Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients

Bad Pharma How Drug Companies Mislead Doctors and Harm Patients Medicine is broken We like to imagine that it s based on evidence and the results of fair tests In reality those tests are often profoundly flawed We like to imagine that doctors are familiar with th

Medicine is broken We like to imagine that it s based on evidence and the results of fair tests In reality, those tests are often profoundly flawed We like to imagine that doctors are familiar with the research literature surrounding a drug, when in reality much of the research is hidden from them by drug companies We like to imagine that doctors are impartially educatMedicine is broken We like to imagine that it s based on evidence and the results of fair tests In reality, those tests are often profoundly flawed We like to imagine that doctors are familiar with the research literature surrounding a drug, when in reality much of the research is hidden from them by drug companies We like to imagine that doctors are impartially educated, when in reality much of their education is funded by industry We like to imagine that regulators let only effective drugs onto the market, when in reality they approve hopeless drugs, with data on side effects casually withheld from doctors and patients.All these problems have been protected from public scrutiny because they re too complex to capture in a sound bite But Dr Ben Goldacre shows that the true scale of this murderous disaster fully reveals itself only when the details are untangled He believes we should all be able to understand precisely how data manipulation works and how research misconduct on a global scale affects us In his own words, the tricks and distortions documented in these pages are beautiful, intricate, and fascinating in their details With Goldacre s characteristic flair and a forensic attention to detail, Bad Pharma reveals a shockingly broken system and calls for something to be done This is the pharmaceutical industry as it has never been seen before.

  • Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients Best Read || [Ben Goldacre]
    261 Ben Goldacre
Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients

  1. Ben Goldacre is a British science writer and psychiatrist, born in 1974 He is the author of The Guardian newspaper s weekly Bad Science column and a book of the same title, published by Fourth Estate in September 2008.Goldacre is the son of Michael Goldacre, professor of public health at the University of Oxford, the nephew of science journalist Robyn Williams, and the great great grandson of Sir Henry Parkes.

268 Reply to “Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients”

  1. Stop Press this should be compulsory reading for anyone with a pulse, really I can t think of a single person who should be excused from the reading rota here This is the MOST appalling, horrific, mind numbing expose on the current state of medicine I had never hoped to see, or know, or be a part of Ever.You ever go to the doctor You a doctor No Maybe you expect the doctor, as the specialist, to be able to diagnose and treat you accordingly I know I do I go in with my ailments and I like to come [...]

  2. Currently reading this but not so sure how much I can take There is some decent information here The title is absolutely true Drug companies are businesses and multibillion dollar corporations are not ethical paragons They do not publish studies that make their drug look bad or even as good as There are sponsored journals that are sponsor biased Sometimes legit journals want the most interesting this changes everything articles rather than another dog bites man article to boost readership That [...]

  3. I think this book may have an enormous impact in public health.Read the first chapters and already amazed, enthralled and utterly shocked by some of the revelations It doesn t surprise me that drug companies are withholding data from public scrutiny but it sickens me to learn that publicly funded regulators are also in the game Now that I have finished it, I have a much deeper knowledge of how Big Pharma actually harms patients and, better still, a list of actions anyone can take to help improve [...]

  4. I read Goldacre s book Bad Science very recently, and I enjoyed it so much that I decided to not go for my usual buffer period between very similar books and just jump right into Bad Pharma And they are very similar books, though this one is actually longer, for all that it is specialized in one area of badness There was a lot of overlap between the two, which is to be expected, I guess, because Goldacre IS a doctor, and lives in this world I didn t really mind the rehash though, because it gav [...]

  5. Goldacre has a way of making complex science subjects accessible to the wider public His first book, Bad Science, highlighted the way that the media dealt with reporting science, and in this book he concentrates his ire onto the 600 billion global pharmacy industry, now dominated by a handful of behemoths.And what he reveals is frankly terrifying He details the way that the industry hides a large majority of the trial data, the way that the legislation requiring data to be published is ignored b [...]

  6. I appreciate how Ben Goldacre is trying to open the eyes of the people to many of the issues relating to science reporting I check his blog every now and then, but this is the first time I ve read his books As background, I m a GP in NZ, British by birth and training, closer to the start of my career than the end and I don t see drug reps or attend drug sponsored CME consciously at least sometimes it can be difficult to tell I m also fairly clued up on the issues he presents here so in someways [...]

  7. Okay, somehow didn t save the last review I tried to write So I ll try again If I only had read this book a day earlier I could have flagged it as the most depressing read of 2012 It made me cry out loud and swear a lot just ask my girlfriend who had to listen to it for the most time Bad Pharma gives a great overview on how medicine is failing patients aka each of us all the time Publication bias, missing access to raw data and all the other nuisances which might be familiar to you from other fi [...]

  8. Here Ben Goldacre follows up on his previous book, Bad Science, by turning his spotlight solely on the pharmaceuticals industry This is a terrifying book because it argues in great detail that our understanding of the efficacy of many drugs and the extent of their side effects is fundamentally flawed.Goldacre starts with the criticism he finds most damning namely, when drug companies conduct a trial and the results don t support their own medecine, they frequently fail to publish the results or [...]

  9. This Affects You I m glad I stopped and read the short no less impactful essay The Corporation by Joel Bakan midway through this book, it definitely helped in coping with the subject I feel like Ben Goldacre has simply stumbled across a specific problem in a larger mess our world faces today What the reader will have introduced to themselves during the 400 pages of Bad Pharma, is a consistently horrifying expose of the corruption and bad practices that have taken place in a deregulated environm [...]

  10. I didn t quite know what to expect with this book After I read the title, I wondered if it might be driven by conspiracy theory It was anything but Goldacre focuses mainly on missing data how it gets lost, how its absence affects how trustworthy the findings are, and what that means for the subsequent care recommendations made from incomplete data I remember learning about the file drawer affect in which papers that do not include a strong finding are never published, and thus kept out of meta d [...]

  11. This is an outstanding book and everyone should read it It took me about 3 sittings to get through it as I found rage slowly building as I read it and had to get up and pace around the house a bit.The book systematically works through all the ways in which the practice of evidence based medicine is being distorted by the big pharmaceutical companies It identifies all of the perverse incentives that make those distortions an unavoidable part of doing business, and then helpfully identifies ways t [...]

  12. The story of the serotonin hypothesis for depression, and its enthusiastic promotion by drug companies, is part of a wide process that has been called disease mongering or medicalisation , where diagnostic categories are widened, whole new diagnoses are invented, and normal variants of human experience are pathologised, so they can be treated with pills Ben Goldacre touched on the evils of the pharmaceutical industry in his previous book, Bad Science, and this book greatly expands upon those cha [...]

  13. A very interesting read about how medicine is developed, released and distributed It suffers mostly from being dry and detailed This is not a conspiracy book It s about facts, some of them quite complicated, particularly if you are unfamiliar with scientific methodolgy One of the problems is missing data Most of the trials that are negative, that do not have the result the sponsor the pharmaceutical industry, usually hoped for, are never published The data is extremely difficult to get at, prote [...]

  14. Bad Pharma is actually a fairly scary book to pick up when you ve just collected a prescription from the chemist but I d heard a lot about Bad Science which I ve since read and thought Bad Pharma would be incredibly interesting I certainly wasn t wrong.This is pretty much a damaging expose of the pharmaceutical industry s involvement in modern medicine Not necessarily their manufacture and distribution of tablets that do improve people s lives every day but the unnecessary peddling of drugs tha [...]

  15. This is a great overview into one of the largest health and economic problems today As someone with experience in both the world of research and clinical medicine, I can say that the information in this book is accurate The information is presented in a surprisingly non biased and non conspiracy theory way The organization is such that there is wonderful flow and each idea builds on itself I appreciate the fact that there are proposed solutions to the problems, many of which have the potential t [...]

  16. Had to add a new shelf demagoguery for this one Good God But then again, his website says he frequently gives speeches in rock venues, so what do you expect.

  17. Medicine is broken We are going to see that the whole edifice of medicine is broken, because the evidence we use to make decisions is hopelessly and systematically distorted And this is no small thing Because in medicine doctors and patients use abstract data to make decisions in the very real world of flesh and blood If those decisions are misguided they can result in death and suffering and pain The whole book is written to defend the following paragraph Drugs are tested by the people who manu [...]

  18. At first sight this might be seen as another piece of new age anti pharma ranting Big Pharma is Bad and therefore we should not trust it or use its products, turning our backs on the knowledge that has extended life spans and improved our health during our lives.To make such an assumption would be to do this book a grave injustice Ben Goldacre is himself a doctor and believes whole heartedly in the benefits that modern medicine has brought to humankind What he objects to is, as shown in his colu [...]

  19. From the introduction Drugs are tested by the people who manufacture them, in poorly designed trials, on hopelessly small numbers of weird, unrepresentative patients, and analysed using techniques which are flawed by design, in a such a way that they exaggerate the benefits of treatments Unsurprisingly, these trials tend to produce results that favour the manufacturer When trials throw up results that companies don t like, they are perfectly entitled to hide them from doctors and patients, so we [...]

  20. This book is not unbiased, but it is largely fair The bad examples really happened, and some of the behaviors are still widespread like failure to publish clinical trial results even years after the trial has been completed As someone who s worked for two of the biggest firms, I m still unhappy by the lack of transparency But I do see signs of improvement No company wants to have a reputation of being the lowest of the low More people should read this book, and demand better accountability from [...]

  21. Excellent book that people need to read It will make you angry about the pharmaceutical industry, which is rather the point Goldacre s style is calm and rational leavened with just a touch of humor He provides plenty of data to support his arguments He points out the flaws in the current system and suggests some reasonable changes This book should really be of a topic for discussion than it currently is.

  22. This is a great instance of science not standing up to scrutiny by its own methods.One of the great crimes of health care is that it is dominated by companies whose primary concern is profit, not necessarily our health these are not the private health providers but drug companies I have been around this area for years, from my days as a trade union campaign organiser in the public health sector and now in a university School of Sport and Exercise with a strong strand dealing with public health I [...]

  23. Bad Pharma is a sequel of sorts from the author of Bad Science Quacks, Hacks, and Big Pharma Flacks an original piece about poor scientific process, across a variety of fields.Pharma on the other hand lampoons the pharmaceutical industry I bet you didn t guess from the name targeting biased publishing trends, dodgy marketing tactics, and misinformed regulators amongst other concerns including his own ideas on solutions and prevention Unlike many polemics Goldacre s solutions are well thought out [...]

  24. Almost essential, this book prescribes a mode of relief not only for the pharmaceutical industr ies , but for many high level corporations which have problems with public promotion vs due diligence As always, the question is one of transparency, and of rigor, as opposed to the forces including human lethargy, neglect, honest oversight, and outright seduction mitigating against doing Good Work.Goldacre s point of view and voice is warm, empathetic, and realistic without being discouraging these t [...]

  25. This is not a treatise against medicine This is not a conspiracy theorist attack on vaccines It s a doctor s thoroughly researched and heartfelt expose of the systemic problems in the drugs industry problems that expose us to potentially dangerous new medicines, or at the very least worthless medicines that cost us millions You won t find any stories about evil corporate execs laughing as they poison children in Africa for fat medicine contracts You will find real and shocking stories of how lax [...]

  26. Ben Goldacre documents how drug companies are able to get doctors to prescribe drugs of marginal effectiveness and undetermined safety By understanding how new drugs are tested, approved, and marketed, you increase your chances of avoiding damage to your health and pocketbook Big Pharma does develop useful medicines that save lives, but the main goal is to make money Read this book to learn how to better avoid dangerous and not worth the money drugs I had read most of this book before the librar [...]

  27. Ben Goldacre analyses how drugs are tested and accepted for general use He argues his case in detail and backs it up scrupulously by reference to specific tests and products, but he writes for the general reader not the specialist The effect of the book is seriously disturbing, making me realise how much money determines the medecines we are given rather than scientific proof, even when this is readily available Goldacre writes in a lively way and the book is entertaining if you can forget that [...]

  28. Alguns poder o considerar o livro tendencioso que apenas aponta os podres da industria farmac utica A verdade que mesmo que apenas o relatado acontecesse em 10% da industria j seria assustador Explica o clara e cheia de refer ncias bibliogr ficas cientificas.Nota negativa apenas para a tradu o.

  29. The brilliant Ben Goldacre manages to tone down his vitriol enough to adopt a galvanizing but not irritating tone Fascinating look at how captured by pharmaceutical interests the entire medical establishment is, from the scientists producing basic research to the family doctor deciding which drugs to prescribe.A must read Now Web MD is looking pretty good after all

Leave a Reply

Your email address will not be published. Required fields are marked *