INTRODUCTION: When an email from Vera Sharav alerted me to the fact that Dr. Marcia Angell, a woman whose writings I have admired for a long time, had just written a book review for the New York Review of Books, I was eager to read it -- AND, after reading it, I immediately decided that I wanted to print it, in its entirety, on HonestMedicine.com.
I want to thank both Patrick Hederman, the New York Review of Books' permissions/rights person, and Dr. Angell herself, who gave me reprint permission.
Although most of my readers probably know this, Dr. Angell is a former editor of the New England Journal of Medicine, a publication that most often is referred to as “prestigious”! For those of you who don’t know of her work, for years, she has been critical of the pharmaceutical industry and its financial ties to researchers, doctors and medical journals –- in fact, to almost every aspect of the conducting and reporting of clinical trials by the pharmaceutical companies.
Currently a Senior Lecturer in the Department of Social Medicine at Harvard Medical School, Dr. Angell is the author of the book, The Truth About Drug Companies: How They Deceive Us and What to Do About It, as well as, of several articles, including “Is Academic Medicine For Sale?,” published in the New England Journal of Medicine, May, 2000. I have quoted from her articles in several of my postings, most notably, in “Is It Possible Some Doctors Still Don’t 'Get' the Extent of Big Pharma’s Financial Ties to 'Standard of Care' Research?"
I am happy to reprint Dr. Angell’s most recent article here, and hope the New York Review of Books won’t mind that I have provided hyperlinks to actual articles, instead of using footnote form (as is used in print publications.)
On a personal note, The New York Review of Books was one of my husband Tim’s two favorite publications. The other was Fanfare. Whenever he’d come across an article like this one, he’d say, “This one’s for you, Boo.” He always knew which articles I’d love. (You may read about Tim, and his love of books and music, here and here.
Drug Companies & Doctors: A Story of Corruption -- By Marcia Angell
(In this article, Dr. Angell reviews these three books. But her article is far more than just a book review!)
1) Side Effects: A Prosecutor, a Whistleblower, and a Bestselling Antidepressant on Trial -- by Alison Bass, Algonquin Books of Chapel Hill, 260 pp., $24.95
2) Our Daily Meds: How the Pharmaceutical Companies Transformed Themselves into Slick Marketing Machines and Hooked the Nation on Prescription Drugs -- by Melody Petersen, Sarah Crichton/Farrar, Straus and Giroux, 432 pp., $26.00
3) Shyness: How Normal Behavior Became a Sickness -- by Christopher Lane, Yale University Press, 263 pp., $27.50; $18.00 (paper)
Recently Senator Charles Grassley, ranking Republican on the Senate Finance Committee, has been looking into financial ties between the pharmaceutical industry and the academic physicians who largely determine the market value of prescription drugs. He hasn't had to look very hard.
Take the case of Dr. Joseph L. Biederman, professor of psychiatry at Harvard Medical School and chief of pediatric psychopharmacology at Harvard's Massachusetts General Hospital. Thanks largely to him, children as young as two years old are now being diagnosed with bipolar disorder and treated with a cocktail of powerful drugs, many of which were not approved by the Food and Drug Administration (FDA) for that purpose and none of which were approved for children below ten years of age.