Koj puas tau dag los ntawm Cov Pharma Dirty Tricks?
Kev lag luam tshuaj tau txais cov khoom lag luam li cas los ntawm kev txhim kho, kev sim thiab kev pom zoo thiab mus rau koj tus neeg tuav pov hwm cov qauv, TV teeb thiab chav dej txee? (Thiab Wall Street cov ntawv tshaj tawm nyiaj tau los?) Thiab nws ua li cas, yog li koj xav tias nws yog koj lub tswv yim? Nov yog qee qhov ntawm cov kws kho mob qhov qias neeg tshaj plaws.
Ua Si Tus Nqi Tshaj
Hauv kev muag tshuaj, tus nqi khw muag tshuaj them thiab tsoomfwv cov nyiaj them rov qab tsis zoo ib yam. Qhov no tso cai rau pharma inflate tsoom fwv qhov Nruab Nrab Lag Luam Tus Nqi (AWP) thiab ua si qhov kev sib kis rau kev ncaws pob lossis muag "kev txhawb siab." Kev siv tus nqi sib txawv yog qhov ntau heev, AWP tuaj yeem sawv cev rau Ain't What's Them, hais tias Tony West, tus kws lij choj pabcuam rau Lub Tsev Haujlwm Saib Xyuas Kev Ncaj Ncees, vim tias "tsuas yog cov neeg yuav khoom uas tau them nyiaj ntau, tshaj tawm cov nqi tshuaj yog koj, cov neeg them se Asmeskas. ." Tej zaum qhov kev thov classic "Kuv tau txais nws wholesale" tsis zoo tom qab tag nrho.
Muab ob npaug rau ntawm Pharmacy
Vim li cas pharma xa ntawv mus rau kws kho mob los ntawm CVS lub tsev muag tshuaj extolling cov tshuaj kim Zyprexa? Txawm hais tias CVS 'tus saib xyuas cov txiaj ntsig ntawm lub tsev muag tshuaj, AdvancePCS, tau cog lus tias yuav sib tham txog cov nqi tshuaj qis tshaj plaws rau nws cov neeg tuav pov hwm thiab cov nyiaj laus npaj cov neeg siv khoom? Vim tias cov kws saib xyuas kev noj qab haus huv tau txais txiaj ntsig (PBMs) nce ua si ntawm ob sab ntawm txoj kev, hais tias Boston Globe. Qhov ntxiv $ 3,000 txog $ 9,000 rau ib tus neeg hauv ib xyoos uas Zyprexa raug nqi ntau dua li cov khoom lag luam yuav ua ntau rau Lilly Tshuag. Yog tias koj tsis xav txog cov nyiaj pov hwm kev noj qab haus huv.
Faux Patient Groups
Puas tau xav tias yuav ua li cas pab pawg neeg mob lobbying FDA kom pom zoo qee yam tshuaj kim uas koj tsis tau hnov โโโโdheev tshwm sim? Ua kua muag thiab quaj dab neeg? Cov pab pawg neeg sab pem hauv ntej, qee zaum hu ua astroturf, tau sau ua ke thiab tsim los ntawm cov tshuaj. Ib qho loj tshaj plaws, "Grassroots" National Alliance on Mental Illness (NAMI), lobby Medicaid cov kev pab cuam kom tsis txhob hloov cov tshuaj uas tsis tshua kim thiab tau tshawb xyuas los ntawm Sen. Charles Grassley rau cov kev sib txuas ntawm cov tshuaj tsis tau qhia. Koj tuaj yeem qhia rau pawg astroturf li cas? Nws lub vev xaib zoo ib yam li cov kws tshuaj.
FDA Foreplay
Qee lub sij hawm thaum pharma xav tias nws zaum ntawm cov tshuaj hloov pauv, nws tsis tos FDA pom zoo thiab pib ua lag luam ncaj qha rau pej xeem kom triangulate FDA. Ib qho piv txwv tsis ntev los no yog ib qho tshuaj los kho cov poj niam kev sib deev tsis zoo thiab cia siab tias yuav yog ib qho blockbuster zoo li Viagra. Dab tsi tsis nyiam? Leej twg yuav hais tsis tau? Tab sis tom qab Boehringer-Ingelheim tau nthuav tawm nws cov paj yeeb Viagra rau "kev xav tsis zoo ntawm kev sib deev tsis zoo" (HSDD) ntawm lub rooj sib tham kho mob xyoo tas los thiab nthuav tawm nws cov kev sib deev Lub Cev Lub Cev: Ua rau Kev Sib Txuas lub vev xaib thiab kev sib tw ua yeeb yam TV tus cwj pwm Lisa Rinna, FDA tau hais. tsis muaj. Zoo li txawm tias Boehringer-Ingelheim tau ua haujlwm zoo hauv "kev paub txog" txog poj niam kev sib deev, ib yam dab tsi tsis zoo: cov tshuaj. Thiab thaum nws los ua ntej, FDA tau mob taub hau.
Pharma Service Tshaj Tawm
Zoo li ghostwriting, lub hauv paus chiv keeb ntawm pharma's unbranded advertising yog disguised thiab lawv saib legit. Tab sis thaum TV, xov tooj cua thiab lub vev xaib thawb "kev paub" ntawm cov kab mob xws li ADHD, Irritable bowel Syndrome (IBS), Restless Legs Syndrome (RLS) lossis Kev pw tsaug zog ntau dhau (ES), xav tsis thoob. Cov kab mob tiag tiag tsis tau muab sau ua ntej kom rov qab tau sai thiab siv tau yooj yim. Tsis yog lawv tuaj nrog snappy self-quizzes thiab zoo nkauj tus neeg mob qauv. Cov lus tsis muaj npe kuj tseem cuam tshuam rau PSA (kev tshaj tawm kev pabcuam pej xeem) nyiaj uas cov xov xwm tshaj tawm muaj rau cov teeb meem pej xeem tiag tiag.
National "Kev txaus siab ntawm kev noj qab haus huv
Cov nyiaj npib lab ntawm kev tshawb fawb cov neeg them se txhawb nqa National Institutes of Health (NIH) faib txhua xyoo yuav tsum tau txais txiaj ntsig zoo rau pej xeem thiab tsis muaj kev cuam tshuam ntawm cov tshuaj. Yog li vim li cas tus kws tshawb fawb tau rub tawm ntawm NIH nyiaj pab vim yog kev sib raug zoo ntawm cov tshuaj, tso cai rov qab NIH nyiaj txiag ntawm lub tsev kawm ntawv tshiab? Psychiatrist Charles Nemeroff tsis yog tsuas yog tsim nyog rau NIH cov nyiaj thaum nws tshwm sim hauv University of Miami xyoo tas los, nws zaum ntawm pawg NIH tiag tiag uas xav txog lwm cov kws tshawb fawb 'cov nyiaj pab, ceeb toom Chronicle of Higher Education. Hmab saib xyuas tus qaib, los yog nqaij npuas tsev.
Kev Kawm Ua Lag Luam txuas ntxiv
Pharma-subsidized Continuing Medical Education (CME) cov chav kawm yog bonanza rau pharma vim cov kws kho mob xav tau cov "credits" kom khaws lawv cov ntawv tso cai. Tab sis lawv kawm dab tsi? Ib qho "chav kawm" tsis ntev los no uas muaj los ntawm Medscape hu ua Quadrivalent HPV Vaccine Tej zaum yuav siv tau rau cov poj niam 24 txog 45 Xyoo tau hais rau cov neeg koom tom qab kawm, lawv yuav muaj peev xwm "qhia txog hnub nyoog uas tau pom zoo tam sim no" rau cov tshuaj tiv thaiv. Tshwj xeeb yog lawv tuaj yeem nyeem lub npe! Lwm yam kev kawm uas muaj los ntawm Cleveland Clinic Journal of Medicine qhia koom nrog "kev tos txais koj cov neeg tsim cai lij choj" rau cov kws kho mob ntsig txog Medicare nyiaj txiag. Tsis muaj qhov xav tsis thoob, Congress tsis ntev los no tau tshawb fawb txog kev lag luam billions nyiaj CME kev lag luam rau kev lag luam tsis raug cai. Hmoov tsis zoo nws tsis tuaj yeem tshawb nrhiav kev ruam.
Ghostwriting thiab Nolo Retracto
Ghostwriting - cov ntaub ntawv sau los ntawm cov kws sau ntawv kho mob nrog cov kws kho mob tsuas yog ua tus kws sau ntawv - tau tshwm sim mus txog rau xyoo 2008 kev tshawb nrhiav Congressional. Tab sis txawm tias tam sim no txwv tsis pub, ob peb phau ntawv xov xwm tau thim rov qab cov ntawv sau dab neeg uas muag Vioxx, Fen Phen, Prempro thiab tej zaum Avandia. Nug txog cov ntawv sau dab neeg "los ntawm" Lila Nachtigall, tus xibfwb hauv Department of Obstetrics thiab Gynecology, Deborah Bohren, tus lwm thawj coj saib xyuas pej xeem ntawm New York University's Langone Medical Center tau hais tias, "Yog tias peb tau txais kev tsis txaus siab, peb yuav tau tshawb xyuas. ." Kev tshawb nrhiav Congressional tsis tsim nyog raws li kev tsis txaus siab?
Cov phau ntawv Crooked thiab Slanted Messages
Ua ntej nws tau hu ua thawj phau ntawv ghostwritten. Tom qab ntawd nws tau raug hu ua ib phau ntawv pom zoo kws tshuaj. Txawm li cas los xij, phau ntawv kawm xyoo 1999, Kev lees paub thiab Kev Kho Mob Psychiatric Disorders: Phau Ntawv Qhia Txog Kev Kho Mob Psychopharmacology rau Kev Kho Mob Ntiag Tug, tau txais nyiaj los ntawm "tsis muaj kev txwv kev kawm" los ntawm cov tshuaj loj heev GlaxoSmithKline (GSK) rau Kev Tshawb Fawb Txog Kev Kho Mob raws li nws tus kheej ua ntej. Tsis yog nws cov neeg sau ntawv txawv ntawm GSK. Alan Schatzberg nyob rau ntawm GSK lub chaw hais lus thiab Charles Nemeroff tau tshawb xyuas los ntawm Congress rau cov nyiaj tau los ntawm GSK tsis tau tshaj tawm. Puas yog cov neeg sau ntawv sau phau ntawv lawv tus kheej lossis puas yog ghosts sau los ntawm cov neeg ua haujlwm ywj pheej ntawm Kev Tshawb Fawb Txog Kev Tshawb Fawb (cov pab pawg uas muag Vioxx?) Nws puas tseem ceeb?
Kuv puas tuaj yeem tau txais koj daim ntawv xaj?
Puas yog koj puas tau tos hauv tus kws kho mob lub chaw ua haujlwm uas muaj 102 degree kub taub hau tsuas yog kom muaj cov tshuaj reps swinging Vytorin totes mus ntsib kws kho mob thawj? Tsuas yog vim lawv coj mus kuaj dawb lossis noj su thiab hnav khaub ncaws rau cov yeeb yaj kiab? Txog thaum Congressional kev tshawb nrhiav rau cov kws kho mob cov nyiaj them poob haujlwm ua tiav hauv Txoj Cai Them Kho Mob Hnub Ci, qee tus kws kho mob hauv cov chaw kho mob hais tias lawv tsis tau them mov noj. Tsis yog pharma bigsse xaus rau ntawd. Ib tus kws kho mob tau hais rau tus kws sau xov xwm tias nws tag nrho cov pab pawg tau raug ya mus rau Caribbean cov kob los ntawm nws tus neeg sawv cev Paxil. Txawm tias cov tub ntxhais kawm kho mob tau raug schmoozed mus txog rau 62,000 tus tswv cuab American Medical Student Association (AMSA) nrhiav kom xaus qhov kev coj noj coj ua ntawm khoom plig thiab zaub mov dawb. Tam sim no pharma yuav tsum tshaj tawm qhov nws siv rau cov kws kho mob ... thiab muaj kab ntev ntawm lub tshuab muag khoom.
Kev sim thiab Fibulations
Cov kws tshawb nrhiav puas yuav cuam tshuam tus neeg mob kev nyab xeeb kom ua tau nyiaj nrog kev sim tshuaj? Lub Tsev Kawm Ntawv Kho Mob ntawm Georgia tus kws kho mob hlwb Richard Borison thiab nws cov npoj yaig Bruce Diamond tau ua 13 xyoo dhau los thaum lawv tau sim Zyprexa, Risperdal thiab 20 lwm yam tshuaj thiab raug kaw hauv tsev kaw neeg. Yog li puas tau Baystate Medical Center's Scott Reuben uas tau mus rau hauv tsev loj cuj ua ntej xyoo no rau kev dag ntxias Celebrex, Neurontin thiab Lyrica. Thiab Tucson qhov chaw kuaj mob ntsws asthma Symbicort, Advair thiab Singulair tau kho cov ntaub ntawv thiab pheej hmoo rau cov neeg mob noj qab haus huv kom tau nyiaj ntau npaum li $ 10,000 rau ib tus neeg mob raws li tus kws tshaj tawm xov xwm thiab tsoomfwv thiab tsev hais plaub cov ntaub ntawv. Muaj pes tsawg lwm cov tshuaj tau sim rau cov txiaj ntsig zoo li no? Tsis suav cov uas nco qab tau kawg.
Ntau qhov kev sim thiab Fibulations
Txawm tias tsis muaj kev dag ntxias, cov kws kho mob txhawb nqa kev tshawb fawb tuaj yeem dag. Cov kev sim uas tsuas yog txiav txim siab tias cov tshuaj "tsis phem" dua li lwm tus lossis tsis muaj kev nyab xeeb ua ntej cov ntaub ntawv tiag tiag - zoo li Vioxx thiab Avandia lub plawv nres - muaj peev xwm ua rau muaj txiaj ntsig. Thiab qee qhov kev tshawb fawb tsis yog txhais tau tias muaj tseeb los pib nrog. Johnson & Johnson Center rau Pediatric Psychopathology Research ntawm Massachusetts General Tsev Kho Mob tau tsim los "txog mus rau lub hom phiaj kev lag luam ntawm J.&J." raws li cov ntaub ntawv hauv tsev hais plaub tsis raug kaw. Nws lub taub hau, Harvard's Joseph Biederman, tau cog lus rau J.&J. qhov kev sim tshuaj "yuav txhawb kev nyab xeeb thiab kev ua tau zoo ntawm risperidone [Risperdal] hauv pawg hnub nyoog no," ua ntej nws tau ua. Vim li cas thiaj tso tej yam mus rau science?
Txawv Teb Chaws Adventurism
Raws li pharma nce qhov muag pom cov teb chaws txom nyem rau kev lag luam tshiab thiab pheej yig dua kev tsim khoom nws kuj pom lawv rau kev sim tshuaj pheej yig dua. Xyoo 1996, 11 tus menyuam yaus Nigerian tuag hauv kev sim tshuaj Pfizer tsis tau pom zoo tshuaj tua kab mob Trovan. Thaum Pfizer tau them nyiaj rau tsoomfwv Nigerian thiab xeev Kano ntau lab hauv kev sib hais, Wikileaks tau tshaj tawm tias Pfizer tau sim ntxias Nigeria tus kws lij choj qub kom tshem tawm qhov kev foob. Trovan raug rho tawm ntawm Asmeskas kev lag luam hauv xyoo 2001 rau kev mob siab rau lub siab, tab sis nws suab zoo li "cov cim kev nyab xeeb" yuav tshwm sim sai dua.
Clueless Institutional Review Boards
Lub koom haum saib xyuas cov thawj coj, raug them los ntawm kev saib xyuas kev sim tshuaj, yuav tsum tau ntes cov Borisons, Trovans thiab preordained Biederman sim. Tab sis lub Koom Haum Saib Xyuas Kev Ncaj Ncees thiab Lub Tuam Txhab Saib Xyuas Kev Ruaj Ntseg tau ua rau xyoo tas los ntawm Colorado IRB ua rau muaj kev poob siab loj. Thaum nug kom saib xyuas kev tshawb fawb ntawm Adhesiabloc, ib yam khoom tsim los txo cov caws pliav uas tsis muaj nyob (tsis yog nws tus tsim tawm lossis tus thawj coj tshawb fawb) Coast Independent Review Board hais tiasโฆ thaum twg peb pib?
"Cov kev paub dhau los ntawm tsoomfwv xav tau"
Hauv kev sib ntaus tawm tsam kev dag kev kho mob, Lub Tsev Haujlwm Saib Xyuas Kev Ncaj Ncees tab tom pib ua txhaum cai, tsis yog pej xeem, raug foob rau cov tshuaj. Ntau tus neeg ua haujlwm tseem tab tom xa cov lus tshaj tawm ua tsaug rau cov kev cai uas tso cai rau cov neeg tawm xov xwm txog 15 thiab txawm tias 30 feem pua โโโโntawm kev dag ntxias, qee zaum. Tab sis lwm sab muaj qhov zoo dua. Tsuav yog cov nom tswv xws li yav dhau los Louisiana Rep. Billy Tauzin, uas tawm hauv tsoomfwv los ua tus thawj coj ntawm pawg lag luam kev lag luam PhRMA, thiab yav dhau los CDC tus thawj coj Julie Gerberding, tam sim no tus thawj coj ntawm Merck tshuaj tiv thaiv, txaus siab ua txoj haujlwm tsim nyog ntawm kev paub, kev txiav txim thiab kev sib raug zoo rau. muag khoom, tsoom fwv tawm tsam nws tus kheej.
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