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Inside the corpocracy: Big pharma and servile government

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Gary Brumback
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Lies to FDA investigators. Follows trade association's instructions on how to sidestep USDA request for samples to test for unapproved ingredients from foreign suppliers. Fabricates drug-safety data. Deceives regulators about the effectiveness of its drugs. "Sells" a disease (e.g., "it's under-recognized") to justify a new drug. Gets quick FDA approval by saying its products are duplicates of other products previously approved. Defaults on a promised test study but got approval anyway for expanded Medicare coverage.

 

In Promoting Drugs to and Conniving with Doctors

 

Bribes doctors with luxury vacations and paid speaking gigs. Drug reps ingratiate themselves with doctors in order to persuade them to prescribe more of the drugs they're selling. Pays influential leaders in the profession to tout the virtues of drugs and devices to their colleagues. Showers doctors with perks and consulting contracts.  Helps doctors overbill the state for medicines bought by the doctors. Provides drugs to doctors at a discount so they can be sold to patients at a big profit. Pays hundreds of millions of dollars to doctors every year in return for giving their patients certain medicines, which regulators later say may be unsafe at commonly used doses. Rewards doctors handsomely for doing nothing more in their drug "research" than writing down brief notes of their observations of patient outcomes. Skirts the rules against advertising drugs for unapproved uses by sponsoring seminars where doctors are paid to make presentations promoting their drugs, including the "off label" uses.

 

In Pricing and Marketing Drugs to the Public

 

Big Pharma spends far more on marketing and administration than on R&D but justifies R&D costs for its astronomical drug prices. Never publicizes that its drug posed risks to the heart. Falsifies vaccine data, labels, and claims for a decade or so. Promotes to kids under 18 an anti-depressant approved only for adults and pushed two other anti-depressants for unapproved purposes. Markets a drug that is more expensive than alternative drugs and deadly among adults and children. Sponsors health- and illness-awareness days in public schools and then blitzes them with promotions. Uses subtle public-relations campaigns to pave the way for new drugs years before available. Secretly puts media stars on their payrolls to slyly slip in lines about some real or fake ailment and a drug cure on a news show interview or some other show. Spends sizable percent of research on "me-too" drugs designed to make a profit, but are therapeutically useless.  Sales rep tells purchasers how to bill the government at full prices for free or discounted non-prescription products. Charges what the market will bear rather than keep price increases in line with inflation. Worried about the taping and cutting out of commercials by viewers, drug advertisers weave their products into the plot lines or have the products strategically placed in scenes. Markets "off-label drugs," versions of drugs different from those tested by federal regulators. Uses consumers' private medical information for commercial purposes. Raises drug prices before new legislation passed seeking to curb drug prices. Sues to stop a program that lets states create preferred drug lists for Medicare patients and then demand steep discounts from drug companies that want to get on the list. One of most conservative voices in US medicine said the pricing of a new drug to treat colon cancer was unconscionable. Opposed pending legislation to create lists of preferred, lower-cost drugs for Medicare patients and hid their intent by secretly funding advocacy groups believed to oppose the same legislation but for different reasons. Hires PR firms to establish diseases as "public health threats" and massive direct-to-consumer advertising. US diplomats defend the profit gouging of big pharmaceutical companies, even at the risk of the hosting nation's own public health priorities. Americans pay 100% more than Canadian for the same patented drug.

 

In Handling Safety Issues of Drugs on the Market

 

Drug industry was aware for at least a decade of animal studies linking breast implants to cancer and other illnesses, but women were not told of the risks until years later. Responded to questions about product safety and lawsuits with a full-court press to keep internal memos and studies from reaching the public. Began buying the new ingredients of one of its key drugs from a new supplier and never followed up on the ingredient's effects until reports of serious problems patients were experiencing. Finally owned up to deadly products in wake of bacteria scandal. Knew for 20 yrs that its product was unreliable, but didn't believe it would cause a health problem, did very little testing, and stonewalled in liability before finally trying to make amends. Relied on its deceptive practices to earn billions of dollars selling potentially dangerous drugs to unsuspecting consumers and medical patients; didn't deny any of it, simply paid the paltry fine, apologized to its customers, and continued doing wrongdoing as usual. Compounds drugs that are often too weak or too strong. Sold a concentrated product even though executives were warned of the dangerous side effects. Diluted cancer drugs to boost profits.  Mislabeled and adulterated several of its drugs used by millions of consumers and then masterminded a massive cover-up of its activities. Made a drug that caused thousands of deformities and then was again involved years later in yet another disputed drug case in court. Hid behind court secrecy proceedings in defending itself against hundreds of lawsuits brought by patients and thus avoided the disclosure of several important documents sought by the congressional-investigative committee. Sells to other countries a drug taken off the US market because of concerns about the drug's adverse effects.  Knew of many deaths among overseas users of one of its drugs before the FDA approved the drug for domestic sale.

 

In Other Roguish Acts

 

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Gary Brumback Social Media Pages: Facebook page url on login Profile not filled in       Twitter page url on login Profile not filled in       Linkedin page url on login Profile not filled in       Instagram page url on login Profile not filled in

Retired organizational psychologist.

Author of "911!", The Devil's Marriage: Break Up the Corpocracy or Leave Democracy in the Lur ch; America's Oldest Professions: Warring and Spying; and Corporate Reckoning Ahead.

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