August 05, 2009

How Asleep Is The NY Times?

I ask this question in all seriousness in connection with an article in the paper today about "revelations" that pharma giant Wyeth paid ghostwriters to compose "scientific" papers, later published, that touted the benefits of the company's hormone replacement therapies Prempro and Premarin while obscuring problems caused by the drugs. Look at how the paper's lede casts matters:

"Newly unveiled court documents show that ghostwriters paid by a pharmaceutical company played a major role in producing 26 scientific papers backing the use of hormone replacement therapy in women, suggesting that the level of hidden industry influence on medical literature is broader than previously known."

"Broader than perviously known?" Is the Times kidding us? Or itself?

Industry influence--hidden and overt--is pervasive in the medical literature and this fact has been well-known for a long time. Danny Carlat, a psychiatrist, has a few examples on his blog today. The way that pharma companies manipulated the literature in psychiatry--oops, I mean neuroscience!--is legendary and my understanding is that there's been quite a bit of hinky-dinky going on in cardiology, pain management, orthopedics, diabetes care...and on and on.

This should be well-known to the Times since the paper has covered some of the controversies. Perhaps it's time for an editor at the paper to put one of its reporters onto a story connecting the dots on just how pervasive pharma influence has been in the medical literature. Headline it "Pharma's Broad Influence." It would be a good story. I guarantee it.

Posted by Philip Dawdy at August 5, 2009 10:40 AM
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At least it was on the front page and I'm sure ghostwriting will be news to some in the general public if not to medical news junkies like those here reading this blog. Still it is true that the people who get to write these stories up in mainstream media do seem to be incredible neophytes stumbling on to all this for the first time when it's all been out there for years.

Posted by: Sara at August 5, 2009 11:49 AM

"Industry influence--hidden and overt--is pervasive in the medical literature and this fact has been well-known for a long time."

Since psychiatric is treating people prescribing psych-drugs to patients we can say that pharmaceutical industry is what is really treating people.
And treating badly.

I have already seen a psychiatrist receiving the material from the lab. "Oh! Few side effects! No This is so good."
It's a sad to say the least.

Once again: I'm starting to ask psychiatrist to speak on behalf of their patients and there is no other way of doing so without talking about their practice having ties with pharmaceutical industry.

Posted by: Ana at August 5, 2009 01:41 PM

Great points you illustrated in this post that others who have addressed this issue to fail to do- reflect on the history of this terrible deceptive practice.

When I wrote about corrupt clinical trials, I had a well known doctor at Johns Hopkins send me a personal email letting me know that this practice has been occuring at least since the 1950s.

Posted by: Dan at August 5, 2009 04:28 PM

It astonishes me every time I hear anyone refer to the NYT as "liberal." I see it as a bastion of the status quo.

My dad was a news journalist, as was his brother. I once told him I'd been thinking about the news media and had come to the conclusion that, while the reporters might be liberal, the publishers decide what gets printed. And aren't they rich people who benefit from the status quo? He got a funny look on his face and said "Yes, you've got it."

Posted by: Sherry at August 5, 2009 05:31 PM

Chalk up another reason why the MSM is dying.

Posted by: Tony at August 5, 2009 06:29 PM

I have to say this NYT article is definitely news. To read that the pharmaceutical industry, doctors, and medical studies are corrupt and false _in the New York Times_ is akin, for me, to hearing a death knell toll for Western civilization. I have read plenty of arguments, opinions, and speculation that the medical establishment is crooked and not to be trusted, but even for someone familiar with the dark underbelly of our society's glossy surfaces, it is so easy to contain these rantings as merely fringe -- one side (ie. the "anti-psychiatry" movement label) of an ongoing debate. This article really lifts the curtain on the Wizards who work every day to orchestrate the establishment's public image for Americans and the world. It really feels like a moment of "Game's up". This is a seminal moment for all of those voices who have cried foul on psychiatry all these years -- including and especially the mentally ill-labelled themselves, who are so often and easily discounted and disempowered by the community of care that is supposedly in place to facilitate their healing and wellness. I hope this article marks the beginning of a society-wide vindication for the disenfranchised mentally ill, who are often so vulnerable and deprived of any say-so or rights, who suffer daily in the cracks and interstices and outlying dead-zones of our cultural tapestry, and, it now seems undeniable to say, have been so awfully wronged, lied to, destroyed by a system which at face value existed to help them. On pain of revealing my own persistent desire and need to place faith in those who represent our society -- e.g. doctors, media, government -- I must say that this article should be a revelation for all who read it, not just the neophytes and uninformed, and not excluding all those who have become so jaded by all the lies they can no longer recognize a true victory when it happens.

Posted by: Stephanie Stallings at August 7, 2009 12:18 PM

Very eloquent comment, Stephanie, and thanks for reminding us that this is indeed an important moment when a paper like the NYTimes draws front page attention to these issues. It's easy to become jaded and we shouldn't in the face of these milestones.

Posted by: Sara at August 7, 2009 09:29 PM
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