Friday, March 15, 2013

Drug companies need scrutiny


Ben Goldacre is a young medical doctor in the United Kingdom who is campaigning to end the abuses practiced by big pharmaceutical companies so patients will get better-quality health care.

His book, Bad Pharma, is shocking.

I can't help but speculate that the abuses also apply to livestock and poultry medicines these same companies have developed, promote and market. Because human lives are not at stake, the abuses may, indeed, be even more egregious.

The book is a detailed, if somewhat repetitive, catalogue of the many ways that pharmaceutical companies have cheated to cut their costs, increase their sales and make more billions of dollars.

They cheat on the trials they conduct, they cheat by failing to report the results of trials when they don’t like the results, they cheat by paying ghost writers to prepare research papers favourable to their sales campaigns, then pay some researcher to put his name on the paper so it can be published by a respectable scientific journal.

They hide evidence of the terrible side effects of some of their drugs.

They spend billions on sales representatives who visit doctors, trying to persuade them to prescribe their pills. They offer petty bribes, such as pens and office gizmos; they pay bigger bribes such as free trips to conventions; they hire doctors to make favourable speeches at those conventions.

There is enough dissembling (misleading people without telling any lies) in this industry to garner billions in undeserved profits, all at considerable risk to the health and welfare of people.

Goldacre is angry, but he’s doing something about it.

This is a book that every medical doctor, including your doctors, ought to read. It is definitely a book that every health minister in Canada ought to read, re-read and thoroughly digest; it would save billions and many lives if they did something to correct the abuses.

Goldacre sets out recommendations about what needs to be done to end the abuses. None of the recommendations is difficult to implement, but every one is sure to draw opposition from the pharmaceutical companies.

I wish there were a similarly bold and investigative veterinarian to blow whistles on behalf of Canadian farmers.