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Category: Conflict of Interest Regulation
Over the last several decades the increased pace of medical and pharmaceutical innovation has led physicians, hospitals, and academic centers to search
for new sources of funding for projects in an effort to improve patient care. This has led to greater interaction between physicians, industry
representatives, and physicians who work or consult for the health care industry in the development of new products and services. Many critics,
however, are suspicious of the relationships between industry and physicians and have called for quarantining medical practice from the supposedly
baleful influence of market incentives under the rubric of stronger conflict of interest regulation.
Despite the noble intentions of proponents, using ever more restrictive conflict of interest regulations to police the marketplace for medical
information is not only short-sighted, but counterproductive. By limiting doctors' access to information on or participation in the development
of new treatment and prevention alternatives, the conflict of interest movement ultimately reduces patients' access to care.
Each one of the health care stakeholders-physicians, insurers, industry, government-has a bias (or perspective, if you will) that affects
how they process and present information to the public. The challenge is not to purify the public square of provincial interests
(an impossible task), but to structure our deliberations so that each of the participants carefully monitors the activities of the
other in a fashion aligned with the ultimate goal of health policy: improving patient health and well-being.
[Spotlight] [Commentary] [Research] [Events] [News]
Spotlight
- Swing Vote at the FDA Charles L. Hooper, , David R. Henderson, 8-29-08
- Lifesaving Salesmen Thomas P. Stossel, M.D., 5-27-08
- Attack of the Pharmascolds Thomas P. Stossel, M.D., , David A. Shaywitz, 5-11-08
- Conflicted doctors Peter Huber, 4-7-08
- Getting Off the Latest Beltway Bandwagon: Benjamin Zycher, Ph.D., 10-20-06
- FDA Advisory Committees and Conflicts of Interest: Understanding the Coinage of the Realm John Calfee, 10-11-06
- Regulating financial conflicts of interest in medicine: A solution in search of a problem Thomas P. Stossel, M.D., 10-10-06
- The Hidden Costs of Conflicts of Interest Regulation Richard A. Epstein, 10-5-06
- Medicine and Conflicts of Interest: Creating A New Morality Michael Weber, M.D., 10-4-06
- Patients Adrift in a Sea of Clinical Trials Sally Satel, MD, 4-19-06
- Making the perfect the enemy of the good Derek Lowe, 9-29-05
- Why the new NIH ethics rules are bad for the agency - and the public health. Elizabeth Whelan, 4-14-05
Commentary
- 5 Things A Harvard Doctor Can Still Take Industry Money For, Scott Hensley, NPR's "Shots," 7-21-10
- Collaboration In The Quest To Contain Cancer, Tom Stossel, Forbes.com, 10-15-09
- Research conflicts point way for ratings agencies, Sallie Krawcheck, Financial Times, 7-22-09
- Conflicting Interests, Mary Claire Kendall, National Review Online, 6-2-09
- It's Time to Fight the 'PharmaScolds', Thomas Stossel and David Shaywitz, Wall Street Journal, 4-8-09
- Doctors: Under the drug industry's influence?, Reuters, 2-4-09
- Relationships With the Drug Industry: Build Trust Based on Good Science, Scott Gottlieb, American Enterprise Institute, 2-4-09
- A BIOPSY OF FINANCIAL CONFLICTS OF INTEREST IN MEDICINE, Thomas P. Stossel, Surgery, 11-27-07
- Don't handcuff scientists, Thomas Stossel, Boston Globe, 10-20-08
- Patrick dropped the ball on health care, Thomas Stossel, Boston Business Journal, 8-22-08
- Response to "Ethical Guidance for Physicians and the Profession", Thomas P. Stossel, Medscape, 6-12-08
- Lifesaving Salesmen, Thomas P. Stossel, City Journal Online, 5-27-08
- Attack of the Pharmascolds, David A. Shaywitz & Thomas P. Stossel, Weekly Standard, 5-12-08
- Conflicts don't sicken health care, Dennis Ausiello and Thomas P. Stossel, Boston Herald, April 17, 2008
- Conflicted Doctors, Peter Huber, Forbes, 4-07-08
- Has the hunt for conflicts of interest gone too far? Yes, Thomas P Stossel, BMJ, 3-17-08
- Divergent Views on Managing Clinical Conflicts of Interest, Thomas Stossel, Mayo Foundation for Medical Education and Research, August 2007
- Drugs and demagogues, Thomas Stossel, The Boston Globe, 04-17-07
- Conflicts of Interest in Dermatology: More than Skin Deep?, Thomas Stossel, Journal of Investigative Dermatology, Volume 127, 2007
- Regulation of Financial Conflicts of Interest in Medical Practice and Medical Research, Thomas Stossel, Project MUSE, Volume 50, Winter 2007
- What's Wrong With Money in Science?, Thomas Stossel, The Washington Post, 06-02-06
- MERE MAGAZINES, Thomas Stossel, The Wall Street Journal, 12-30-05
- Regulating Academic—Industrial Research Relationships—Solving Problems or Stifling Progress?, Thomas Stossel, The New England Journal of Medicine, 09-08-05
- What's Wrong with Money In Science? by Thomas P. Stossel, M.D., by David Shaywitz, Washington Post, 7-2-06
- Of Pills and Profits: In Defense of Big Pharma by Peter Huber, Commentary, 7-1-06
- Consult for Wall Street? Medical Economics, 4-6-06
- Health Industry Practices That Create Conflicts of Interest The Journal of the American Medical Association, 1-25-06
- Reporting Conflicts of Interest, Financial Aspects of Research, and Role of Sponsors in Funded Studies The Journal of the American Medical Association, 7-6-05
- Conflict on drug reviews The Star-Ledger, 2-28-05
- Free the Scientists! Conflict-of-interest rules purport to cure a problem that doesn't exist - and are stifling medical progress. Forbes, 2-14-05
- Regulating Academic–Industrial Research Relationships — Solving Problems or Stifling Progress? New England Journal of Medicine, 1-8-05
- High Prices: How to Think About Prescription Drugs by Malcolm Gladwell, The New Yorker, 10-25-04
- Financial Conflicts of Interest in Physicians’ Relationships with the Pharmaceutical Industry: Self-Regulation in the Shadow of Federal Prosecution New England Journal of Medicine, 1-28-04
- Pharmaceutical Promotion: Don't Throw the Baby Out with the Bath Water Health Affairs, 2-26-03
- Public Policy Issues in Direct to Consumer Advertising by John Calfee, American Enterprise Institute, 7-8-02
- Conflict of Interest in the Professions (Book Review) New England Journal of Medicine, 6-6-02
- Conflicts of interest in clinical research: opprobrium or obsession The Lancet, 4-19-97
Research
- Five Reasons Why Pharmaceutical Marketing Helps, Not Hurts, Patients, Doug Bandow, ALEC, July 2009
- Five Reasons Why Pharmaceutical Marketing Helps, Not Hurts, Patients, Doug Bandow, American Legislative Exchange Council, July 2009
News
- GSK Apologizes Over Medical Journal Snafu, Wall Street Journal, 7-26-10
- Harvard puts tighter limits on medical faculty, Boston Globe, 7-21-10
- Panelist Who Backed Avandia Gets Fees From Glaxo, Wall Street Journal, 7-20-10
- Conflict Of Interest For AARP In Health Bill Debate?, NPR, 11-4-09
- Two States Restrict Firms' Gifts to Doctors, Wall Street Journal, 7-1-09
- Cancer Studies With Industry Funding in 8 Top Medical Journals, Medscape, 5-12-09 (subscription required)
- Report calls for strict conflict of interest rules, Reuters, 4-29-09
- Harvard-Affiliated Hospitals to Limit Docs' Industry Ties, Wall Street Journal Health Blog, 4-10-09
- Questioning Industry Funding of Medical Specialty Societies, Wall Street Journal Health Blog, 4-1-09
- Medical associations urged to shun pharma, device-vendor contributions, Modern Healthcare, 3-31-09
- Harvard Medical School in Ethics Quandary, New York Times, 3-3-09
- Clinical medicine tainted by conflicts of interest, PharmaTimes, 2-25-09
- Most doctors get money, gifts from industry; Research questions sellers' influence USA Today, 4-26-07
- The Future of the FDA The Scientist, 12-18-06
- Stanford Bans Taking Freebies From Drug Companies Los Angeles Times, 9-13-06
- Congress to Probe Policies at NIH Los Angeles Times, 8-10-06
- New Ethics Rule Cost NIH Another Top Researcher Washington Post, 4-2-05
- 10 Voters on Panel Backing Pain Pills Had Industry Ties The New York Times, 2-25-05
- NIH Clears Most Researchers In Conflict of Interest Probe Washington Post, 2-23-05
- CAPITAL: Conflict-of-Interest Disclosures May Not Protect the Unsophisticated Wall Street Journal, 1-13-05
- New Cholesterol Guidelines Face Criticism Over Conflict of Interest Wall Street Journal, 7-16-04
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