Friday, June 27, 2008

Documenting the Doctors' Role

This week the focus has been on the deplorable deceptions and fraud, including bribes that are common place in the medical community. Yesterday, the beginning part of a Dani Veracity article was shared. Today, excerpts from that article siting a number of professional sources regarding the doctors' role in ongoing bribes and other deceptions used.

Just look, reflect, and really think about the variety of the sources and statements made in these excerpts.

After all, I am not talking about overt corruption such as fraud, bribes, office-buying, or kickbacks. Yet what we are concerned about is equally problematic, far subtler, and largely hidden from sight. One observer commented: "Conflicts of interest are institutional weeds. They take root below the surface and become pervasive problems often long before they show their ugliness." The weeds in this case expose physicians to powerful temptations to make money at the expense of their patients' welfare. Aside from harm to patients, conflicts of interest may be subconscious and as such can undermine judgment and integrity and lead to self-deception.
On The Take by Jerome P Kassirer M.D., page 52

...he and his colleagues receive funds that allow them to spread their educational message to thousands of physicians. Dr. Libby believes that despite the drug-company support of these efforts, strict adherence to published guidelines in creating the content of the sites, multiple layers of peer review by experts, and assessment by his audiences preserves the objectivity of these programs. By disclosing all his financial conflicts of interest and by being involved with so many companies, Dr. Libby believes he can maintain his independence, objectivity, and reputation as an opinion leader in his field. The involvement of these high-level academics in such ventures is open to various interpretations. Dr. Libby asserts that they simply exploit a corrupt system in a way that benefits patients. Nonetheless, to me these relationships between the academics and the companies (which may include providing advice about drug marketing) are too close, too collaborative, and too cozy. They generate income for some of the participants and thus induce some obligation to advocate for the company in unseen ways.
On The Take by Jerome P Kassirer M.D., page 104

Sometimes physician chicanery is the result of doctors entering the deep waters of entrepreneurship, where there is always the danger of conflict of interest between patient care and making a buck—too often a quick, dishonest buck.

The Medical Racket by Martin L Gross, page 112

Kickback scams are omnipresent in medicine. Dishonest and ingenious doctors can take in sums much greater than $100,000 a year.
In one case involving Caremark International, a Minneapolis-based home care company, a federal grand jury indicted them for paying astronomical kickbacks to one physician. How much? Caremark pleaded guilty to mail fraud and paid a fine of $161 million. Suprisingly, the doctor was convicted but that conviction was overturned on appeal; the charges against the executives were dismissed entirely.
The Medical Racket by Martin L Gross, page 115

Most physicians do not make decisions about which drug to use on the basis of scientific research or cost. They base their decision almost entirely on which drug is the most popular choice of their colleagues.
What determines popularity? The effectiveness of the drug company's marketing and advertising efforts. In essence, doctors are often bribed or lied to so that they will prescribe certain medications. ... If the drug company didn't expect the gift to influence the doctor's decision, why would it give the gift? According to a 1992 article published in The New England Journal of Medicine written by Douglas Waud, M.D., the term gift should read bribe. A gift implies that no strings are attached.
Natural Alternatives To Drugs by Michael T Murray ND, page 25

The ultimate drug company "bribery" is sending an M.D. on an exotic vacation and including CME courses along with it. The physician spends a few hours a day listening to lectures on how to prescribe the company's drugs and the rest of his time on the beach or golf course.
Prescription Alternatives by Earl Mindell RPh PhD and Virginia Hopkins MA, page 13

Analyzing why there is so much medical error Leape acknowledged the lack of reporting. Unlike a jumbo-jet crash, which gets instant media coverage, hospital errors are spread out over the country in thousands of different locations. They are also perceived as isolated and unusual events. However, the most important reason that medical error is unrecognized and growing, according to Leape, was, and still is, that doctors and nurses are unequipped to deal with human error, due to the culture of medical training and practice. doctors are taught that mistakes are unacceptable. Medical mistakes are therefore viewed as a failure of character and any error equals negligence. We can see how a great deal of sweeping under the rug takes place since nobody is taught what to do when medical error does occur. Leape cited Mclntyre and Popper who said the "infallibility model" of medicine leads to intellectual dishonesty with a need to cover up mistakes rather than admit them. There are no Grand Rounds on medical errors, no sharing of failures among doctors and no one to support them emotionally when their error harms a patient.
Death By Medicine by Gary Null PhD, page 10

Despite what many doctors think, vitamins and minerals are not something invented by the health food industry; they are part of our biological system. Without them all life stops and you die.
Vitamin and mineral deficiencies can often lead to disease, and you do not have to be embarrassed about taking vitamin and mineral supplements. The medical and scientific literature supporting nutritional supplements is extensive and goes back over a hundred years. I know many doctors who religiously take supplements themselves but will not recommend them to their patients because of fear of being ridiculed by their colleagues. This is intellectually and morally dishonest.
Health And Nutrition Secrets by Russell L Blaylock MD, page 36

I am not implying that those who review manuscripts are corrupt or even conscious of their bias. Nevertheless, doctors and scientists who are interested in nutritional medicine almost invariably complain about how difficult it is to have their work published in "peer-reviewed" medical journals.
Preventing And Reversing Osteoporosis By Alan R Gaby MD, page 250

Many doctors are paid by Eli Lilly and other drug companies to do drug studies for them or they are affiliated with a university or hospital which do these studies. The "don't bite the hand that feeds you" philosophy plays a major role in their defending the safety of Prozac. Are the incentives being offered to them by Lilly to prescribe this drug so great that they feel it is worth "selling out" their own patients? What is it? Have they become totally irrational themselves from their own personal use of Prozac? We are aware that doctors in general have on of the highest rates of prescription drug abuse. Just how serious is the abuse of these mind-altering drugs among the individuals we are trusting with our lives? Psychiatric nurse, Joyce Strom-Paikin, puts her license and credentials on the line to fight the "conspiracy of silence" that exists in the medical profession with the use of drugs by doctors and nurses in her book, MEDICAL TREASON. She feels this is a practice which "threatens to corrupt the profession and cost lives of many patients." In defence of physicians it should be stated again that they receive very little training in medical school on the use of drugs. Our entire system is in desperate need of revamping.
PROZAC Panacea or Pandora by Ann Blake Tracy PhD, page 176

...shocked to discover that their doctor's advice could be colored by less than virtuous motives. You're supposed to believe that everyone in the medical community is in it purely for humanitarian reasons. If you believe that, just try to see a doctor or check into a hospital without flashing your insurance card! Did you know that some hospitals offer special incentive deals that give doctors valuable gifts like fax machines and car phones if they schedule surgeries when the hospitals are hurting for business? If your doctor is prescribing a certain drug for you, wouldn't it bother you to know that the makers of the drug may have offered him a free trip to New Orleans in return for his patronage? Drug companies regularly bribe doctors with free drugs, dinners, trips and even cash."
PROZAC Panacea or Pandora by Ann Blake Tracy PhD, page 235

Doctors Borison and Diamond pleaded guilty to the theft, bribery, and racketeering charges brought against them by the Georgia Attorney General. They were each fined $125,000 and were sentenced to prison.
At the time of their highly publicized indictment, Eli Lilly pulled all studies still in progress with Borison and Diamond, reassigning them to other centers. Regarding the many studies the pair had completed over the years for Lilly, however, a spokesperson said the company was confident that none of the data provided was compromised in any way. But Dr. David Hess, chief of neurology at the hospital where Borison was the chief of psychiatry, told investigators, "This whole thing was very dirty. It was basically a numbers game. These patients are purely used for the greed of the researchers.. [It] was very apparent to me what was going on." While some insist that the repeated exposes are not representative of the testing of psychiatric drugs, others note that many of the most disturbing practices highlighted in the exposes—such as the exorbitant sums of money involved, employing staff with little training or clinical experience to evaluate patients, and advertising for subjects rather than using real patients coming into doctors' offices seeking treatment—are not uncommon in psychiatric drug testing.
Prozac Backlash by Joseph Glenmullen MD, page 211

Unscrupulous pharmaceutical companies, corrupt government officials, venal physicians, stupid and cowardly media people, incompetent and dishonest researchers — none of these things are new. They are business as usual. Where, then, does the buck stop? Who is responsible for pharmacogenocide?
The Aids War by John Lauritsen, page 272

Of course, other professions don't police themselves so well either. How many unethical lawyers are disbarred? How many corrupt judges are removed from office? How many check-kiting legislators are impeached? And how many incompetent public school teachers are fired? There is a lot of room for more policing of the professions. Maybe methods used against doctors will be tried in your profession next.
Your doctor is Not In by Jane M Orient MD, page 193

The politically feasible course is to subject physicians, clinics, nursing homes, suppliers of medical equipment, and other providers to the same law that is used to wage war on drug dealers or Racketeer-Influenced Corrupt Organizations (RICO). The RICO law provides for civil forfeiture of property.
Your doctor is Not In by Jane M Orient MD, page 200

Increasingly, people are questioning the values and the presumptions of medicine, asking whether our way of caring for people is the best way.
The administrative structure of medicine is being overhauled from top to bottom by governments, by market managers, by physician executives and health management consultants. At the same time, new advances in medical science promise a new era of biologic innovation, with everything from fetal surgery to gene therapy to treatments to prevent aging. Each innovation comes with a promise and a price, and the more we innovate, the more we are forced to question and compare and prioritize among interventions, populations, problems, and allocation schemes. The individualistic morality that sees virtue in the unencumbered and unswervingly loyal commitment of each doctor to each single patient seems to be crumbling under the assault. Medical societies agonize over the compromises that doctors are being forced to make. Journals are filled with soul-searching articles bemoaning the changes and looking for villains. We blame the corrupt government or the greedy managed care administrators or the heartless market.
Do We Still Need doctors by John D Lantos MD, page 98

How much suffering and death are the American people willing to take before they stand up to the bureaucracy? How many physicians must be put into prison before all physicians cry "enough!" to the increasing government control over their profession? How many Watergates do we need before we realize that mortal men are corrupted by power, and that the solutions to one's problems lie not in increasing the power of government but in decreasing it?

World Without Cancer by G Edward Griffin, page 330

So when are we going to change things? When are we going to stop accepting whatever the doctors say, regardless of the side effects or other consequences?

As always, the choice is yours. This time it could mean your life.

But you, O God, will bring down the wicked
into the pit of corruption;
bloodthirsty and deceitful men
will not live out half their days.
But as for me, I trust in you. Psalm 55:23 (NIV)

If you have comments or questions, please feel free to contact me at the address below.
Email: DeltaInspire@panama-vo.com

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