeopaths, acupuncturist and others of there ilk are a different matter. They charge of treatments that do no damn good.

      My physical therapist took my money for months, and did me less good than my acupuncturist. As an Asian Bodywork therapist I use some of the same techniques as acupuncturists, and my clients pay me and come back and refer their friends, because my treatments do some good. And I even have some science to back that up.

      Placebo effect? Perhaps. It plays a role in any treatment, including surgery. My mom used the placebo effect to help relieve people's suffering when she was a nurse, she got paid for that. If someone can put on a little show that gets my brain to release endorphins and stop the pain, I don't see a problem with paying for that performance, whether it's a nurse's "beside manner" or a shaman's ritual.

      (Hey, I just found yet another case where a surgical technique was found no more effective than a placebo surgery. That makes 5. I have yet to find a trial where a surgical intervention was compared to a sham in a blinded trail and proved superior.)

      --
      Tom Swiss | the infamous tms | my blog
      You cannot wash away blood with blood
    17. Re:Perhaps now people will isten? by geekoid · · Score: 1

      meta-studies, not studies. There is a big difference.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    18. Re:Perhaps now people will isten? by geekoid · · Score: 1

      1. Very rare.

      2. Also rare.

      3. Completely misquided.

      I know far too many doctors in the field, sorry. Are some doctors doing what you point out? yes, but it is rare. It's like saying firemwn are out to light fires becasue a few have been in the past.

      "Some of them aren't effective, some of them are. Some patients benefit, some do not. It sounds like you don't."
      No, NONE of them are effective. how I feel about it doesn't enter into it.
      Not one of them fixes or cures anything.

      "Some people think if it's psychology you can do it yourself and get the same result."
      So? all this has been studies over and over again, never with any effectivness.

      Feeling like you don't ahve the illness doesn't get rid of an illness.

      "That's not true for everyone."
      That's not true for ANYONE.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    19. Re:Perhaps now people will isten? by Rakishi · · Score: 1

      As an aside, please check how much money is spent on R&D by the drug companies on maintenance drugs vs. "cure" drugs. It's not even close in terms of cash. It's very clear where the drug companies interests lie, and it's very clear that over time this impacts the kind of cure/treatments are available.

      As I said, this isn't Star Trek. Cures are more often than nearly impossible for currently incurable conditions, especially with drugs, given current technological and scientific knowledge. Money put into such cures as a result provides little benefit for the dollar since the success rate in much lower and the time to market is much longer. It is more efficient in terms of both profit and helping patients to instead spend the money on maintenance drugs.

      I'm sure all those people on HIV drugs that got another 20+ years of life (and another 5 years every 5 years due to new drugs) would have loved if drug companies let them all die while they spent 30 years putting that money into "cures."

      Furthermore cures usually require new groundbreaking medical research which is NOT what drug companies do. Basic science is left up to universities since they're much better at it and have less incentive to hoard knowledge.

    20. Re:Perhaps now people will isten? by geekoid · · Score: 1

      You go to the doctor, they prescribe a medicine. They aren't paid per pill you take.
      Plus doctors are busy enough withoutm doing this, taking on the liability and ethical issues isn't worth it.

      I suggest you understand how to read a study before linking those ridiculous studies; which I ahve read a few times.

      I also suggest you understand what the placebo effect is, and why for something to be considered medically effective it has to be STRONGER then the placebo effect.

      People with stories like your mom who ahve been studied have all shown people doing that are actually biasing the results. The same way people who work in hospitals think they are busier on a full moon when there is no evidence to support it.

      Wow, you got 5. Five.jeez, well that blows away the 100's of good blinded study that says otherwise.

      You are deluded and harming people.

      "and my clients pay me and come back and refer their friends, because my treatments do some good."
      SO, becasue the think your treatments are doing good, when in fact sitting in a quite room reading a nice book would have the same effect. Of course you don't get money that way.

      Oh, and that last study, did you notice there was actual medicine used?

      idiot.

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    21. Re:Perhaps now people will isten? by oldhack · · Score: 1

      You're taking it the wrong way. GP is pointing out the systemic problem of profit-motivated medicine that is our system today. Large number of physicians who care more about their patients' health still does not negate the system that steers them against patients' best interest.

      --
      Fuck systemd. Fuck Redhat. Fuck Soylent, too. Wait, scratch the last one.
    22. Re:Perhaps now people will isten? by lee1 · · Score: 1

      You are wrong to say "Natural path, homeopaths, acupuncturist and others of there ilk are a different matter. They charge of treatments that do no damn good."

      No, he's right. These types of alternative (i.e., fake) medicine are based on superstition and wishful thinking, rather than evidence. No controlled clinical studies are done to differentiate the treatment that works from the treatment that does not. Some of them elicit a powerful placebo response, however. For example, people often feel better after acupuncture, but studies show that it doesn't actually matter where you put the needles, just that the patient thinks you know what you're doing. This means that acupuncture doesn't "work", for any reasonable definition of "work".

    23. Re:Perhaps now people will isten? by ndege · · Score: 2, Funny

      Don't you mean, "[not] eat butter"???

      --
      Sig Return: 204 No Content
    24. Re:Perhaps now people will isten? by sjames · · Score: 1

      I am of course tlkaing about science based medicine, Natural path, homeopaths, acupuncturist and others of there ilk are a different matter. They charge of treatments that do no damn good.

      Even they WANT you to be well and believe what they give you will help. The western doctors want you to get well as you say they believe what they do will help. The pharmaceutical companies have demonstrated too many times that your health is just a side effect to them.

    25. Re:Perhaps now people will isten? by electrons_are_brave · · Score: 1
      If someone can put on a little show that gets my brain to release endorphins and stop the pain, I don't see a problem with paying for that performance, whether it's a nurse's "beside manner" or a shaman's ritual

      I have never heard of a homeopath advertising their service by saying: "Scientific studies show that our treatments work at placebo level!" or "Homeopathy works by tricking your brain into releasing endorphins!" I wouldn't have a problem if they did that - then people could decide if placebo was worth paying for or not. Except, it wouldn't work if people knew it was placebo. So homeopaths need to keep reinforcing the belief that it's got something more in it than water. It's unethical.

    26. Re:Perhaps now people will isten? by TheLink · · Score: 1

      > For example, people often feel better after acupuncture, but studies show that it doesn't actually matter where you put the needles, just that the patient thinks you know what you're doing. This means that acupuncture doesn't "work", for any reasonable definition of "work".

      If the acupuncture is for reducing pain, and the people experience less pain (compared to not doing anything), then it works.

      The question is whether it works comparably well with conventional medicine and with fewer side effects, or side effects that are not as bad.

      Very often the placebo effect in a study is very significant. I wonder if anyone has done studies to see if the same bunch of people are consistently sensitive to the placebo effect, and if a consistent group of people are insensitive to it, or it's just random. If there's a consistent bunch of people then for certain stuff placebos might work much better for them than many conventional treatments/medication.

      Maybe we'll have people carrying around medical cards that would indicate (secretly?) "placebo/nocebo sensitivity" in addition to their list of allergies etc ;).

      --
    27. Re:Perhaps now people will isten? by Jamie+Lokier · · Score: 1

      Please be careful with your contradictions. There are controlled clinical studies - which you refer to yourself two sentences later.

      There is evidence of a beneficial effect from some treatments - which you also refer to. Pain reduction is a clinically beneficial effect. So is 'feeling better'.

      If it doesn't matter where you put the needles, but you still need the needles for the effect, then the practitioners are mistaken about what is important, but you still need the needles.

      (Note that acupuncture studies don't all conclude that needle location doesn't matter, though some do; each study typically tests one specific set of treatment locations, and acupuncture is notoriously hard to perform controlled studies on because the purportedly most effective treatments are excluded by the requirements of controlled studies).

      As you say, some of them elicit a powerful placebo response. "Powerful" or "doesn't work" - choose one.

      If you require a treatment to be understood fully by its practitioner and are not interested in powerful placebo effects for yourself, that's fine for you, but it's an error to say they do no good for anyone.

      (You will also rule out a lot of conventional healthcare by that).

      Personally I'll take the placebo if it fixes my problem and be glad of it. If the problem is pain, or insomnia, or indigestion, all of which are realistic targets for that sort of treatment, that's good done.

      Pragmatism wins over principle when the end-goal of medicine is to alleviate suffering.

      There is a mistake often propagated that if something is apparently placebo-equivalent, then you could have the same benefit by simply thinking yourself better without doing anything.

      I think many people's reaction against treatments with a weak evidence base is their scam-filter. If the practitioner's explanation isn't scientifically convincing or they are clearly not right about something, they must be a scam and people should be protected from scams - and people do fall for scams, often.

      But the fact is, lots of people use them and lots of those people experience a benefit which goes deeper than "the patient feels happier because they think they had a treatment".

    28. Re:Perhaps now people will isten? by Jamie+Lokier · · Score: 1

      Feeling like you don't have the illness doesn't get rid of an illness.

      1. It does if the illness is that you are in pain, and the pain goes away.
      2. It does if the illness is that you are depressed, and you become happier.
      3. It does if the illness is you are always tired, and you have more energy.

      I won't say any of the treatments we're talking about consistently cure these things. But it is false to say these changes never occur in response, or to say that they occur to the same extent without treatment.

      So? all this has been studies over and over again, never with any effectivness.

      Repeating false statements over and over again does not make them true. E.g. random counterexample Acupuncture for low back pain is cost-effective and works, according to medical researchers.

      Digging deeper on that one reveals that sham acupuncture works just as well for low back pain. Still, either is better than none.

      More interesting (imho) is a German study of 'laser acupuncture' (which frankly I am skeptical of), because that can be double-blinded far more effectively: The German researchers concluded, "that laser acupuncture can supply a valuable advantage for children with headache, with active laser therapies being clearly more effective than placebo laser treatment."

      By all means, dispute that conclusion, but by looking at the research or doing your own, not ignoring it and repeating the same unchecked statements.

      Specifically, it is false that (1) there are no controlled, double-blinded studies, and it is false that (2) such studies never show a significant effect.

    29. Re:Perhaps now people will isten? by Anonymous Coward · · Score: 0

      "doctors do not profit from you being healthy"

      In nationalised healthcare systems the usual practice is to pay general practitioners a fee per registered patient. Since healthcare is provided by the state, practically everyone registers (usually even people who have some kind of private insurance). If you're healthy you never need appointments, but your doctor collects money anyway. This isn't a huge incentive, but it backs up the ethical principle.

      Kokuyo would be well-advised to consider that even if someone who gave you medicine "wanted you to feel better" their intentions are not automatically correlated to the outcome. Maybe the crystal healer and the homeopath really want you to feel better, but the crystals and sugar pills still don't work. The nurse pushing that huge biopsy needle into my back knows full well it will hurt like hell, but the evidence says that collecting a biopsy and diagnosing the disease with a microscope ensures the correct treatment programme is chosen. So, she's a life saver despite the agony she's causing, while Lil Miss Potions and Crystals is killing her "patients" with kindness. It's all OK if she's not making a profit though, right?

    30. Re:Perhaps now people will isten? by Anonymous Coward · · Score: 0

      BTW Yes, they could give you a GA and then you'd not feel the needle, but...

      â A GA is never risk free. If the patient can hold still and put up with the pain, it's safer to do that.
      â A GA means a long stay. The needle alone is a brief outpatient visit. Most patients have lives to get on with.

    31. Re:Perhaps now people will isten? by Anonymous Coward · · Score: 0

      The biggest problem with placebo treatments is the ethics.

      It's not ethical to lie to the patient, right? But a huge part of the placebo response depends on the patient believing something that isn't true. For example, if we tell the patient "acupuncture is some nonsense about putting needles in special places to heal you, but we're just going to put needles in at random" they get poorer results than if you send in an actor who says they trained in a unique North Chinese healing art, and will put needles into precisely identified places based on a thousand year old tradition. Even though the actor is lying and no needles will be used at all in either case.

      Yes, in practice doctors already sometimes bend the rule about being truthful, but there's a big difference between people bending a rule unofficially and being told as a matter of professional guidance to snap it clean in two.

      If not for this ethical problem you probably would see at least sham acupuncture and numerous other placebo treatments with the woo-factor removed used in conventional medicine to treat chronic pain and other problems which we know respond well to placebo.

    32. Re:Perhaps now people will isten? by Chris+Burke · · Score: 1

      Don't you mean, "[not] eat butter"???

      No, just the opposite. "Butter is better!" he told me. "A stick a day keeps the doctor away."

      Hey... wait a minute!

      --

      The enemies of Democracy are
    33. Re:Perhaps now people will isten? by lee1 · · Score: 1

      Please be careful with your contradictions. There are controlled clinical studies - which you refer to yourself two sentences later.

      I thought it was blindingly obvious from context that I was pointing out that the people who practice these fraudulent therapies are not in possession of information from controlled clinical studies that would show that their treatments are efficacious. But there's always someone, isn't there.

      Your other attempts at a point involve confusion on your part about what it means for a treatment to "work": it must be better than a placebo. Everyone knows that placebos can afford relief of symptoms. Real, evidence-based medicine uses controlled studies to try to find treatments that can be differentiated from a placebo by virtue of the fact that they actually effect the course of a disease or are better at relieving symptoms. In other words, using the scientific method to separate the real from the imaginary. Purveyors of sham treatments are just supplying elaborate placebos. The treatments are still nonsense, and they are still frauds, even if some of their victims respond positively to the placebo. If this still isn't clear, I don't know what to do with you.

    34. Re:Perhaps now people will isten? by lee1 · · Score: 1

      If the acupuncture is for reducing pain, and the people experience less pain (compared to not doing anything), then it works.

      Not for a reasonable definition of "works", which means, in this context, "can be differentiated from a placebo or from non-treatment by its effects on the patient through the use of appropriate controls", or something along those lines. In this way, medicine - real medicine - has found out, pretty recently, that certain knee and back surgical procedures that had been used for some time to treat pain in those areas are no better than sham surgeries (surgical placebos). So doctors have stopped (for the most part) doing those surgeries, because we now know that they don't work - even if some of the patients said they felt better! The acupuncturist, however, keeps right on sticking the needles into his poor victims, because it makes no difference to him that his treatment has no evidence to support it. Do you get it now? (I suppose that's a rhetorical question.)

    35. Re:Perhaps now people will isten? by Red+Flayer · · Score: 1

      Money put into such cures as a result provides little benefit for the dollar since the success rate in much lower and the time to market is much longer. It is more efficient in terms of both profit and helping patients to instead spend the money on maintenance drugs.

      That's my point. Exactly my point. There's more cash in keeping people on drugs for along time to manage symptoms than there is to curing illnesses. Sure, there are illnesses to which this does not apply. But when you see the amount of cash spent on developing maintenance treatments for hair loss and erectile dysfunction and anti-wrinkle creams... well... it makes you think twice about the profit incentive in the pharma industry. Yes, there's a place for it, but when we could allocate research dollars to much better purposes... I'm specifically thinking of a 9-figure grant at the College of Pharmacy I attended that specifically was earmarked for research into colloids for cosmetics. The people working on that research could instead have been working on colloidal drug delivery for other purposes... there are only so many top-level researchers with the expertise required for that kind of research, and money talks...

      --
      "Trolls they were, but filled with the evil will of their master: a fell race..." -- J.R.R. Tolkien on Olog-hai
    36. Re:Perhaps now people will isten? by Rakishi · · Score: 1

      Do you know how much money is spent on movies, video games, designer clothes, cosmetics and every other form of entertainment? If only all that money was allocated to medical research imagine what could happen. Or do you somehow draw a magical line at where "pharmaceutical companies" spend money but think everyone else can spend it any way they wish? Do YOU donate all your money, except that needed for sheer basic survival, to charities? If not then why do you expect other people to do it?

      It seems you don't want to live in a capitalistic society, if that's what you want then admit it and don't beat around the bush. Otherwise shut up about companies acting to fill the needs of consumers since that's how capitalism works. Welcome to human nature. We care more about looking pretty and having fun than saving lives.

      Do you know why pharmaceutical companies make cosmetics? Because people want them and pay a lot of money for them. Where do you think pharmaceutical companies get their money? Magical happy elves? If it wasn't for such drugs pharmaceutical companies would not be making as much money and those people working on such drugs wouldn't be part of the company since there wouldn't be money for them.

    37. Re:Perhaps now people will isten? by TheLink · · Score: 1

      1) If people get better than if they didn't get any treatment, then it works. The question is whether it works well enough compared to available treatments. I'd want the best possible treatment for my budget (taking into account side effects and quality of life) if placebo is it, then I hope the placebo works on me.

      2) There are a fair number of conventional medicine/treatments that don't work much better than placebo. Worse, if Big Pharma conducts X studies and only shows Y studies to the FDA to make things pass, the passed drugs may not actually work better than placebo - they're just rolling the dice till they get the numbers they want. Don't think they do that? Just look at what they have done with the Hormone Therapy as per the topic.

      3) If there is no better treatment possible then you might as well get a placebo (esp if you are susceptible) - doctors have injected saline into burn victims and lied to them telling them it's a pain killer and often it works (as well as a significant amount of morphine). Why do they do it? Because the real pain killers have a high chance of giving big problems to the burn victims.

      4) The side effects of doing knee surgeries tend to be far worse than the side effects of sticking a single needle into someone. And conventional medicine has nothing better than acupuncture for the budget of "now discovered to be sham knee surgeries", so they might as well go the cheaper option. Of course nowadays maybe they could try the "inject your own blood that has been concentrated to have more platelets" treatment, but that's expensive and still considered experimental (who knows, the successes might still be due to the placebo effect again ;) ).

      Chemotherapy in too many cases only benefits a few percentage of people (esp if you look at a >= 5 year timeline).

      Perhaps more research needs to be done on the placebo effect. Maybe it is possible to train patients to benefit from the placebo effect without having to be deceived or lied to. Or perhaps there could be a procedure or treatment that helps.

      If you don't want patients to be lied to, maybe practitioners could tell patients that conventional studies have shown that acupuncture works no better than a placebo, but in practice it helps X% of people. A significant proportion of people still wouldn't understand the full implications when you tell them that (they are the ones who don't read anything and just "click-thru"). Perhaps these people are the ones which acupuncture might work better on ;).

      Lastly, the nocebo effect can also be rather strong, so if in studies, some people strongly believe that certain stuff won't work, that might skew the results too. Maybe the treatment actually works - just too many people believe it doesn't help. There are actually people who feel pain if you tell them there's a WiFi AP on ;). If you do a scan of them the brain looks like its experiencing pain - even though there is no good reason for it.

      <matrix>Your mind makes it real.</matrix> :)

      --
    38. Re:Perhaps now people will isten? by Jamie+Lokier · · Score: 1

      An interesting result from placebo investigations is that some placebo effect is found, in some scenarios, even when you don't lie to the patient.

      In other words, while knowing it's a placebo reduces the effect, it doesn't always completely eliminate it, leaving room for ethical application and optimisation of what's left.

    39. Re:Perhaps now people will isten? by Jamie+Lokier · · Score: 1

      It's blindingly obvious you didn't read the links to controlled clinical studies showing efficacy in my other reply on this thread, here.

      what it means for a treatment to "work"

      No, I am not confused. I simply disagree with you. In the extreme, a mere placebo can save a life. I name that working; you do not. There is no point arguing further.

      Another commenter put it very well: Real honesty would involve telling patients not only which treatments are more effective than placebo, but how effective they are absolutely.

      But that's a side point, because there are controlled, clinical studies showing acupuncture to be more effective than placebo for some things. Feel free to disagree, or to argue that the studies are of poor quality, or not what they say they are, but don't make yourself look ignorant by denying that they exist at all.

      actually effect the course of a disease or are better at relieving symptoms. In other words, using the scientific method to separate the real from the imaginary

      I'm quite familiar with the scientific method, thank you. I will readily agree with any proposition that the methodology used to study this area is often of low quality and difficult to take seriously.

    40. Re:Perhaps now people will isten? by Jamie+Lokier · · Score: 1

      Actually sham acupuncture is used by some conventional Western-style doctors.... They can train in it over a single weekend, and some of them do remove the woo-factor.

      Those who dispense with the Chinese theories say the needles block pain carrying nerves or stimulate release of hormones... but they don't really know any better than the Chinese what's going on. It's just a more acceptable explanation.

  8. Ugh by Ardaen · · Score: 5, Insightful

    Just what we need, drug companies further muddling the waters so not even doctors can tell which treatments are useful or necessary. No wonder we see large movements away from things like vaccinations, which save lives. People are left with too many doubts and questions, fear doesn't lead to good decision making.

    1. Re:Ugh by wizardforce · · Score: 1

      Technically pharma produces said vaccinations so I doubt they would acively try to discourage people from using them. Most of the problem with parents refusing vaccinations has been due to a combination of bad education and distrust of anything the public does not understand. Only a minority knows what vaccines are, how they work and what is in them hence, there is going to be a lot of people weary of using them.

      --
      Sigs are too short to say anything truly profound so read the above post instead.
    2. Re:Ugh by Jamie+Lokier · · Score: 1

      Vaccines are not 100% safe, and many people find it difficult to weigh up the chance of mild or severe danger against the benefit.

      There are many reports of bad reactions to vaccines, some of them severe.

      People don't have trustworthy data to weigh that against benefits and make a smart decision. Lots of anecdotes, which people routinely give too much significance to. Lots of things purporting to be data, but...

      I believe the problem is more distrust than ignorance. There are plenty of "facts" to choose from.

      We know that published science is infiltrated by some dirty conflicts of interest to say the least. This story is an example. (Btw, my mother suffers from severe symptoms which were probably caused by years of HRT, now stopped; I'm not impressed).

      When you have good reason to believe many drug companies don't have your health at the top of their agenda; when you believe they spend as much on marketing as research, and the figures support it, but they don't mention that when justifying their pricing model; when you know they're stuck in an economic paradox which gives drugs to fewer people at high cost despite the potential to make more profit helping more people and they don't talk much about that either...

      Let's just say that there are obvious conflicts of interest, and that makes it difficult to trust industry representatives and those affected by their funding. Which includes (unfortunately) published science to some extent, and (unfortunately) the extent is not clear.

      Scientifically vaccines make great sense, and they have very clearly helped a lot of people. Half a brain and a small dose of history is enough to see their benefit.

      But it's hardly surprising that a lot of people don't trust the industry and government to tell the truth, or colour it to suit an agenda other than people's health.

      There are good reasons to believe the industry and government don't tell the whole truth, and sometimes lie outright. ("We have found WMDs", anyone?).

      So people latch on to the scare stories, and can't evaluate their relevance or significance because they don't trust the sources...

      Some scare stores really happened: "There were reports of GBS affecting some people who had received swine flu immunizations in the 1976 U.S. outbreak of swine flu. Overall, there were about 500 cases of GBSâ"25 of which resulted in death from severe pulmonary complications - which, according to Dr. P. Haber, were probably caused by an immunopathological reaction to the 1976 swine flu vaccine. Other influenza vaccines have not been linked to GBS, though caution is advised for certain individuals, particularly those with a history of GBS." link

      GBS is very nasty, and 500 is quite a lot considering that 1976 program was aborted early in response.

      How do you evaluate the risk of something like that against the benefits, when you don't trust the industry and government who are telling you it's safe?

      And how can you trust the industry and government, with the ample evidence that they are not always trustworthy?

      I don't see any solutions; only point out that I think the anti-vaccination movement is driven more by distrust than scientific ignorance. People who don't understand the science can seek out people they trust who do, who are commonplace. Finding people they trust to evaluate risks and benefits is harder.

      Oh, one last thing in response to "technically pharma produces said vaccinations so I doubt they would actively try to discourage people from using them". Technically pharma also produces treatments; far more when vaccines are not used. Like Slashdot, pharma is not a single mind but many diverse interests, so one part of pharma may want you to take vaccines while another may benefit when you don't.

    3. Re:Ugh by Mr.+Slippery · · Score: 1

      No wonder we see large movements away from things like vaccinations, which save lives.

      Some vaccinations save lives. Smallpox vaccine? Polio vaccine? Rock on. Flu shot? Questionable benefit. Chicken pox vaccine? Might save kids from itching (or might just save them from catching it as kids and let them get chicken pox as adults, when it's more dangerous), but you're more likely to die from a lightning strike than from chicken pox; I'm highly skeptical.

      --
      Tom Swiss | the infamous tms | my blog
      You cannot wash away blood with blood
    4. Re:Ugh by Anonymous Coward · · Score: 0

      The papers on vaccine dangers were also fabricated. Every measles' outbreak in England (where vaccination rates have fallen below 85%) is caused by scientists publishing falsified results in pursuit of their own agenda.

    5. Re:Ugh by DNS-and-BIND · · Score: 1

      Well, you have to realize the history of colonization, which plays into the resistance to vaccines. There is also respect for religion, which precludes any criticism of Islamic leaders calling for rejection of vaccination. And frankly, most of these diseases have been eradicated already. I mean come on, when is the last time anyone heard of an outbreak of diptheria or tetanus? Those vaccines are worse than the disease. If there was any problem, I would hear about it on NPR or on the pages of the New York Times.

      --
      Shutting down free speech with violence isn't fighting fascism. It IS fascism!
  9. Re:"Scientific Consensus" by Desler · · Score: 2, Insightful

    Sounds kind of like global warming, where the people screaming most loudly about scientific consensus are also the ones that stand to benefit the most greatly financially.

    Or the ones who scream that there isn't are almost always getting the funding for their research from oil companies.

    Just look at Al Gore and his carbon trading investments.

    What a fucking red herring. What Al Gore and other non-scientists do or don't do have no bearing on the veracity of the research done by the actual climate scientists.

    It all screams conflict of interest.

    But having your funding come from someone like Exxon isn't?

  10. Re:"Scientific Consensus" by geekoid · · Score: 2, Insightful

    This isn't consensus.
    It's people signing of on biased meta-studies.

    No, the people screaming the loudest don't have the most to gain from global warming.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  11. Re:"Scientific Consensus" by wizardforce · · Score: 2, Insightful

    You could say the opposing side has a lot to gain from AGW not being true. After all, the cost of reducing carbon emissions is significant to those who produce the most CO2. The difference between AGW and this nonsense is that *climatologists would have to be wrong [climate models and ice cores etc.] *physicists would have to be wrong [infared absorbsion spectrum of CO2] etc. In short, there would need to be a massive conspiracy of thousands of scientists all in on it.

    --
    Sigs are too short to say anything truly profound so read the above post instead.
  12. Appropriate responses by Sgt_Jake · · Score: 1

    1) Make everyone involved from the CEO on down take those drugs daily for 20 years (especially the men).
    2) Charge them all with murder, maiming, etc.

    Corporations can't be charged with murder (or take drugs), which is why that system is broken. Unless SOMEONE is responsible, no one is.

    1. Re:Appropriate responses by wizardforce · · Score: 1

      They are guilty of scientific fraud and should be charged as such. 1) everyone involved should face the criminal penalties of fraud 2) the corporations involved should be sued right into the ground by everyone affected in a massive class action lawsuit.
      The government's job is clear here. Why these guys are not frying for this is a clear indicator that something has gone terribly wrong in our justice/governmental system.

      --
      Sigs are too short to say anything truly profound so read the above post instead.
    2. Re:Appropriate responses by Fastolfe · · Score: 1

      Corporations can't be charged with murder (or take drugs), which is why that system is broken

      What exactly would be the point of charging the corporation with murder? What is the benefit? Corporations aren't charged with crimes because corporations have can't have criminal intent. In any situation you feel you could charge a corporation with a crime, you can charge the individuals that committed the crime instead, which is really what you want.

      Corporations can still be held criminally liable, so you can get all sorts of damages out of them in a civil suit, but how can you send a corporation to prison?

    3. Re:Appropriate responses by ObsessiveMathsFreak · · Score: 1

      In olden times, if a great Lord or noble commited a crime against a common man, he would not be held to the same account that nother common man would. For maiming or murdering or robbing a common man, a Lord could expect to perhaps pay a modest fine or simply make a small apology, that is, if it was even legal to bring to to trial at all.

      We've returned to that system. A corporation could send men to bulldoze your house, killing everyone in it, and the most you could ever expect to see done to them is a modest fine for your trouble. They would go right on operating just as they did before.

      --
      May the Maths Be with you!
  13. Peer review by Anonymous Coward · · Score: 0

    Can someone compile a list of the authors? It would make it easy for me to reject papers of these authors with extreme prejudice. I mean, they've proven they can't be trusted.

  14. Re:"Scientific Consensus" by Desler · · Score: 3, Informative
    Oh and that doesn't even address such things like that famous list that is touted around of alleged scientists that supposedly signed some document against the scientific consensus that not only didn't even verify the identity or credentials of the supposed signers, but that it also falsely listed people who don't even agree with the document.

    On April 29, 2008, environmental journalist Richard Littlemore revealed that a list of "500 Scientists with Documented Doubts of Man-Made Global Warming Scares"[26] distributed by the Heartland Institute included at least 45 scientists who neither knew of their inclusion as "coauthors" of the article, nor agreed with its contents.[27] Many of the scientists asked the Heartland Institute to remove their names from the list.

    From here.

  15. The list by aaandre · · Score: 5, Insightful

    I wonder if there's a list pharmaceutical company CEOs distribute to their immediate families...

    Dear Mom, here's a list of medications made by pfeiser that I wouldn't take, even if my doctor recommended them.

    Your loving son, Jeff.

    That would be a great read on wikileaks.

    1. Re:The list by Hurricane78 · · Score: 1

      They don't need a list. It's everything. And everything not.

      Or in simpler words: Think for yourself. Never ever take a pill, without knowing *exactly* how it works, and either studies from people you personally trust, or taking the risk.

      Turns out, you *need* nearly no medication at all. Eat really healthy (organic and as little processed as possible, and really tasty at the same time!), exercise, live in a healthy environment (just as much mental as physical), and you are going to be fine, and get old in a nice way. That's really how easy it is!

      You only need medication in rare cases, like antibiotics, in life-threatening situations or in case of an injury. Then it's worth the trade-off.
      Oh, and of course there are genetic problems, that we still can't fix right in the genetics. So you may have to help yourself out with them too.

      --
      Any sufficiently advanced intelligence is indistinguishable from stupidity.
    2. Re:The list by Anonymous Coward · · Score: 0

      CEOs may be untouchable, but we can make sure the doctor(s) involved know that the scientific community won't tolerate it. Here's a start:

      Dr. Gloria Bachmann (NYT link names her as the 'author' of a ghost-written article)

    3. Re:The list by Anonymous Coward · · Score: 0

      If they're that corrupted why would they care about their own families? At that point they're only after the money anyway.

    4. Re:The list by Anonymous Coward · · Score: 0

      That would require people to actually *learn* something; and therefore will never happen. These people can't differentiate between a good product and the latest plastic doohickey being shilled on an infomercial. I really don't expect them to be able to tell the difference between peer reviewed research and snake-oil con men either.

    5. Re:The list by Torodung · · Score: 1

      And be sure to check your e-meter regularly.

      (Couldn't resist)

      --
      Toro

    6. Re:The list by Anonymous Coward · · Score: 0

      Trust me, if a CEO is making money from a product he's going to give it to his mother with a glass of water and a smile.

    7. Re:The list by Anonymous Coward · · Score: 0

      I think people who make such decisions really don't care about anything. Why would they maintain such a list?

  16. Continued assaults by Anonymous Coward · · Score: 0

    These types of tactics continue today. Just who do you think is behind every attempt to derail health care reform?

  17. Re:"Scientific Consensus" by MightyMartian · · Score: 4, Insightful

    It's odd that the anti-climate change crowd will essentially assert that climatologists are part of some even cabal to destroy the economy, and yet essentially are siding with a group of multinational corporations whose vested interest is in keeping everyone vomiting as much CO2 into the atmosphere for as long as possible.

    --
    The world's burning. Moped Jesus spotted on I50. Details at 11.
  18. Re:"Scientific Consensus" by wizardforce · · Score: 1

    I agree with your points however, be careful not to make the claim that just because big oil funds research means it is biased somehow makes federally funded research unbiased. Especially during the Bush years...

    --
    Sigs are too short to say anything truly profound so read the above post instead.
  19. Capitalism at it's best. by ACMENEWSLLC · · Score: 1

    This the just the market correcting itself. Capitalism at it's best.

  20. Re:"Scientific Consensus" by Arthur+Grumbine · · Score: 1

    Sounds kind of like global warming, where the people screaming most loudly about scientific consensus are also the ones that stand to benefit the most greatly financially.

    Or the ones who scream that there isn't are almost always getting the funding for their research from oil companies.

    Or the ones who scream that there is and that there isn't scientific consensus, always getting their funding from the Society for the Advancement of Silly Self-contradiction.

    --
    Now that I think about it, I'm pretty sure everything I just said is completely wrong.
  21. Protecting investment ... by Anonymous Coward · · Score: 0

    Well this is very natural! The company is protecting it's investment. Did apple told people that their iphones were going to explode and burn? No! I sure that Wyeth recovered their investment in hormone therapy and apple recovered their investment on the iPhone development. Thay are happy. Wyeth doensn't care about women getting cancer they will need even more medicine. Apple don't care about burnt hands.

    1. Re:Protecting investment ... by MightyMartian · · Score: 2, Interesting

      But the law should, and should make the *criminal* and *civil* penalties so utterly destructive to any business that they don't dare do it. I'm talking life imprisonment, seizure of assets, massive awards for those injured, and so forth. I mean, basically make such behavior a recipe for extinction of the company, utter destruction of share value, imprisonment of researchers who colluded, seizures of every asset of every member of the board, every officer of the company, and so forth.

      --
      The world's burning. Moped Jesus spotted on I50. Details at 11.
    2. Re:Protecting investment ... by ioshhdflwuegfh · · Score: 1

      But the law should, and should make the *criminal* and *civil* penalties so utterly destructive to any business that they don't dare do it. I'm talking life imprisonment, seizure of assets, massive awards for those injured, and so forth. I mean, basically make such behavior a recipe for extinction of the company, utter destruction of share value, imprisonment of researchers who colluded, seizures of every asset of every member of the board, every officer of the company, and so forth.

      Maybe on Mars that's possible, but here on Earth, we have already laws in place, and, perhaps more importantly, these businesses you're talking about are really corporations---they, by their definition, are societies with limited responsibility---as though they have already conspired against the very measures you propose! This is no coincidence.

    3. Re:Protecting investment ... by The_mad_linguist · · Score: 1

      Plus, if you could bribe someone to start something in your competition.

      Monopoly. *do dooo do doo doo*

      Monopoly. *do doo doo do*

      Monopoly. *do dooo do doo doo* *do doo doo* *do doo do* *do dah do dah do dah da dada da*

    4. Re:Protecting investment ... by Anonymous Coward · · Score: 0

      But could that mechanism be abused? With the stakes so high, will competitors try to destroy each other by forging evidence?

    5. Re:Protecting investment ... by tsotha · · Score: 1

      Uh huh. You think by taking those kinds of draconian measures companies would stop doing the things you want them to stop doing. But what would really happen is they'd fold or move to other countries. What do you suppose we'd do with our time when unemployment is 60% or so?

      You're not going to make the world better by destroying the economy, no matter what your intentions are.

  22. "Consensus"? by K.+S.+Kyosuke · · Score: 1

    In real science, no consensus is required. If you need any such thing, you only admit that you don't know. Either you have hard evidence to convince other scientists, or you are just playing dice with the Universe in hope that your insufficiently substantiated paper is correct.

    --
    Ezekiel 23:20
    1. Re:"Consensus"? by geekoid · · Score: 1

      Even hard facts have consensus. There is a consensus that the speed of light in vacume is 299 792 458 m / s. With ALL science, new evidence may change things.

      You really have no idea what consensus mean in this context, do you?

      --
      The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
    2. Re:"Consensus"? by Mr.+Slippery · · Score: 1

      In real science, no consensus is required.

      Nonsense. Peer review is nothing other than forming a consensus.

      Either you have hard evidence to convince other scientists...

      ...in which case, you all reach a consensus.

      --
      Tom Swiss | the infamous tms | my blog
      You cannot wash away blood with blood
    3. Re:"Consensus"? by ioshhdflwuegfh · · Score: 1

      GP never said that hard facts have no consensus. He rather said that the consensus is a consequence of something being a hard fact, not the other way around. He also said that if you needed consensus to establish that something is a fact, then that would have only proved that you don't know, scientifically, whether that is indeed the fact or not.

      In you example, the speed of light is 299 792 458 m/s not only because there is a consensus among physicists that this is so, but because it is the "hard" fact, i.e the fact well established experimentally, or, in yet another words, that is the reason for physicists' consensus.

    4. Re:"Consensus"? by ioshhdflwuegfh · · Score: 1

      In real science, no consensus is required.

      Nonsense. Peer review is nothing other than forming a consensus.

      Yes, but a consensus among a few peers that the given manuscript should be published. Even then, journals clearly require that referees should provide comments, suggestions and ultimately give some sort of explanation for their decisions. So, it is not just a matter of reaching the consensus. Faith of a manuscript then could and sometimes does depended on which referees are chosen by the journal, and, even if the decision is that the manuscript should not be published, authors can complain or try again with another journal.

      Either you have hard evidence to convince other scientists...

      ...in which case, you all reach a consensus.

      But only after the convincing hard evidence is produced. Even then, there are often smaller groups of skeptics that cannot be convinced at all.

    5. Re:"Consensus"? by jstults · · Score: 1

      In real science, no consensus is required.

      Absolutely. Allowing consensus to substitute for good experimental design, solid data analysis and independent reproducibility leaves the door wide open to this sort of abuse. "Consensus Science" is not science. Charlie Rose interview with Michael Crichton, where he makes this point in reference to global warming.

    6. Re:"Consensus"? by Anonymous Coward · · Score: 0

      You really are a fucking dumbass. I just hope that you're young and eventually grow out of it.

  23. Re:"Scientific Consensus" by timeOday · · Score: 1

    Sounds kind of like global warming, where the people screaming most loudly about scientific consensus are also the ones that stand to benefit the most greatly financially... It all screams conflict of interest.

    So long as they are open in how they go about it, you could also call it putting your money where your mouth is. If the global warming models were to stop proving true, public consensus for CO2 restriction would be short-lived.

    And in the case of global warming, don't forget the heavyweight opposition is even more financially motivated and entrenched.

    I agree the motives are not all pure. But Wyeth's intentional deception in this case is what makes it really bad.

  24. Is it possible to even punish them enough? by MartinSchou · · Score: 1

    Seriously.

    'found that menopausal women who took certain hormones had an increased risk of invasive breast cancer, heart disease and stroke.'

    They sold two billion dollars worth of a product (in 2001 alone) that they manipulated into being not only harmless (like tobacco companies), but manufactured evidence that it was healthy and beneficial (something even the tobacco companies didn't stoop to).

    Essentially they ran a multi billion dollar scam, caused serious damage to the health of how many people exactly? From 2001 (last year before the sales plummeted) until 2008 they sold a minimum of 210 million prescriptions (from the graph in the article).

    And yet, the likelihood of the senior staff (including board members) getting punished is low to non-existent and even if the company is forced to close down its doors, I wouldn't want to lay odds against them not getting some cushy job again.

    Maybe it's time we reintroduced corporal punishment for stuff like this? We can go easy on them. 100 lashes per 'victim' by this to the people directly responsible (including the ghost writers), 10 lashes per 'victim' to those indirectly involved (i.e. board members who merely signed off on the idea or didn't care). That's in addition to the massive fines and compensation the company should be forced to pay.

    And if the company goes bankrupt in the process? Tough shit. Profit is not more important than public health. If you think it is, you're not a capitalist, you're a fascist.

    1. Re:Is it possible to even punish them enough? by Whorhay · · Score: 1

      Actually way back when the tobacco industry did advertise that smoking was good for you lungs. Granted it was before lung cancers was a known concern but I highly doubt that they had any data showing that smoking improved the function or health of the lungs.

  25. Re:"Scientific Consensus" by DrLang21 · · Score: 1

    Or the ones who scream that there isn't are almost always getting the funding for their research from oil companies.

    What Al Gore and other non-scientists do or don't do have no bearing on the veracity of the research done by the actual climate scientists.

    So you admit that climate scientists being paid by oil companies has no bearing on the veracity of their research? Just checking. Actually most climate scientists that I talk to openly tell me that no one has any freaking clue as to what is going on with global warming, whether it's man made or not. Everyone else is speculating or is in someone's wallet.

    --
    I see the glass as full with a FoS of 2.
  26. Uh, _who_ benefits most from the FUD campaign? by StefanJ · · Score: 1

    Do you really think Al Gore is getting anywhere as much money warning people about global warming as the fossil fuel industries are continuing to earn by telling people there's nothing to worry about?

    There's an established paper trail linking oil and coal companies to greenhouse skeptic groups.

    Just last week it was revealed that a lobbying group funded by coal companies was writing bogus letters opposing the climate change bill to lawmakers.

    1. Re:Uh, _who_ benefits most from the FUD campaign? by Maniacal · · Score: 1

      Just because Al Gore hasn't made as much off of this as the fossil fuel industries it doesn't make it ok. Al Gore has made millions (and won an oscar) because of the bullshit he spews. A sweeter smelling turd is still a turd

      --
      MG
  27. Don't try by gmuslera · · Score: 1

    those medicines didn't cured those writers, probably will kill you too.

  28. Re:"Scientific Consensus" by DrLang21 · · Score: 1

    Few people doubt that global warming is happening anymore. The new battle ground is whether or not we're causing it and whether or not the consequences are really as dire as they want us to believe.

    --
    I see the glass as full with a FoS of 2.
  29. Re:"Scientific Consensus" by Desler · · Score: 1

    I agree with your points however, be careful not to make the claim that just because big oil funds research means it is biased somehow makes federally funded research unbiased.

    I don't make such a claim, but one has to be somewhat suspicious that it almost never fails that a detractor has a monetary tie to a Big Oil company. I'm sorry, but that's far more of a conflict of interest than someone getting their money from NSF.

    Especially during the Bush years...

    Except Bush was a denier and yet the people doing research with federal funds held the opposite view of him.

  30. Re:"Scientific Consensus" by Desler · · Score: 1

    The new battle ground is whether or not we're causing it and whether or not the consequences are really as dire as they want us to believe.

    We know by simple physics that CO2 in the atmosphere causes a planet to retain more heat than it otherwise would. We also know that humans have been dumping billions of tons of CO2 into the atmosphere beyond what the normal carbon cycle can handle. It's a pretty simple to see that all that extra CO2 that is overwhelming the carbon cycle must be contributing to an increased retention of heat.

  31. Unsurprising to Me by eldavojohn · · Score: 0, Troll

    Just what we need, drug companies further muddling the waters so not even doctors can tell which treatments are useful or necessary. No wonder we see large movements away from things like vaccinations, which save lives. People are left with too many doubts and questions, fear doesn't lead to good decision making.

    Do you think the operating system world is the only place where a war of words is fought by Microsoft to stay on top? Don't you see that this happens in every other field where dominant players refuse to fight fairly, refuse to let their products speak for themselves and refuse to innovate to stay alive? The market their product and they out market their competition. They're paying for ads in those medical journals, now they've found a new way to advertise.

    Are you familiar with the third world being turned into a testing ground by companies like Pfizer where clinical trials aren't that important of a prerequisite? Their questionable ethics don't end there. Doping medical journals with fake studies to get your product to sell sell sell is nothing surprising. My older sister is a nurse and tells me that companies that sell medical supplies basically take the doctors out to get drunk and pay for them to go to conferences and boondoggles all so that the doctor recommends their product. Of course these multi-billion dollar companies are going to toe the line of ethics to keep their revenue source coming in.

    And until someone steps up and really puts the hurt on those that get caught, everyone's going to keep doing it.

    These people are marketers, they'll stop at nothing. Who cares about the dangers of Acetaminophen-Based Pain Killers, that's their revenue so they'll keep that on the market--Christ can we at least get a warning label not to mix them? The only place a code of ethics exists in big pharmaceuticals is in the bathroom stalls next to the diamond studded golden backscratchers where the CEO can whip their ass with it.

    --
    My work here is dung.
  32. Re:"Scientific Consensus" by NewbieProgrammerMan · · Score: 1

    On April 29, 2008, environmental journalist Richard Littlemore revealed that a list of "500 Scientists with Documented Doubts of Man-Made Global Warming Scares"[26] distributed by the Heartland Institute included at least 45 scientists who neither knew of their inclusion as "coauthors" of the article, nor agreed with its contents.[27] Many of the scientists asked the Heartland Institute to remove their names from the list.

    Holy shit--I'd be doing a lot more than politely asking to have my name removed from the list. Isn't that actionable, in a "you libelous bastards!" kind of way?

    --
    [b.belong('us') for b in bases if b.owner() == 'you']
  33. Re:"Scientific Consensus" by Desler · · Score: 1

    So you admit that climate scientists being paid by oil companies has no bearing on the veracity of their research?

    No because that is completely different. Al Gore isn't a climate scientist an doesn't do any published research so what he says or does has no bearing on anything at all. On the other hand, the financial dealings of an actual scientist who is publishing on the subject will have a bearing on the veracity of their research.

    Actually most climate scientists that I talk to openly tell me that no one has any freaking clue as to what is going on with global warming, whether it's man made or not.

    Well then you must not know many, because many hundreds to thousands of them do have a clue what is going on and whether or not man has a hand in it.

    Everyone else is speculating or is in someone's wallet.

    There is no speculation. To try to claim that us dumping billions of tons of extra C02 in the atmosphere and claim it has no bearing on how much heat is retained by the atmosphere is to ignore physics.

  34. I am a physician by Dunbal · · Score: 5, Insightful

    And I can tell you frankly that the medical profession is split in two. There are people who are in it for the human aspect - usually the doctors. Then there's the people who are in it for the money: The pharmaceutical companies.

    This is not surprising, coming off another recent study done by (and now we learn that it was paid for) and published in a magazine owned by a subsidiary of Merck.

    Just the fact that these companies are allowed to advertise on TV directly to patients is disgusting. But ask your doctor if XYZ is right for you, because you don't need it at all, or there's probably some cheaper similar drug whose patent has expired and costs 1/4 the price, but if you waste your doctor's time enough he'll write the prescription just to get you out of his office with a smile on your face. After all if he says "NO", you might not come back.

    Just the fact that an HIV patient will literally die bankrupt, at $1000+ per month for the meds. Unless you're very rich, you won't be able to keep THAT up for very long, and when you run out of money - so sorry, we can recommend a hospice for you.

    Pharmaceutical companies scream about billions of dollars in research, yet they can afford all that printed material for doctors, 5 star hotels for doctors for "seminars", pens, calculators, TV air time, etc. Yet some companies still make money with Aspirin - yes the name belongs to Bayer, but anyone can make and sell acetyl-salicylic acid - the patent expired years ago.

    No, big pharma loves the protections patent law gives them, and if they can completely distort the market and throw actual science out of the window WHO CARES so long as it increases sales.

    That's why we have Cochrane studies, where we DOCTORS look back at what we're doing and seeing if it REALLY IS effective. A new study from my country published by a close friend of mine suggests that having your blood pressure at 140/90mmHg gives NO INCREASED RISK of heart disease or stroke. But studies paid for by big pharma INSIST (and they've convinced the American Heart Association) that your blood pressure has to be UNDER 120/80. In fact, they want TEENAGERS to start taking blood pressure medication. Hey, at $100-200 per patient per month, SO WOULD I. But we know full well where the unethical branch of the medical sciences is...

    The above comment is my opinion as a 3rd world physician, since I have to watch people die because they can't afford the few medications that DO work as advertised (and are thus even MORE expensive).

    --
    Seven puppies were harmed during the making of this post.
    1. Re:I am a physician by db32 · · Score: 1

      I blame you and your ilk. But not in the way you might expect. GET LOUDER! I mean, it is great that you are saying this here on slashdot, but you are kinda preaching to the choir here. I have yet to meet a doctor that has a very high opinion of pharma companies or insurance companies, but they all seem to be rather silent on the matter. You have politicians and PR guys filling people full of stupid ideas about how pharma must be protected so they can get the drugs they need and so on. None of those assholes have degrees in medicine. Why aren't we seeing the folks that are credentialed in the medical field taking a stand? Why aren't they screaming from the top of the mountains? People like you are the ones that have the knowledge required to really expose this crap.

      In Texas pharma bought of some government officials to try and make the HPV vaccine mandatory for very young girls...it got killed by the buyoff being exposed, and not by the doctors crying foul. Even the lead researcher of the vaccine said it was never meant for girls so young.

      At the end of the day these pharma companies would be done if doctors would dealing their drugs and taking these little kickbacks and bribes. This boils down to the dirty docs that play the game and the rest that aren't calling them on it. Market forces will never function correctly in a field where people are forced to put a value on their own life.

      --
      The only change I can believe in is what I find in my couch cushions.
    2. Re:I am a physician by blackraven14250 · · Score: 1

      Isn't that also similar to the situation with Nexium, in that they're literally abusing the patent system to their advantage then falsifying studies to show how much more effective it is that Prilosec?

    3. Re:I am a physician by MMC+Monster · · Score: 5, Insightful

      I am a physician, and my mother has hypertension. Damn straight I'm going to medicate her. I'm giving her a diuretic and an ACE inhibitor. $4 per drug per month, for a total of $96 per year. Just like I prescribe to my patients. Treating hypertension prevents strokes. It's not one study. It's dozens of studies, over decades of statistics. A since study may have a P value of .95, stating that it is statistically significant. That means that there's a 1 in 20 chance that it is just plain wrong. I'm banking on the decades of data. Wake me up when the UKPDS changes their recommendations to not treat hypertension.

      The fact of the matter is, my patients are as cost conscious as I am, since they know what it's like to pay for trade name drugs when the generic equivalents are covered by the insurance companies. They love that after a first visit with me they can cut there monthly bills by $100 or more. They tell their friends, and I get more patients.

      Big Pharma has screwed the medical industry. Us doctors (as a group) are doing it, too, as are the trial lawyers.

      And the general public, who feels that docs should be sued into oblivion for the littles mistakes. You know what? Mistakes happen. Deal with it. If you would rather docs retire early rather than pay ridiculously high malpractice premiums, so be it.

      My wife required a high risk OB during her last pregnancy. Pretty hard to find in our state, since the malpractice for obstetricians is ridiculously high here.

      --
      Help! I'm a slashdot refugee.
    4. Re:I am a physician by talcite · · Score: 1

      There are people who are in it for the human aspect - usually the doctors. Then there's the people who are in it for the money: The pharmaceutical companies.

      I resent this comment. I'm well on track to entering a career in drug research, either with a university or a pharmaceutical company. I couldn't care less if I made less than 80k a year (very little for the amount of education required in this field), and I'm completely in it for the benefit to humanity stemming from my work.

      However, my skills are better suited towards doing research and working with computers than they are with diagnosing people and memorizing lists of symptoms. I also think that I would have more benefit to humanity by designing medications for multiple patients than if I were diagnosing one patient at a time.

      I'd be very surprised if I were among a minority in this respect. People aren't as evil as you think (most of the time).

    5. Re:I am a physician by Dunbal · · Score: 1

      People aren't as evil as you think (most of the time).

            No, but boards of directors are.

      --
      Seven puppies were harmed during the making of this post.
    6. Re:I am a physician by Anonymous Coward · · Score: 0

      Are they speaking of the overly obese teenagers, or teenagers in general? It seems there's a distinct difference and a reason for the former to be taking the medicines.

    7. Re:I am a physician by MartinSchou · · Score: 1

      I can tell you frankly that the medical profession is split in two. There are people who are in it for the human aspect - usually the doctors. Then there's the people who are in it for the money: The pharmaceutical companies.

      Where does that leave the HMOs from the USA?

      Or are they just not in the medical profession but in the bureaucrat/paper work business? On the plus side, they aren't government bureaucrats standing between you and your doctor.

      I wonder what the FUD flowchart for HMO coverage and treatment looks like.

    8. Re:I am a physician by Dunbal · · Score: 2, Interesting

      Where does that leave the HMOs from the USA?

            I don't practice in the USA so it wouldn't be appropriate for me to make a detailed post about that. However I know a lot of professionals who have quit for just that reason - they don't enjoy being told how to practice medicine by an accountant.

            From my perspective, working in a country that has both a mandatory (ie, it gets docked from your paycheck every month) health care system BUT ALSO offers private medicine for those rich enough to afford to skip the waiting lists, working for the government can't be much different than an HMO. Which is why I no longer work for the government.

            All the drugs are generics - which isn't too bad except that every year or so they have new biddings to fill their purchasing contracts for the following year, and usually switch labs. Now a pharmacologist will talk a lot of BS about the area under the curve and "bioequivalence", but the truth is that even the same drug in the same dose from a different lab will have different rates of absorption, etc. So every year or so all the chronic patients become uncompensated, but all "administration" sees is that they saved $50k or so on their purchase of Atenolol... job well done. Who cares if all the medical beds are full of hypertensives who were taking their medication as usual and suddenly started having hypertensive crises.

            The problem is that medicine is no longer practiced by doctors. We just follow the guidelines established by HMO's or pen pushers (give that patient a CT scan and we'll make next week hell for you if you can't think of a cheaper exam that would have been just as good), try to avoid the shark infested pools of lawyers swimming on the other side of the ledge just waiting for a chance to SETTLE (read: free money), and just do what everyone else does.

            And yet in most countries it is a CRIME to practice medicine without a license. How did we let this happen? It's a WORLDWIDE phenomenon.

      --
      Seven puppies were harmed during the making of this post.
    9. Re:I am a physician by Areyoukiddingme · · Score: 1

      No there isn't. There's a reason for morbidly obese teenages to GET OFF THEIR FUCKING FAT ASSES. Christ...

    10. Re:I am a physician by MMC+Monster · · Score: 4, Informative

      From one doc to another, stop using atenolol. :-) Atenolol is not a particularly good beta blocker. It's advertised as a QD drug, but really should be given BID. In addition, it is renally cleared.

      I can't count the number of times the following happened: Patient's renal clearance decreases transiently for some reason. The atenolol buildy up in the system and causes hypotension and bradycardia, causing a further drop in renal clearance. And the cycle continues until the patient ends up in the ER in complete heart block and renal failure or dead.

      Use metoprolol ER (generic equivalent to toprol xl) or carvedilol. Both generic and with proven cardioprotective effects.

      --
      Help! I'm a slashdot refugee.
    11. Re:I am a physician by MMC+Monster · · Score: 1

      As for dealing with the HMO/health care administration, the best way to do it is from the inside.

      Get involved! Join your hospital pharmacy committee. Spend some time on the administrative end. Doesn't take much time (maybe a few hours a month), but people will take you more seriously and listen to your gripes if you are on the hospital committees and can give a compelling cost savings solution (ie: don't change generics and avoid increased ER visits dur to uncontrolled HTN).

      --
      Help! I'm a slashdot refugee.
    12. Re:I am a physician by Anonymous Coward · · Score: 2, Interesting

      Say what you will about our patent system, but 85% of medical research in the world is funded by the United States, and the vast majority of that is funded by the private sector. Pharmaceutical companies spend disproportionately large amounts of their budgets on research compared to other industries or to the government.

      Quite frankly, all the countries with "socialized medicine" are not paying their fair share for medical research. We should be encouraging our friends abroad to contribute their fair share, rather than looking for ways to reduce our spending on medical research.

      Of course, all this assumes that you have the goal of continuing to increase the quality of health care available worldwide through more medical research. If you wish to slow the advance of medical technology, then sabotaging our current system may be the way to go.

    13. Re:I am a physician by Anonymous Coward · · Score: 0
      Yet some companies still make money with Aspirin - yes the name belongs to Bayer, but anyone can make and sell acetyl-salicylic acid - the patent expired years ago.

      What chaps my ass is that the healthcare bill making its way through Congress is supposed to make healthcare more accessible. Instead, you have the Senate health committee voting to extend patent protection for some drugs. And you've also got the White House cutting a deal with Big Pharma to prevent the government from negotiating lower drug prices.

      But studies paid for by big pharma INSIST (and they've convinced the American Heart Association) that your blood pressure has to be UNDER 120/80.

      Fine. I'll just get some $40/year generic diuretic or ACE inhibitor from Walmart.

      At least, I would if I could afford the $200 visit to the doctor's office.

      The above comment is my opinion as a 3rd world physician

      "3rd world" medicine is all some Americans get. Wendell Potter, former VP at CIGNA, on the experience that made him quit:

      But what I saw were doctors who were set up to provide care in animal stalls. I've got some pictures of people being treated on gurneys, on rain-soaked pavement. And I saw people lined up, standing in line or sitting in these long, long lines, waiting to get care. People drove from South Carolina and Georgia and Kentucky, Tennessee-- all over the region, because they knew that this was being done. A lot of them heard about it from word of mouth.

      It was absolutely stunning. It was like being hit by lightning. It was almost-- what country am I in? I just it just didn't seem to be a possibility that I was in the United States. It was like a lightning bolt had hit me.

    14. Re:I am a physician by Anonymous Coward · · Score: 0

      I don't know how the industry works, but you can probably work in drug research without supporting the big, bad pharmaceutical companies directly. You could specifically look for a company that shares your values. Maybe they do not exist, maybe it means taking a job at a smaller company for less pay. You could also do publicly funded or university funded research -- in which case you could probably fight for your research to be open/freely licensed.

      If you care about the issue of pharmaceutical companies abusing their position, and you are in the industry, then try to do something about it.

    15. Re:I am a physician by SetupWeasel · · Score: 1

      Listen, doctors have almost killed me twice. Once, by ignoring my mother's insistence on a chest X-ray and giving me Actifed when I went to the emergency room with pneumonia. Ever almost drown on your own phlegm? Fun times. Another time a doctor prescribed me an antibiotic that had a potential crossover with another antibiotic that gave me anaphylaxis. When I told her there was no way in hell I would take it, she prescribed me erithromyacin. I was taking theophylline at the time. When I asked her if there were any interactions, she told me to ask the pharmacist. When I asked the pharmacist, he said there was no problem. That combination can kill you. Fortunately, I didn't trust my doctor after trying to prescribe me a drug I was told not to take, and I did my own research.

      I have seen too many people sick, maimed, or dead from negligence. Like my grandfather in the ICU who my family had to monitor 24 hours a day, because we found him gasping for air with his oxygen levels on the floor without any response from anyone in the unit multiple times. It was the fucking ICU. The I.C.U.

      Your insurance premiums are high because... wait for it... there are many incompetent doctors! Sure there are frivolous lawsuits, but for every frivolous lawsuit there is a loved one gasping for air in an ICU with no one giving a shit. Incidents that deserve lawsuits, but where disaster is narrowly avoided or the litigation simply not pursued.

      By the way, to anyone reading this living near Binghamton, NY, my grandfather was ignored in Lourdes Hospital's ICU. Their hospice is great though. It'd have to be.

    16. Re:I am a physician by Puff_Of_Hot_Air · · Score: 1

      I have this unusual rash. If I describe it too you in great and embarrasing detail, do you think you could diagnose me for free?

    17. Re:I am a physician by Seraphim_72 · · Score: 1

      A lawyer who represents himself has a fool for a client.

      A physician who practices on his family has fools for patients.

      In my neck of the woods an MD can't ethically 'treat' a family member. YMMV



      Sera

      --
      Slashdot, where armchair scientists get shouted down and armchair theologians get modded up.
    18. Re:I am a physician by Johnny+Mnemonic · · Score: 1


      You know what? Mistakes happen. Deal with it.

      In any other trade profession, any other, you are liable for your mistakes. If you take your car to the body shop, and they paint it the right color, are you just going to deal with it? No, I suppose not.

      Actually, I stand corrected. Teachers don't provide any guarantee of product. Tell you what: you take the pay of a teacher, and we'll stop suing you. Until then, you owe me money back when you make mistakes.

      --

      --
      $tar -xvf .sig.tar
    19. Re:I am a physician by oldhack · · Score: 1

      Are you a GP or a specialist?

      --
      Fuck systemd. Fuck Redhat. Fuck Soylent, too. Wait, scratch the last one.
    20. Re:I am a physician by oldhack · · Score: 1

      I'd like to think s/he meant mistakes happen, doctors should admit it, the public should be educated about it, and we all should handle it on that basis.

      --
      Fuck systemd. Fuck Redhat. Fuck Soylent, too. Wait, scratch the last one.
    21. Re:I am a physician by Anonymous Coward · · Score: 0

      Just the fact that an HIV patient will literally die bankrupt, at $1000+ per month for the meds. Unless you're very rich, you won't be able to keep THAT up for very long, and when you run out of money - so sorry, we can recommend a hospice for you.

      That is not a lot of money. Just get a couple of gay housemates to defer mortgage costs. Duh.

    22. Re:I am a physician by Dunbal · · Score: 1

      Quite frankly, all the countries with "socialized medicine" are not paying their fair share for medical research.

            Then please explain to me why the piece of plastic that goes on an otoscope, so that I can look in your ear and is disposable, cost ME $0.75? It's a fricken piece of plastic for god's sake. There's no reason it shouldn't cost a penny, or two. But NOOOOO, because it's MEDICAL EQUIPMENT, it's VERY expensive. Must be that special martian plastic.

            Same with all other medical equipment. Earlier I heard someone complaining about $200 medical visitis. If you think a doctor is putting $200 in his pocket per patient, think again. You have no idea what it costs to set up and run a medical practice. Then let's talk liability insurance.

            Me, I used to make around $15 per patient PROFIT. An hour that works out to around $45 in my pocket. Not bad for 9 years of school, huh? Why do you think I quit. I make more on the stock market per DAY as a day trader than I did in a week as a physician. Plus no stock has ever called me at 3am with a case of the sniffles.

      --
      Seven puppies were harmed during the making of this post.
    23. Re:I am a physician by Dunbal · · Score: 1

      From one doc to another, stop using atenolol.

            I don't prescribe it. But it's the official "government" beta blocker here. That or you could dream about your patient taking propanolol qid... yeah like that's going to happen.

            The others - metoprolol, carvedilol (Coreg down here, which is what I mainly prescribe), etc, are all available on the private market - for a price. $50 a month or so. However this is a country where the average income is less than $1000 a month. No one can afford it except the upper middle class and higher.

      --
      Seven puppies were harmed during the making of this post.
    24. Re:I am a physician by Anonymous Coward · · Score: 0

      What does the amount of research funding by the United States have to do with socialized medicine? Those are two distinct issues, and you're just muddling them. I could throw out other numbers, like the fact that pharmaceutical companies spend disproportionately large amounts of their budgets on marketing, sometimes more so than research. Furthermore, pharmaceutical companies have some of the largest profit margins of any industry, and they have a what is essentially a state-sanctioned monopoly and guaranteed revenues. I'm not talking about patents -- rather, I'm saying that pharmaceutical companies could arbitrarily set ALL of the prices and no one could do a thing. In some cases, companies have sold the rights of a certain drug to another company (often a pharmacy benefit manager), which then raised the rates up to $300k or more. Justifying the increase in price is laughable.

      Quite frankly, the US government pays for the largest portion of medical research. We should be encouraging our friends in industry to contribute their fair share.

      Nice straw man, by the way. I'm all for medical research. Heck, I'm an MD-PhD student; I want the government to throw more money my way (R01 please?) so I can spend more time on research and less on writing grants and scholarships. What do you do? If you wish to bankrupt the entire world, then continuing on this path is the way to go.

    25. Re:I am a physician by Anonymous Coward · · Score: 0

      I am amused that all these drugs you mention are alcohols with an "L" right before the suffix. They all have LOL inside!

      Intentional?

    26. Re:I am a physician by MikeBabcock · · Score: 1

      I know a surgeon who brought his wife to the hospital for treatment and the doctors told him their plan and asked what he thought. He responded that he was not a doctor that day, and I'm impressed he knew when to recuse himself.

      --
      - Michael T. Babcock (Yes, I blog)
    27. Re:I am a physician by Dunbal · · Score: 1

      that's pretty standard in the drug world.

      drugs ending in "dipine" are usually calcium channel blockers - amlodipine, nifedipine, etc.
      drugs ending in tidine are usually antihistamines - cimetidine, famotidine, ranitidine, etc.
      drugs ending in sone are usually steroids - prednisone, prednisolone, betamethasone, etc
      drugs ending in "pril" are usually ACE inhibitors - enalapril, captopril, etc
      drugs ending in "sartan" are usually AT1 blockers - valsartan, ibersartan, etc

      and finally drugs ending in olol are usually beta blockers, there's like 30 of them or more (who cares).

      What, did you think we actually MEMORIZED every single name of every single drug? Learn the rules, then learn the exceptions. Of course drug companies STILL love to screw us over with proprietary brand names that have NOTHING to do with the actual drug involved :)

      --
      Seven puppies were harmed during the making of this post.
  35. Truely dispicable.. by Anachragnome · · Score: 1

    The writers, the people that paid them and the people that made the decisions that brought this about NEED to be prosecuted, not only for the fraud perpetrated here, but for the manslaughter of any women that died as a result of this therapy. Wyeth should lose their right to do business in this country as well.

    Now I can see some writer saying "WTF? I just wrote an article!", but that does not excuse the fact they were ghost-writing in a MEDICAL journal. They would have to know that decisions that involve the lives and physical well-being of people are, to some extent, based on these journals and the articles within them.

    You can't legislate morality, but you can most certainly prosecute for a lack of it.

  36. Re:"Scientific Consensus" by geekoid · · Score: 1

    It's a media battle ground, the science says yes we are causing it, and yes it will be disastrous.

    COuld new evidence come in to show it's not man made? of course, but so far it has stood up to all other hypothesis.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  37. Re:"Scientific Consensus" by wizardforce · · Score: 1

    I know... If you are ethically opposed to governmental action and proposed AGW solutions usually require fairly heavy control over production to some extent it isn't hard to see why someone like that would tend to support private industry rather than any evidence pointing toward government action.

    --
    Sigs are too short to say anything truly profound so read the above post instead.
  38. Re:"Scientific Consensus" by wizardforce · · Score: 1

    I think the only real debate left is how to reduce carbon emissions/reduce effects of AGW as cheaply as possible. Most of the left tends to support heavy government involvement and the right tends to support either letting the market adapt to the change or harnessing market forces to develop the needed advances to reduce CO2. I have come to be on the side that both accepts the existence of AGW and the likely necessity of using market forces as much as possible to solve the problem.

    --
    Sigs are too short to say anything truly profound so read the above post instead.
  39. Re:"Scientific Consensus" by DrLang21 · · Score: 1

    I'm still waiting for them to come up with something that's actually disastrous. Admittedly, my view of what disastrous is probably starkly differs from most people. I don't see species extinction as a problem (untold numbers of species have gone extinct in the history of our planet), ice ages come and go, and populations wax and wane (even human populations) for various reasons. Where is the real disaster?

    --
    I see the glass as full with a FoS of 2.
  40. Defensive Medicine by rcb1974 · · Score: 2, Insightful

    What does a Doctor gain by prescribing you a treatment that isn't needed?

    Defensive Medicine (CYA for doctors)

  41. Re:"Scientific Consensus" by Anonymous Coward · · Score: 0

    Sounds kind of like global warming, where the people screaming most loudly about scientific consensus are also the ones that stand to benefit the most greatly financially. Just look at Al Gore and his carbon trading investments. It all screams conflict of interest.

    Yeah, and all those "scientists" chasing BIG FUNDING!

  42. Suggested Remedy by eddy · · Score: 3, Insightful

    Beyond any direct fines or other remedies, just halve the patent times on all their patents across the board for each infraction. Sixteen years of protection left on Xyliklopper? Now it's eight.

    --
    Belief is the currency of delusion.
  43. The problem is the FDA, taken over by pharma by Anonymous Coward · · Score: 0

    Human nature means that all regulatory agencies are taken over by the regulatees. Contrary to most assumptions, big pharma LIKES ever-increasing FDA regulations, as they insulate existing/big companies from competition from foreign or smaller companies. For example, Europe has about 1000 drugs in use which are not available in the US, and no startup drug company can afford to take their product through clinical trials, thus must partner with one of the biggies.

    The FDA's regulations make a new drug cost $1B. Thus, no drug can be considered for development unless there is a $2B per year market for that drug.

    As there are not many drug markets of that size, the BIG drug companies (Notice how the drug industry looks like the military/intelligence industry ? Same reason, one customer. ) have only a few choices, one of which is to make the markets bigger.

    A couple of years ago, there were only 19 new drugs that made it through the FDA's screens. Thus, we Americans don't die of un-safe drugs (well, not so much), we die of too few new drugs.

    Cancer is a fine example of where the FDA has halted progress : there are many varieties of cancer, few of which make a 2 $B / year market. Nobody gets excited about that, those are 'natural' deaths, whereas a drug that causes a death, even where the players have been completely honest in their testing, creates a firestorm of publicity and the FDA makes more regulations to protect itself and the big pharma companies from such political problems.

    Dumb system : it could easily be replaced with a public database, maintained by Consumers Union or some such. If MDs put ALL of their case info into the DB when using a new drug, and checked statistics in the DB, they would be immune to law suite. They would only use new drugs on the most critical patients, so that the patients with the most to gain would bear most of the risk. Sensible, and what we used to do before medical ethicists got involved.

  44. What... would be the point? by Lead+Butthead · · Score: 5, Interesting

    Good! This is one of those cases where the pharmaceutical companies should be held accountable over and above the slap on the wrist the FDA will give them - if that.

    Except that nobody is really being held accountable, unless you're talking about SERIOUS jail time for the officers and forfeiture of profit + interest (at credit card rate no less.) Let's be honest here, the worse that can be expected is that FDA will slap some fine on the companies, and the companies will just happily pass the cost onto its paying customers (you and I.) There is NO ACCOUNTABILITY.

    --
    ELOI, ELOI, LAMA SABACHTHANI!?
    1. Re:What... would be the point? by budgenator · · Score: 2, Insightful

      Why fine the company? The science was very probably accurate;

      Michael Platt, the president of DesignWrite, wrote that the company âoehas not, and will not, participate in the publication of any material in which it does not have complete confidence in the scientific validity of the content, based upon the best available data.â

      of course they left out that the content glorified the reduction of trivial symptoms and the consideration of potentially fatal side effects were beyond the scope of the paper part. A PR/ghostwriting company can't get published if a respected clinician doesn't sign-on as an author, the real answer is to tell someone like Dr. Gloria Bachmann, she's not going to be published anymore for being a drug company's whore.

      --
      Apocalypse Cancelled, Sorry, No Ticket Refunds
    2. Re:What... would be the point? by Anonymous Coward · · Score: 0

      Medical advertising is very heavily regulated (and generally pretty disgusting). What people seem to keep missing is that astroturfing is a form of advertising, and commercial advertising in general, even outside the medical field, has certain restrictions on it. Making false or misleading claims is right out, for example. Not that anyone seems to care or do anything about false advertising these days, of course. So, probably nothing will come of this.

    3. Re:What... would be the point? by palegray.net · · Score: 1

      Dr. Gloria Bachmann, she's not going to be published anymore for being a drug company's whore

      Unfortunately, she's already made her money from the debacle. Undoubtedly she'll make more to keep her mouth shut wherever possible from this point on.

    4. Re:What... would be the point? by palegray.net · · Score: 1

      So, who gets to define which claims are false or misleading? Oh, people who are up to their eyeballs in the pharmaceutical industry, whether or not they're actually employed in it? Fantastic!

  45. Re:"Scientific Consensus" by sumdumass · · Score: 1

    But it is not easy to determine if the amounts of Co2 are actually having the claimed effects verses other sources. One of the biggest challenges is that so far, none of the models using the Co2 as a source has been able to come close to being accurate to date. There is no evidence of Co2 overwhelming the carbon cycle and to put your billions of tons into perspective, the increases that are claiming to be the problem are less then 1 percent of the total green house gasses in the atmosphere and less then .001 percent of the total contents of the atmosphere.

    Are you really convinced that this little amount of gas is going to cause irreparable damage? If so, then why does all the solutions to do not address the Carbon directly and instead, attempt to extort money from companies and people and will make no difference in a reduction because they are by design intended to prop up third world countries (Kyoto) and it is known that if third world citizens reach first world lifestyles, their carbon usage increases 8 fold.

    Now you seem to be one of those brain washed buffoons, so tell me why and how this is so sound when we can't even get the temp data to study it for irregularities and manipulated data which could coincide with political and monetary goals of some.

  46. Re:"Scientific Consensus" by wizardforce · · Score: 1

    Why is it ok for one entity to cause damage to the evironment of someone else no matter how severe with few consequences? If this did destroy a species for example and that species was used by another individual for income, wouldn't that be a violation of property rights at the least? how about rising sea levels eroding land away- also property destruction. how do you propose taking that damage into account?

    --
    Sigs are too short to say anything truly profound so read the above post instead.
  47. Will anything come of this? by Theovon · · Score: 1

    Pharm companies are doing this kind of stuff all the time, and the FDA just lets them get away with it. Somehow, I don't see criminal charges ever getting filed here. CEOs will pass the buck, and they'll go on with business as usual.

  48. Re:"Scientific Consensus" by Jamie+Lokier · · Score: 1

    Personally I side with the "climate change is real, important and humankind affects it" camp.
    But let me respond for a moment just to your assertions:

    1. Sure, increased heat retention. What matters is how much: significant or insignificant.

            When I fart it increases the greenhouse effect due to the methane I emit.
            But my fart is obviously insignificant.

            One can't conclude that billions of tons of CO2 emission causes a significant effect without more detailed analysis, including measurements, modelling and understanding whether those measurement results are caused by the CO2 or something else.

    2. Climate is way, way more complex than that. Increased CO2 in the atmosphere leads to changes in the ocean currents, ocean gas exchange with the atmosphere, atmospheric currents, photon energy distribution, atmosphere and ocean chemistry, reflectivity due to biosphere changes, reflectivity due to ocean currents churning material and affecting ocean life, changes in just about everything to some degree. Many of those things have the potential to cause the Earth to lose heat.

          One may naively think extra CO2 emission leads to increased heat retention. Heck, it probably does, but that does not constitute science.

  49. Re:"Scientific Consensus" by ColdWetDog · · Score: 1

    Where is the real disaster?

    Wars are often fought over resources. If the climate changes considerably, then the geographic distributions of a number of important things also gets changed - fresh water and arable land for starters. If lowland Asia and the Indian subcontinent get flooded, a couple of billion people are going to want to move. The several billion people located on higher ground just might not take kindly to their new neighbors.

    Look how bonkers the world went when a couple of banks made some bad decisions.... Now, think of what happens when the physical world rapidly changes.

    It's likely not going to be very pretty. Will the US and Europe be heavily affected? Perhaps not directly (depending on exactly what the climate does) but we're awfully interconnected these days.

    --
    Faster! Faster! Faster would be better!
  50. Re:"Scientific Consensus" by Chris+Burke · · Score: 1

    Admittedly, my view of what disastrous is probably starkly differs from most people. I don't see species extinction as a problem (untold numbers of species have gone extinct in the history of our planet), ice ages come and go, populations wax and wane (even human populations) for various reasons. Where is the real disaster?

    Well gee if you don't see any problem with the human population "waning" due to starvation and flooding of the coastal areas where the majority of the world's population lives, then I guess there's probably nothing that will happen from GW that you would consider a disaster.

    Would the extinction of the human race be a disaster? Not that global warming will cause it. I'm just wondering. Would a repeat of the K-T Event be considered a disaster? I mean some humans might survive that. So, problem or no?

    I'm just trying to calibrate my gauge here.

    --

    The enemies of Democracy are
  51. Ghost writers.... by EventHorizon_pc · · Score: 2, Funny

    Ya know, the unemployment rate is bad enough right now without ghosts taking jobs from living writers.

    But, how would they feel if the living started haunting each other? Turnabout is fair play. Oh wait, we do... it's called stalking.

  52. Re:I agree. by Anonymous Coward · · Score: 0

    ...who will then allow it to happen over, and over, and over again.

  53. Re:"Scientific Consensus" by DrLang21 · · Score: 1

    Unfortunate, illegal, annoying, globally disruptive, even unethical perhaps. But none of that sounds like the horrible disasters I am being told of. When we're talking about significant probability of total human annihilation, maybe I'll be concerned.

    --
    I see the glass as full with a FoS of 2.
  54. Website to track these people required by Anonymous Coward · · Score: 0

    I'm usually disgusted by the idea of websites tracking criminals or others. But in cases like this people seem to get away with it waay to easily. The legal system doesn't seem to deal with it in a way that is at all in proportion to the crime. It would be great to have a source to search for people involved in companies like this. It would make it easier to point out who they are when they appear in their next cushy job.

  55. Re:"Scientific Consensus" by sumdumass · · Score: 1

    How about challenging their claims. Obviously if they aren't true then it will be easy to show. However, if they are true, then wherever they get their funding from is irrelevant isn't it?

    That's what is so damn frustrating about the global warming holy rollers. When something is brought up that challenges their faith, it is never addresses but the claim is shot down or considered invalid because of some ancient connection to an oil company 50 damn years ago or something. And with all these counters not being challenged, they somehow claim that the skeptics are delusional when in fact it is them ignoring claimed evidence however right or wrong it may be.

  56. Re:"Scientific Consensus" by sumdumass · · Score: 1

    There is no speculation. To try to claim that us dumping billions of tons of extra C02 in the atmosphere and claim it has no bearing on how much heat is retained by the atmosphere is to ignore physics.

    Show me the formula that says catastrophic endings are going to happen because of a change of roughly .015 percent in Co2 content or less then .00001 percent of all the Greenhouse gasses in the atmosphere is enough to raise the temp of the world.

    And yes, that's what your billions of tons equals out to.

  57. Yay for ethics by zooblethorpe · · Score: 1

    FWIW, many years ago I attended a College of Pharmacy. It wasn't until just over 4 years into the program that I realized I didn't want to work in the industry for ethical reasons. The thing that got me the most... the pharma industry, including the colleges, described "quality of life" to be the biggest issue. Not curing disease, not curing underlying causes... but maintenance treatment of symptoms, and underlying causes of those symptoms.

    Good for you for holding to your sense of ethics (I'm interpreting your comment to mean that you do not work in pharmaceuticals). That takes a lot of guts, and considerable bull-headedness. Maith thú (good on you)!

    Helping my wife deal with her varied health issues over the years (sinusitis, food allergies, asthma, appendicitis, over-prescribed antibiotics, etc.), I've had fun seeing both the Western pharmaceutical machine in action, and traditional Chinese pharmacology as practiced in Japan, California, and now Washington state. Suffice it to say that I have very little faith in the pharmaceutical industry.

    One example: For her asthma, the Western medical system prescribed the so-called "hockey puck" regimen of inhaled corticosteroids. Reading around, there seems to be a growing body of evidence that these drugs do well to keep symptoms maintained, but that they may also ultimately worsen the underlying asthmatic condition, such that when an asthma attack *does* happen, it's significantly worse than for people not taking these drugs.

    Meanwhile, the Chinese pharmacist we had found (actually a Japanese woman, but trained in the Chinese pharmacological tradition) prescribed changes in diet (avoiding sugars, avoiding fungi including yeast) combined with a custom-mixed powder she compounded in the back during our visit. She explained that the theory is to gradually adjust the body back into a healthier equilibrium, and as such, the medicine would have a slower effect compared to Western drugs, but also ultimately become unneeded. And she was right -- after several months and various changes to the mix, my wife's asthma grew progressively less severe, until our pharmacist judged the medicine unneeded. By now (knock on wood), my wife hasn't had an asthma attack in over a year -- and the last one she had was when she had gone back to eating sugared foods.

    Sure, YMMV, anecdotes, and all that, yada yada. Take it for what it's worth. :)

    Cheers,

    --
    "What in the name of Fats Waller is that?"
    "A four-foot prune."
    1. Re:Yay for ethics by Red+Flayer · · Score: 1

      Yeah, I'm outta pharma... got into business instead, and am currently in software.

      Good to hear that an alternative treatment worked for your wife. Asthma and allergy care is one place where I think the American medical industry has really screwed up, nice to hear a success story outside the "traditional" US system.

      --
      "Trolls they were, but filled with the evil will of their master: a fell race..." -- J.R.R. Tolkien on Olog-hai
  58. Re:"Scientific Consensus" by DrLang21 · · Score: 1

    If the coast land slowly floods, people will move (to the new coast land). If the seas rise 15 feet tomorrow, that would be a disaster. So long as humanity has sufficient time to adapt, I am 100% confident that they will. Few people starve today for lack of global food production. They starve for lack of efficient usage of the food we have. The US alone throws away enough food to feed entire populations. And that's not even considering the excess that we eat.

    --
    I see the glass as full with a FoS of 2.
  59. System Failure by Anonymous Coward · · Score: 0

    Comments here and by TFA that discuss the issues of uneducated physicians or suggests tweaks to laws designed to remove the incentive are amazingly blind. This is total system failure, you cannot tweak one or two links in the huge chain required for this kind of deeply f-ed up behaviour. This is a deep cultural issue, quotes such as "everything is allowed in war and business" are bandied around by near everyone not realizing the communal mega hug to reinforce psychopathy they are joining in.

    The language is seeping in and its a gateway drug to actual crimes.

  60. Re:"Scientific Consensus" by oldhack · · Score: 1

    I thought they (and you) are the coolaid-drunken religious fools

    --
    Fuck systemd. Fuck Redhat. Fuck Soylent, too. Wait, scratch the last one.
  61. Re:"Scientific Consensus" by wizardforce · · Score: 1

    that's why Gore should be ignored. He is not in it for the science. Anyway, the effect of a company does not need to be humanity destroying for action to be taken. it just needs to destroy someone else's property [which at the least rising sea levels undoubtably cause] Property rights were once respected to the point that industry could be sued for emitting smoke enough to darken someone else's laundry... The case of damaged property here is many orders of magnitude more substantial.

    --
    Sigs are too short to say anything truly profound so read the above post instead.
  62. Re:"Scientific Consensus" by Chris+Burke · · Score: 1

    So, you don't think global warming could possibly affect our food supplies vis-a-vis midwest farming and all those fish you didn't care about going extinct?

    Okay, glad you're so sure of that!

    Also good to know that a disaster in your eyes is hundreds of millions to a couple billion people killed in one day.

    --

    The enemies of Democracy are
  63. Re:"Scientific Consensus" by Anonymous Coward · · Score: 0

    Unless you are pulling support because someone threatened your funding or the like when they found your name on the list. Just saying...

    True story: my captcha is oppress. :)

  64. Re:"Scientific Consensus" by Anonymous Coward · · Score: 0

    Their claims are challenged. Somehow, the "sceptics" tend to ignore it. Most "sceptics" aren't scientists, and don't provide any scientific evidence. Much of the evidence they provide, like on Slashdot, is fictitious and incorrect (Greenland wasn't much greener 1000 years ago, for instance).

  65. Re:"Scientific Consensus" by ObsessiveMathsFreak · · Score: 1

    This is the exact opposite situation. Companies are astroturfing to create a scientific consensus instead of paying for bogus studies to discredit real scientists.

    --
    May the Maths Be with you!
  66. Re:"Scientific Consensus" by geekoid · · Score: 1

    So something the kills and displaces 100 million peiople isn't a disaster?
    If so, you are screwed up.

    And no, the rising of the ocean won't cause are species to go extinct. Poisoning the atmosphere OTOH, will.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  67. Re:"Scientific Consensus" by geekoid · · Score: 1

    Gore probably knows this science a lot better then you do.

    But you should never trust one person or source. The hundreds of other experts in the fields together should be listened to.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  68. Re:"Scientific Consensus" by geekoid · · Score: 1

    Wrong.

    Border will be closed, massive amount of land will be gone.

    And this isn't even looking at the change in weather patterns and it's effect on agriculture.

    People starve for political and ideological reasons. We can feed everyone, and not even change are eating habits; which do need to change.

    --
    The Kruger Dunning explains most post on /. http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect
  69. +1, and don't forget the plain economic stupidity by Jamie+Lokier · · Score: 2, Interesting

    I wish there was more study and awareness of the economic idiocy and need for regulation to resolve it, too.

    In the UK, the NHS (national health service) cannot afford to treat everyone with certain life-saving drugs because those drugs are too expensive, so they don't, or do so only for a few people.

    The drug companies lobby the NHS to include those drugs, and the NHS refuses because the money is better spent on cheaper treatments for more people. Some newspapers and some people side with the drug companies.

    Those drug companies justify high prices due to the cost of research, trials and so on, and the patents enable them to maintain the prices.

    To be fair, the cost of research etc. is high, and investing in the next drug is needed.

    The stupid, awful paradox though, is that if the NHS enforced a lower price, by having the power to override company patents and threaten to make them generically (but only if the company does not agree to sell them at that price itself), then the companies involved could be guaranteed a higher profit for helping more people, while reducing the cost of treatment and care to the NHS.

    [All prices in UK pounds - Slashdot does not handle the £ sign properly.]

    It's quite simple: Let X be the cost of R&D to the company. Let HP be the high price per person, say 20,000, that the company chooses currently. Let's say 10,000 people choose to use the drug privately. (Revenue = 200 million). Let's say the company believes that strategy makes it's R&D sustainable for future developments. Let's say the marginal cost of production is HP/200 = 100 - after all they say it's dominated by the cost of R&D. (Production cost = 1 million, leaving 199 million for R&D and profits).

    Clearly if the NHS agrees to take 1,000,000 person's worth of the drug while enforcing a far lower price of LP = HP/100 = 299 (very affordable per person), then the company will make exactly the same profit, and that's not counting the benefit of scaling up production.

    If the NFS takes 1,000,000 person's worth while enforcing a price of 498 (still very affordable compared with 20,000), the company will make guaranteed at least twice the profit, at the same time as helping 100 times as many people.

    (* - It's "at least twice" because it's between two and infinity times the profit, depending on the cost of R&D which is somewhere between zero and 199 million, established earlier).

    Now will someone explain to me why helping 100 times as many people, while making more profit and/or doing more research, doing more business, with guaranteed long-term business, getting a better reputation and becoming more well known, and yes the individual reps, executives and shareholders can all reap rewards... Why is this something the drug companies negotiate against??!

    Simple greed cannot explain it, because everyone in the company stands to benefit personally in the scenario where drugs are cheaper and given to more people, if done properly.

    I believe the scenario we're currently seeing is not a result of "evil" corporations and/or individuals in them, nor a result of rational collective greed, but instead is a result of systemic idiocy...

  70. Kind of Depressing by Annwvyn · · Score: 1

    I wonder if any of these people have read a medical code of ethics... Unfortunately, stuff like this happens way more than we find out about.

  71. Re:"Scientific Consensus" by Anonymous Coward · · Score: 0

    We also know that humans have been dumping billions of tons of CO2 into the atmosphere beyond what the normal carbon cycle can handle.

    You state this as fact, yet you know nothing of the sort.

    Cite please.

  72. I've taken a cue from my own mother by beadfulthings · · Score: 3, Interesting

    Who had these drugs pushed at her with a great deal of pressure to take them. She finally said, "I'm almost seventy, for chrissake. I'm SUPPOSED to be old. She also clued me in as to how these drugs are harvested or manufactured or whatever you would call it. They're extracted from the urine of pregnant mares. In order to do that, the horses are made pregnant. Then they are confined to their stalls, 24/7, so that the urine can be collected. They're never allowed outside, never allowed even to move around in the stalls--just made to stand there without a break for their rather lengthy gestation terms. When the foals are born, they are taken away from the mothers immediately and are often slaughtered. That kind of confinement would be torture for any animal--it is doubly so for a horse which needs to be able to move about and use its legs.

    A few wrinkles in the fullness of time were much preferable to her, and so they will be to me.

    --
    "Here's what's happening. You're starting to drive like your Dad..." - Red Green
    1. Re:I've taken a cue from my own mother by Anonymous Coward · · Score: 0

      Which country does this happen in? If its true and not just FUD from PETA/Greenpeace most countries have laws against such things.

    2. Re:I've taken a cue from my own mother by MikeBabcock · · Score: 1

      You'd be looking for this very professional looking website.

      The hoax-checking site Snopes has their $0.02 here fyi.

      --
      - Michael T. Babcock (Yes, I blog)
  73. Re:"Scientific Consensus" by ralphbecket · · Score: 1

    Shhhhhh! You'll offend people's religious beliefs.

  74. Summary FAIL! by LostCluster · · Score: 1

    Hate to break it to you, but the link the summary is pointing to is actually the 7th, not first result returned.

  75. Re:"Scientific Consensus" by wizardforce · · Score: 1

    I trust the climatology community far more than i do Gore because they have actually spent years crunching the data and developing the science whereas Gore has done no more than use AGW as a political springboard. Same as I trust the biochemist community of which I am a member more so than any politician. Scientists should be making the decision not politicians.

    --
    Sigs are too short to say anything truly profound so read the above post instead.
  76. Re:I agree. by walt-sjc · · Score: 1, Insightful

    Also a Corporate death sentence, forced liquidation with the proceeds going to the government.

    Yes, fuck the investors over. You know - those fat cat investors... It's not like my retirement fund is at stake. Oh - wait. Shit. I guess it is.
    (I just LOVE poorly thought out "shoot from the hip" solutions.)

  77. Re:"Scientific Consensus" by wizardforce · · Score: 1

    I don't make such a claim, but one has to be somewhat suspicious that it almost never fails that a detractor has a monetary tie to a Big Oil company. I'm sorry, but that's far more of a conflict of interest than someone getting their money from NSF.

    I believe that to be mostly the case, my point however is that it does not preclude the possibility of federal funding being dropped for certain areas of science given their politicised nature. Federal stem cell research as the prime example. My fear is that Bush won't be the last idiot president to decide what branch of science to fund and what won't for political reasons. Ideally the science would be done through anonymous funding as to reduce the possibility of interference.

    Except Bush was a denier and yet the people doing research with federal funds held the opposite view of him.

    yes that is true however, there have been several claims of political interference by Bush and friends in the sciences.

    --
    Sigs are too short to say anything truly profound so read the above post instead.
  78. vocabulary by Gary+W.+Longsine · · Score: 1

    It's going to be hard to hold anybody accountable if we can't even talk about this honestly. Take the article summary for example. The appropriate term here isn't "apparent consensus" it's "manufactured consensus brought to us by [corporate sponsors here]".

    --
    If you mod me down, I shall become more powerful than you could possibly imagine.
  79. Review Articles by achten · · Score: 0

    From TFTA:
    The ghostwritten papers were typically review articles, in which an author weighs a large body of medical research and offers a bottom-line judgment about how to treat a particular ailment. The articles appeared in 18 medical journals, including The American Journal of Obstetrics and Gynecology and The International Journal of Cardiology.
    This did not happen at the level research reported in journals. This was at another level where a doctor not reading the original articles would look at the state-of-the-art and the friendly pharma company's medical communication guys interpret it for you. Surely a case of biased/selective reporting of happenings in the field. I have myself often wondered at (seemingly) contradictory results getting reported in newspapers. Things like "wine found good for heart patients" and "wine linked to complications in heart conditions" at an interval of a few months or a year. The reporters in this case would perhaps be reading summaries of some kind or getting briefed by the researchers of the study being reported which IS news.
    Research by different groups can lead to different conlusions and this fact was perhaps being used by these guys.

  80. Follow the references by microbox · · Score: 1

    I agree with your points however, be careful not to make the claim that just because big oil funds research means it is biased somehow makes federally funded research unbiased.

    Sure, which is why one needs to look at the research - just a little bit. Follow the references. FUD falls on its face really quickly when you follow the references. The FUD works precisely because 99.9% of people can be relied upon not to bother, and fall back on the plausible assumption that *both* sides aren't listening to each other, and the truth must therefore be in the middle. Marketing firms worked that out a long time ago - they know how to get what they want, and it works. Sadly.

    --

    Like all pain, suffering is a signal that something isn't right
  81. Re:"Scientific Consensus" by microbox · · Score: 1

    Actually most climate scientists that I talk to openly tell me that no one has any freaking clue as to what is going on with global warming, whether it's man made or not.

    For some reason I suddenly doubt that you know more than 1 or 2 students, and zero scientists. Who are these "most" climate scientists that you rub shoulders with? Have they published any papers?

    The thing about having opinions is that they shape how we process the world, distort our memory, and filter information.

    So you admit that climate scientists being paid by oil companies has no bearing on the veracity of their research?

    On one side you have a bunch of scientists in an adversarial situation, trying their best to *understand*, which is why they became scientists in the first place. On the other side, is a bunch of marketing firms, some ghost writers, a few really smart people who really know very little about science or the climate (most of the denial literature is published by just a handful of people - most of them not even scientists), and a powerful vested interest in stalling any sort of policy decision. The latter side is not interested in understanding what's happening at all. So far, they have achieved their objective. You are their pawn.

    --

    Like all pain, suffering is a signal that something isn't right
  82. Re:"Scientific Consensus" by microbox · · Score: 1

    That's because you're either *with* us, or *against* us. In so many different ways. So... are you pro-corporate america or not? And if you're against corporate america, then exactly what tribe *are* you from, and why are you even here!

    I think it's a bizarre polarisation.

    --

    Like all pain, suffering is a signal that something isn't right
  83. I'll raise you an anecdote... by Anonymous Coward · · Score: 0

    He's not an idiot, he's jaded from his own personal experience.
    Don't be so rude so quickly.
    Here's a counter-example for you.
    My wife got ill, went to the local "experienced" western-medicine doctor.
    He promptly prescribed her anti-biotics.
    Holding the prescription, she asked: "Shouldn't we test for a virus first?"
    His nurse says that sounds like a good idea, turns out my wife has a virus,
    and the doctor withdrew the prescription.
    This effectively amounts to malpractice, and there's NOTHING the patient can do about it.
    ZIP.
    Perhaps your doctor friends are impeccably accurate and well-organised.
    We figured this guy just didn't care, and only wanted to bill my wife for the visit and
    prescription, move along, DING ! next please.
    He single-handedly answered your question: he gained another invoice billing for
    doing NOTHING of any use at all, prescribed a treatment that wasn't needed for
    a "condition" that is common as muck, and got her out the door so he could "process"
    another client, er..., sucker, er...., consumer, er...., 'scuse me, patient.
    On the other hand, we've run into some "alternative caregivers" that you like to
    widely disparage, and without exception, every one appears to genuinely want
    their patients to get better.
    Might well be to finally pump up their fragile egos or help flog off some esoteric
    blend of tea, but there have been many who don't "prescribe" anything special at
    all, unless wisdom from experience is something you consider "special".

    He's not an idiot - please, say sorry - and then go back to your drinks on the terrace with
    all your nice doctor friends.

  84. Re:I agree. by Anonymous Coward · · Score: 0

    "Also a Corporate death sentence, forced liquidation with the proceeds going to the government."

    Yes, fuck the investors over. You know - those fat cat investors... It's not like my retirement fund is at stake. Oh - wait. Shit. I guess it is.
    (I just LOVE poorly thought out "shoot from the hip" solutions.)

    Yes, fuck the investors over. Just because your portfolio is in target, does not make it "shoot from the hip". Review your portfolio, expunge any demonstrably unethical companies from your holdings. You wouldn't keep ill-gotten gains now would you? Of course not! As such, there is no financial motive for you to hold these in your portfolio. Unless you would keep ill-gottn gains...

  85. Re:"Scientific Consensus" by DrLang21 · · Score: 1

    Please explain to me how rising waters and global temperatures is going to directly result in 100 million deaths. I need statistical analysis here.

    --
    I see the glass as full with a FoS of 2.
  86. Popycock by aepervius · · Score: 1

    The extrem majority of doctor want you to be healthy when you leave them. Some crook might see short term benefit to fraud everybody, but as seen above, it comes to bite them back. That is not the first example will not be the last. but condemning a WHOLE profession for a few crook, let me tell you another way to say it "there are a few mafia hacker making botnet, so all IT programmer and open source proponent are mafia asshole which want to botnet your PC, steal your CC, and laugh all the way to the bank, rape your kitty". This is the same type of fallacy you are doing. I am not saying pharma company are angels, but they certainly as a whole don't make up cure with the intention to make you stay ill and "hooked".

    --
    C. Sagan : A demon haunted world:
    http://www.amazon.com/gp/product/0345409469/
    visit randi.org
  87. Re:I agree. by cheekyboy · · Score: 1

    if the sold assets only fetch 30c in the dollar, it means your fund and you are both stupid to not have sold ages ago.

    btw US $ is dying, so you better buy some gold before it becomes illegal to do so.

    --
    Liberty freedom are no1, not dicks in suits.
  88. Re:I agree. by Eivind+Eklund · · Score: 4, Insightful

    It's not "fuck the investors over" - it is "ensure that the pressure is towards behaving ethically". With anything like decent risk management, you shouldn't have more than some low, single digit percentage in this anyway; investors often lose all their investment when a company goes bankrupt.

    I'm also somewhat disturbed that you feel that what you should be thinking about after you find you've invested in murdering people is "What's going to happen to my money?"

    --
    Doubting the existence of evolution is like doubting the existence of China: It just shows that you're uninformed.
  89. Bad Behavior, but not bad results by Aero77 · · Score: 1

    I read this summary this summary to my OB/GYN (Dr) wife and she pointed out that the studies misrepresented the risks to be bad outcomes in 30 out of 10,000 women, when the real risks were bad outcomes in 38 out of 10,000 women. You can provide your own speculations on the implications of this data.

  90. Time to reconsider the responsible person by TigerOC · · Score: 1

    This is par for the course for this industry. Money before all else same as the banks, MP's etc.

    I am a retired pharmacist who practised in Southern Africa and can assure everyone that the effects of this scam are global and not merely restricted to the USA..

    The real scam perpetrated was 2 fold;.

    1. Premarin (oestrogen) is derived from animal sources and was pushed by Wyeth because they claimed that this decreased the life threatening embolism when compared to synthetic oestrogen.

    2. The main selling point was not cosmetic (ageing etc) but osteoporosis (thining of the bone). Roughly a third of post menopausal women suffer this terrible condition. Since there is no method to determine whether a woman is a candidate apart from familial history, they hit on the idea that every woman should receive hormone supplements indefinitely to preclude this. Their main selling point was; use Premarin because statistically it is less likely to cause an embolism. There is also evidence that women are less likely to suffer embolism related diseases than their male counterparts pre-menopause and they presented evidence (along with others) that endogenous hormones (oestrogen/progesterone) impart a natural protection. They of course quietly ignored the fact that in the '70's they manufactured a high dose premarin injectable for use in cases of severe haemorrhage.

    Way back in the 50's when these companies were starting out many countries insisted (some still do) that the Managing Director was a registered Pharmacist. As such that professional is subject to disciplinary action for acts that are harmful to his patient. Throughout the West the Pharma's persuaded Governments that this is not necessary and they are responsible people.

    As many have said it's time to start criminal proceedings against the people responsible. There will be hundreds of women out there who have died as a result of this scam. It's time for Governments to demonstrate to these thieves and crooks that there are consequences for this behaviour and see that they are dealt with by the Courts. So those of you that live in the USA it's time to contact your political reps and show them that its time to care.

  91. Snake Oil by Anonymous Coward · · Score: 0

    It was better in the 1800s, when at least there was either alcohol or cocaine in it.

  92. Simple solution by Legion303 · · Score: 1

    1. Dismantle the company.
    2. Bring charges against the company's execs.
    3. Public executions.

    I realize the last point may be controversial, but imagine if the next time a CEO considered recklessly endangering people to make a few bucks, he could look out the window and see the hanging corpse of a former Wyeth executive. It's worth a shot. Write congress now.

  93. Tags: by Anonymous Coward · · Score: 0

    ghostwritethewhip

  94. Re:"Scientific Consensus" by MikeBabcock · · Score: 1

    Very few of the anti-human-caused-climate-change crowd is pushing for more CO2 emissions. What they're saying is that the numbers don't add up, the science isn't very good and the same people have gotten wrong enough times but were just as sure of themselves with their last predictions that listening again is just silly.

    There's only so many times a boy can cry wolf, after all.

    There's evidence for sun-spots causing global warming, there's evidence that CO2 levels will cause catastrophic climate change, there's evidence that emissions will cause a new ice age, and there's evidence that nothing we do will have any measurable effect on the ecosystem anyway.

    Which one John Q Public believes has a lot to do with which celebrities sign onto which belief system, and nothing more.

    --
    - Michael T. Babcock (Yes, I blog)
  95. Re:"Scientific Consensus" by TheTurtlesMoves · · Score: 1

    Multinational corporations don't really care. Why? because even the most staunch believers in "we are all going to die global warming" camp change *nothing*. They are vomiting as much CO2 now as the did back in the day.

    --
    The Grey Goo disaster happened 3 billion years ago. This rock is covered in self replicating machines!
  96. Re:Supported by Phrogman · · Score: 1

    I agree. While I see the benefits of a free market economy and Capitalism in general, I think that Corporations being made the equivalent of a citizen (only superior as it turns out) is wrong - primarily because nothing about Capitalism encourages any ethics of any sort - in fact acting unethically is evidently quite rewarding.
    We need a counter to that, and making those in charge *personally* responsible for the actions of the company is just fine with me.

    --
    "The first time I got drunk, I got married. The second time I bought a chimpanzee, after that I stayed sober" Arian Seid
  97. Re:I agree. by ultranova · · Score: 1

    Yes, fuck the investors over. You know - those fat cat investors... It's not like my retirement fund is at stake. Oh - wait. Shit. I guess it is.

    I guess you shouldn't had invested it all in a single company. In fact, if you can't afford to lose it, you shouldn't had invested it at all, but stashed it in a bank account or something. Because, you know, there's always the risk of losing your investment.

    (I just LOVE poorly thought out "shoot from the hip" solutions.)

    And I "love" people who are happy to take the benefits of cut-throat - literally in this case - capitalism but cry "BAWWWW" when it's their own throat that gets cut.

    Look, I'm all for socialism: have the state provide healthcare, retirement, etc. for everyone. However, if we absolutely must have capitalism, then at the very least we must have it for everyone, and not have investors reap the profits but not eat the losses of a dangerous and highly unethical bet. You invest in a company, the company makes a profit, you get your cut; the profit turns out to be made by murdering people, the executives (should) go to jail and the company is dissolved or at least damaged badly enough to turn the original bet a bad one.

    The alternative - letting the investors benefit from this kind of incidents on average - gives them incentive to have the executives do them. We simply can't afford having this kind of behaviour be profitable. Unfortunately, I suspect that that's exactly what it'll be, when all is said and done.

    --

    Forget magic. Any technology distinguishable from divine power is insufficiently advanced.

  98. Who else thinks... by denmarkw00t · · Score: 1

    that this isn't going to lead to much? And isn't it scary how long something like this can go on before anyone realizes "hey, maybe these drugs are actually hurting more people than they help?" The pharm industry has so much backbone that they make worldwide internet access look like a toothpick. And, unfortunately, we get to be the real testing group for new drugs and treatments, since the "tests" published in "journals" said that what we're taking is perfectly fine - if not downright AMAZING!