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Fri, 19 Sep 2003 10:45:19 -0500

WC Douglass

Where there's smoke

 

Daily Dose

 

September 19, 2003

 

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File this under the " Needless Research " heading in your

circular file...

 

According to a recent Reuters online article, a team of

Boston doctors - obviously very bored ones with no patients

to treat - embarked on a detailed analysis of deceased

chemotherapy patients' medical records in order to find out

whether cigarette smoking shortens the life span of...

 

LUNG CANCER VICTIMS!

 

Isn't that a little like studying whether overeating while on

a diet keeps you from losing weight?

 

The answer to this stumper is: Of course it does - by about

32 percent, according to the study. But physicians have known

this for years based on in-the-field experience. Why do we

need to waste time, money, and energy on a study that proves

something so obvious? I don't know for sure, but it occurs to

me that it might not be simple boredom - it may have

something to do with money...

 

Here's what I mean: Chemotherapy is very expensive

(lucrative, I should say). It's also the number one

conventional medical treatment by far for those with terminal

lung cancer (whether it works or not is another topic). And

who's most often paying for these treatments? Insurance

companies - or the government, through Medicare, VA, or other

benefits.

 

Are you following me? The longer these terminal cancer

patients live, the bigger the payday for hospitals and

doctors...

 

Now, before you call me a heartless conspiracist, know this:

I'm not saying that oncologists shouldn't advise lung cancer

patients to quit smoking. But if doctors are telling folks

for whom death is certain that they need to give up smoking

just to buy a few extra months of misery and pain, I want to

make sure that they're doing it for the RIGHT reasons - and

not just to milk the system at the agony of others.

 

Doctors should remember that if developing lung cancer isn't

enough to get some people to kick the habit, then cigarettes

are obviously one of the only remaining comforts in what

little life they have left...

 

For patients at death's door, isn't comfort what really

matters?

 

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The spooky reality behind drug-related " news "

 

Every once in a while, I come across a story from an obscure

(or foreign) news outlet that throws even jaded old me for a

loop. And recently, a story from the Canadian Broadcasting

Company (CBC) on " ghostwriters " has done just that...

 

Broadly defined, the term " ghostwriter " refers to anyone who

writes something that bears someone else's name when printed.

And according to the CBC online news, it turns out that the

pharmaceutical giants are a major employer of these

ghostwriters to write articles praising their drugs-while

POSING AS DOCTORS!

 

Now, lest you think there's anything shady going on, these

articles are reviewed and given blessing by real MDs. The

fact that these doctors are then paid big bucks by

pharmaceutical industry fat cats for allowing themselves to

be billed as the authors shouldn't concern anyone...

 

Perfectly on the up and up, right?

 

As if this isn't enough of an ethical quagmire, consider

this: Since the articles aren't even penned by the endorsing

doctors, they likely NEVER SEE all the evidence - especially

the negative findings - on the drugs in question before

signing their names to the finished pieces!

 

Where does this " unbiased " evidence come from in the first

place? You guessed it: The completely objective and selfless

drug companies themselves...

 

The long and short of the process is this: A drug maker

funnels a highly-educated ghostwriter only the most

flattering evidence - much of it no doubt doctored (no pun

intended) - regarding a certain patent medicine's miraculous

effectiveness and utter lack of side effects. Instead of

being immediately used as toilet paper, this information is

then skillfully crafted by the highly paid and totally amoral

writer into a slick article that's persuasive, thorough, and

seemingly credible enough to gull a reputable (or maybe not-

so-reputable) M.D. into signing his name to it.

 

The scary part is that these articles then find their way

into some of the biggest and most respected peer-reviewed

journals out there - like the Lancet, The New England Journal

of Medicine, and the Canadian Medical Association Journal.

And how's this for warped ethics: The ghostwriter gets a huge

cash bonus if the piece ends up appearing in one of these

high-profile sources!

 

According to CBC's sources, as much as half of the peer-

reviewed literature on any given drug is likely nothing more

than ghostwritten " infomercials " with a gullible (or morally

sketchy) doctor's byline on it...

 

How's that make you feel about filling a prescription?

 

Your real life ghost buster,

 

William Campbell Douglass II, MD

 

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