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“Sickening: How Big Pharma Broke American Health Care and How We Can Repair It”

re: ethics in medicine
re: follow the money
re: Sebastian Rushworth MD: What defines a good drug?
re: Sebastian Rushworth MD: How to understand scientific studies (in health and medicine)

Whether it was/is the viciously venal manipulation of insulin prices to the massive harm and death of patients, or Vioxx heart attacks, Neurontin (gabapentin) making things worse, or statins causing heart attacks in women and and at best having no benefit for 99% of people taking them along with nasty side effects, the sordid history should shock the conscience of anyone. The author delves into the why and how and history of how this all came about.

Sickening:; How Big Pharma Broke American Health Care and; How We Can Repair It, by John Abramson MD, MSc
Sickening:
How Big Pharma Broke American Health Care and
How We Can Repair It, by John Abramson MD, MSc

The reality is indeed a sickening fraudulent behavior that even doctors are fooled by; they do not have the time to detect all the numerous frauds perpetrated by Big Pharma, even if they have the skills to read the studies (most do not). And the studies are nearly always manipulated in many ways.

Are books of this nature (even one?) required reading in medical school? Or is it all “trust JAMA, trust NEJM, trust BMG”, eg trust the fraudulent science? Ignorance is bliss in the medical profession, in my experience. I wonder how many doctors, particularly those gung-ho on the COVID Jabs and policies, have every read a single book of this kind?

Sickening: How Big Pharma Broke American Health Care and How We Can Repair It @AMAZON

Doctors who have not read this book (or something equivalent) are doing themselves and their patients a huge disservice. Remaining ignorant of the rampant scientific fraud masquerading as science in the form of “peer reviewed studies” and other ugly schemes is unprofessional. Because it ultimately results in patient harm, financial, physical, and psychological. Doctors, you have the professional obligation to act in your patients' best interests and therefore you MUST be aware of what is actually going on in your field.

Doctors are taught to trust the science, to follow the best available data. That sounds good, but it doesn’t work when the science is suppressed if unfavorable to profits, falsified outright, run by ‘“experts” on the take from the industry, misrepresented as good when actually bad, etc. Any doctor who thinks evidence-based medicine is a thing or that any study run big Big Pharma has any credibility at all... is a very poorly informed person.

Veterans cemetery tombstones and flags
Veterans cemetery tombstones and flags

Personal policy

This opinion is my own, not a reflection of the book, and based on hundreds of hours of study over years, human psychology and persuasion, and personal experience with the medical establishment.

Taking any Big Pharma drug with less than 10-15 years of history is a fool’s game. It is virtually guaranteed that some degree of malfeasance existed along the path of approval, from outright fraud to misrepresenting results, to failing to publish negative results, etcetera. Follow the money.

Big Pharma drugs are extremely risky in at least three ways: (1) non or anti-efficacy (making things worse), (2) side effects (3) risk of serious harm or even death.

Emphasize: there is and never has been any scientific evidence justifying statin use for women indeed statins are dangerous for women in multiple ways. And for men who have not had a heart attack, there is also no evidence. The fraud and misleading claims are now so well established that few doctors recognize this.

Along with the psychological resistance to finding issues once a drug is approved, and a grossly naive medical community that trusts “the science” which isn’t. Or, even with well meaning and highly ethical doctors, doctors are pestered/harassed to prescribe, and de facto have little choice but to comply because of treatment guidelines written by “experts” (paid lackeys of Big Pharma). As per Sebastian Rushworth MD,

... The decision whether or not to take a certain drug requires a deep understanding of the drug (provided by the physician) and a deep understanding of personal values and wishes (provided by the patient). It requires a holistic perspective and a meeting of two minds that is literally the opposite of what doctors are asked to practice today, where we’re continuously pestered with various treatment guidelines and targets that turn physicians in to unthinking automatons and patients in to featureless blobs.

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