May 03, 2008Eli Lilly Funds Medscape, American Psychiatric Association, Harvard, NAMI NationalEli Lilly's report detailing the company's contributions to various health care organization and advocacy groups for the first three months of 2008 is out now--and it's a doozy. Among the top recipients is the American Psychiatric Association, Harvard University's Massachusetts General Hospital psychiatry department, Medscape and the National Alliance on Mental Illness (NAMI). You can read the report here. Keep in mind that these dollar amounts are for the first quarter of 2008. The APA, which is the physicians group for psychiatry, got $623,190 from Lilly for three separate programs including something called "Using A Chronic Disease Model When Managing Patients With Severe Mental Illness." Mass General got $500,000 for its 2008 "Psychiatry Academy," whatever that might be. Oh, wait, it's a big old CME operation run by the psych department at Mass General, home of the bipolar child mafia and the medicate people into the ground alliance. NAMI National got $500,000 for two programs, one entitled "In Our Own Voice" and another called the "Multicultural Action Center." Various NAMI local and state affiliates also got smaller contributions, as did local affiliates of Mental Health America and DBSA. Medscape LLC got $175,000 for something called "ADHD--Optimizing Diagnosis and Treatment Through an Online Educational Continuum" and $205,000 for something known as "New Data in the Recognition and Management of Bipolar Disorder." Medscape is, of course, the huge and hugely influential medical information and news website. They need money from Lilly to talk about ADHD and bipolar disorder for what reason? Shouldn't they just cover ADHD and bipolar disorder and let the ad dollars flow to those pages? Why would they need seed money from Lilly? Perhaps these are articles they stick online as CMEs for docs, but I'm confused as to why, if docs are so interested in educating themselves about bipolar disorder, for example, they wouldn't just develop the materials themselves. Something smells very fishy to me here. Or maybe I am just old fashioned and would like to see medical information made available to doctors and the public that is untainted by corporate largess. Continuing Medical Education LLC--that's the big CME company--got $604,375 for programs on ADHD, depression, bipolar disorder and fibromyalgia. And, finally, one odd little item: An organization called the Mental Health Services Coalition got $6,000 for a program called "Mental Health Day At The Capitol." I cannot find this group listed on the Net, but I imagine this is a consumer "grassroots" group of some kind that got funding from Lilly to go lobby a state legislature on mental health issues. One can only wonder what these were. As odd as this might sound to some readers, I congratulate Lilly for being transparent about who it gives money to, as required by a recent legal settlement. It would be interesting to see the contributions of companies Like Glaxo, AstraZeneca and Pfizer, as well. Posted by Philip Dawdy at May 3, 2008 10:02 AM
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Wow... this really makes me think when I open up my medicine cabinet. Thanks for posting this. I found you from depression introspection, Marissa's awesome blog. I have added you to my Google Reader, and I will say your investigative writing has opened up a lot of questions for me. Thanks for "keepin' 'em honest". :-) Warm regards, I counted $705,000 total contributions for NAMI in the link. This was for one quarter of the year? Then that adds up to two million eight hundred and twenty thousand dollars a year to NAMI organizations 2,820,000. Wow. Posted by: mark p.s. at May 3, 2008 11:29 AMyou're right mark. i was ignoring the smaller amounts given to local and state level nami groups. my prejudice is that i am mostly interested in the national level group. nad yes it's a serious chunk of change. nami national gets about half of its 12 million annual budget from pharma cos. the local and state groups generally have their own separate budgets. Posted by: Philip Dawdy at May 3, 2008 11:58 AMNAMI Virginia got $40,000 in the first quarter right during our legislative session and surprise, surprise, they succeeded in killing an amendment by our Governor to finally put psychiatric drugs in the Medicaid formulary along with all other drugs for all other conditions. What kills me is that our state Dept. of MH also gives NAMI-Virginia money out of its budget. Why support a group with tax dollars that is using pharma money to lobby? I can't think of the name for that kind of circle, but I'm sure there is one. Posted by: Alison Hymes at May 3, 2008 12:13 PMThis 17 page (!) list is a doozy. It all looks so benign if you're coming to this as a neophyte. Makes Lilly look so caring and generous (yah, sure!). I hope it won't be long before all pharma companies have to disclose this stuff. Here are just a few of the workshop titles that caught my eye: "In Plain English Please - Translating the Results of Clinical Trials in Schizophrenia and Bipolar Disorder to Clinically Relevant Results," "Atypical Antipsychotics: Therapeutics and Ethics," "Healing: Helping Soldiers and Their Families," and "Fine Line: Mental Health/Mental Illness." I see tremendous irony in those titles. Posted by: Sara at May 3, 2008 12:52 PMWhat a shock. You have to hand it to NAMI for how they've managed to gain cultural approval for the social engineering it does. That consumer page is a lesson in our Orwellian times, what to do to hide your agenda behind happy puppy hopeful loving weasel words. The materials are carefully groomed to include references to wellness practices -- exercise, diet, relaxation, friendship, etc., sprinkled with judicious use of the much more ominous injunctions of "acceptance" and "staying motivated." The materials are designed to make certain the average person reading them will have no idea of NAMI's actual agenda. The In Our Own Voice Consumer program doesn't get down to it until 4 pages in, when we meet Debbye, suffering from depression, Borderline PD and an eating disorder: Debbye has been in recovery since 2000, when she was put on the correct medication. Her treatment plan is tri-fold. She goes to counseling, support groups and takes medication prescribed by her doctor. She stresses that the combination is so important because each deals with a different challenge. So, they got the "doctor" in there, job done. And "depression" to support the chemical imbalance, because even NAMI knows medication is not and never has been indicated for personality and eating disorders. Slick. Posted by: flawedplan at May 3, 2008 08:06 PM$40,000 to NAMI Georgia for "Open Access to Medications for Those with Mental Illness." Based on Illinois experience I'd say this translates to "Keep Zyprexa Tops on the Medicaid Drug Formulary." NAMI's biggest campaign here in recent years was an all=out (and successful) fight against a measure that would let Medicaid pay for Zyprexa only when a physician wrote a letter stating an older drug had not worked for that patient. They coined the term "Fail-First" policy and spoke darkly of rationing, etc. As a result, Medicaid card holders who have trouble finding a doctor who will take public aid (because they're paid about 20% of market price at best) can get Zyprexa without end (which is paid for at 100% of market). And Eli Lilly has generously endowed a group home run by Thresholds for men who suffer both from schizophrenia and uncontrolled diabetes. Nice, huh? Posted by: Johanna at May 4, 2008 08:39 AMOvarian cancer and Fibromyalgia are just 2 reasons to beware of Lilly's quest for the top billing for pain killers. (Cymbalta). Posted by: Stephany at May 4, 2008 09:49 PMOn the Lilly Grant Website there is the report of the whole year 2007 too. Posted by: George at May 5, 2008 01:30 AMI saw a whopping amount of money for some university's "evidence-based fibromyalgia" research, and have noticed an increase in the number of fibromyalgia drug ads in the media lately. Dr. Alessio Fasano at the University of Maryland has published a number of studies on autoimmune diseases (such as fibromyalgia) and intestinal permeability caused by gluten/gliadin. Google zonulin +Fasano and see what you find - also check PubMed using those keywords for the studies. There are no side effects to eliminating gluten. "The MS Recovery Diet Book" (MS is another autoimmune disease) advocates a gluten-free diet for complete remission of Multiple Sclerosis. Too bad the doctors are too eager to reach for their prescription pads instead of recommending healthy dietary tweaks. Too bad they're not even reading the published research that has been out there since 2000. The reason "ADHD" children improve so much on the gluten-free/casein-free diet is because their leaky guts are finally healing - they have found that gluten/gliadin is able to get through the brain-blood barrier - if you put gliadin in a petri dish with human tissue, it will attack the tissue. Posted by: Zonulin at May 5, 2008 07:40 AMZonulin I wouldn't jump to conclusions. "Mental Health Day At The Capitol" may be money to help closeted homosexual Republican politicians. Posted by: Charlie at May 5, 2008 10:43 AMYes, it would be nice to see all pharma disclose. Make the playing field level for all. Either way, let's keep in mind two things though. One, reputable medical education companies have very high barriers to pharma dollars influencing actual content. Not all are reputable of course...but let's not paint them all the same color. And two, physicians do find value in industry-supported CME that is free of bias. Many studies have shown this. Lemme ask this. If you had a choice between a CME course that costs physicians $500 to attend yet is free of pharma support, and an industry supported event that is free registration, which one would you choose if the content was developed in the exact same bias-free way? If industry funding made the education more accessible (via lower costs) to a much wider audience of physicians, isn't that improving clinical practice and outcomes? Many MDs can't even afford CME in this economy, never mind RNs, LSWs, etc. Posted by: Peter at July 24, 2008 02:36 PMAstrazeneca throws money at DBSA. I got an invitation from DBSA last year to join a living with Bipolar video campaign and submit a story about bipolar recovery. It was part of a contest actually with a prize money. The contest stated that an impartial judging process would select the winner. It turned out the prize money was donated by Astra Zeneca. DBSA's *generous sponsor*. My video was a personal talk about recovering from Bipolar without meds. My video did not win. The video that ended up being the *Face of Bipolar* for DBSA was a video submitted by a woman who walks you through to her medicine cabinet to show you the 8 different meds she has to take every day or else! Still I knew in advance. I dug through the fine print of the contest rules and was aware that AZ was backing the money and hence had final say on what video was appropriate to represent bipolar recovery. It would have been satisfying to have separated them from some of their cash by winning the contest with a video that blatantly dismisses the need for pharma drugs in recovery. Posted by: Jane at July 25, 2008 12:12 PMPost a comment
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