Nov 30 2012

In my opinion Psychiatrist Contends the Field Is ‘Committing Professional Suicide’ Psychiatry — and medicine in general — has a dangerously close relationship with the pharmaceutical industry

Time Magazine—By Maia Szalavitz

British psychiatrist and Big Pharma gadfly David Healy is so controversial amongst his colleagues that some have tried to have his medical license revoked — but there he was on Thursday, speaking at the American Psychiatric Association’s (APA) second largest annual meeting at a well-attended session on conflicts of interest.

“It’s a miracle that I was asked along to give a talk [here], and I’m extremely grateful,” Healy said.

His disquisition was perhaps less humble. Arguing that his profession is “committing professional suicide” by failing to address its dangerously close relationship with the pharmaceutical industry, he likened psychiatry’s attitude toward its faltering legitimacy to the Vatican’s widely derided response to its child-sex-abuse scandal by priests — essentially that psychiatry is brushing off justifiable concerns as hype instead of dealing with the source of the problem.

Few experts believe that psychiatry’s relationship with the drug industry is healthy. While several speakers at the session pointed out that other specialties are similarly entangled with industry, “everyone does it” is generally not a valid defense where conflicts of interest are concerned.

Diagnostic & Statistical Manual

(MORE: Antipsychotic Prescriptions in Children Have Skyrocketed: Study)

The conflicts throughout medicine — not just in psychiatry — are clear. In 2004 alone, pharmaceutical companies spent about $58 billion on marketing, 87% of which was aimed squarely at the roughly 800,000 Americans with the power to prescribe drugs. The money was spent mainly on free drug samples and sales visits to doctors’ offices; studies find that both free samples and sales calls increase prescribing of brand-name drugs and raise medical costs without improving care.

Moreover, nearly half of all continuing medical-education classes are sponsored by industry. By their third year of medical school, 94% of psychiatrists in training have already accepted a “small noneducational gift or lunch” from a drug company, according to Dr. Paul Appelbaum, a past president of the APA and director of Columbia University’s Division of Law, Ethics and Psychiatry, who spoke on the panel with Healy.

And while only 34% psychiatrists believe that receiving food or gifts affects their own prescribing patterns, 53% believe that it influences that of their colleagues, according to a study cited by Appelbaum. Research shows that this type of thinking — “Everyone else is prone to biases and social factors, but not me!” — is common and confounds attempts to address conflicts. “At least some of our colleagues are wrong,” Appelbaum said drily of the study.

Healy’s jeremiad was more severe and sharply worded, but it seemed to be well received by the psychiatrists assembled in the audience. Many even asked questions that suggested they too were troubled by the status quo.

“I’m going to argue that we need you to be biased. We want you to be biased by treatments that work,” Healy told his colleagues. “I don’t mind if you’re my doctor and you’ve given talks for industry. My concern is not that you’ve been paid by industry, but that you’ve been fooled by industry. The key conflict is whether people are hiding data from you.”

(MORE: Top 10 Drug Company Settlements)

Healy went on to discuss how drug companies have repeatedly concealed important information about the risks of their medications, whether by hiring ghostwriters to spin the results of scientific studies and then getting renowned experts to put their names on the published papers; by employing tricks in clinical trials like using inadequate doses of comparison medications to make the company’s own drug look better; or by simply keeping unfavorable data out of the public domain.

Healy himself has also been targeted directly by drug companies that haven’t been happy with his critiques. In fact, he’s widely believed to have lost an academic job offer at the University of Toronto as a result of one such critical lecture. At the session on Thursday, one slide in his presentation contained information he sought via a Freedom of Information Act request detailing drugmaker Eli Lilly’s strategy for shutting Healy down. To counter his public insistence that drug companies reveal hidden drug data, Eli Lilly proposed doing things like planting confederates in the audience of his presentations to ask questions that support industry’s view.

Healy also described how in his own attempts to publish formerly hidden data — which all now reside in the public domain — he encountered legal issues with journals, which ultimately resulted in rejection of publication. The clinical-trial data in question in this case showed a greater risk of suicidal acts associated with antidepressants than had previously been revealed.

Healy also referenced hidden data from trials of the antipsychotic drug Zyprexa. “None of them mentioned [that the drug could cause] diabetes or [had] the highest suicide rate in clinical-trial history,” he said. Although drug companies are now required by medical journals to register all of their clinical trials with the National Institutes of Health if they wish to publish them — including those that never end up being published — this is not a legal requirement. They can still hide relevant data from the Food and Drug Administration by not disclosing trials that they never attempt to submit to a journal.

Healy noted further that when data surfaced showing a link between antidepressant use and risk of suicide in children, the APA issued a statement proclaiming that “we believe that antidepressants save lives.”

“What I believe they should have said is that the APA believes that psychiatrists can save lives because it takes expertise to manage the risks of risky pills,” he said; if psychiatrists’ only role were to dole out drugs, then less trained physician’s assistants could easily replace them, he noted.

(MORE: A Doctor’s Dilemma: When Crucial New-Drug Data Is Hidden)

But when a questioner, claiming himself “speechless” in the face of Healy’s arguments, asked whether he should just stop prescribing antidepressants, Healy said no. Healy prescribes them himself, but believes that the role of the doctor is to manage risks, not view drugs as harmless. “Medical treatment is poison, and the art of medicine is trying to find the right dose,” he said.

As for what could be done to disentangle medicine from industry, Healy wasn’t entirely pessimistic. “The key issue in the short term is access to data. We have to insist on that,” he said. “We let industry come to our meetings and let them talk in our programs. I don’t think it’s huge problem that they get paid. The big problem is that if you ask for data, they can’t give it to you. That’s not science, that’s marketing masquerading as science.”

But what of the issue of doctors being visited by paid-industry types — or being paid by industry themselves? The panel’s organizer, Dr. Daniel Carlat, director of the Pew Prescription Project, noted a new disclosure law, passed as part of President Obama’s health-reform bill in 2010. Under the legislation, drug companies must reveal which doctors have taken any payment or gift from them worth more than $10, and describe the exact amounts taken and the purpose for them on a publicly available website. (Unfortunately that website will not be up and running until 2014 at the earliest.) All of the panelists agreed, however, that while public disclosure is good, it is not enough.

Dr. Roy Perlis, who heads the Center for Experimental Drugs and Diagnostics at Massachusetts General Hospital, cited research showing that disclosure can actually backfire in unexpected ways. In one study, for example, people were asked to estimate the number of coins in a jar and provided an “adviser” to help them guess. Unbeknownst to them, the adviser had been paid to try to push people to make higher estimates than they otherwise might.

In one condition of the trial, participants were told in advance that the adviser had this bias, but that made matters worse. Under this circumstance, the adviser encouraged participants to make even higher estimates than in the situation without disclosure.

(MORE: How a Study of a Failed Antidepressant Shows That the Drugs Really Work)

“There are two different mechanisms” to explain the phenomenon, says Perlis. “One is strategic exaggeration: ‘I know you’re going to discount what I say, so I deliberately will be more effusive and tell you a higher number.’ The other is so-called moral licensing: ‘I’ve disclosed my conflict, therefore I’m allowed to be biased.’ This very thing may well also play out when disclosing conflicts of interest in medicine.”

  • Maran Woolston, a woman with multiple sclerosis, also spoke on the panel about how betrayed she felt when she learned her doctor had referred much of her care to a drug-company subsidiary, but had not revealed it to her — and had also taken $300,000 in funding from various drugmakers.

“In my opinion, transparency isn’t a silver bullet,” she said. “My ideal solution — and this may be naive — is that [doctors should] accept no payments whatsoever because then there can be no conflict of interest.”

Szalavitz is a health writer at TIME.com. Find her on Twitter at @maiasz. You can also continue the discussion on TIME Healthland’s Facebook page and on Twitter at @TIMEHealthland.

The real truth about the money paid to Cathal Grant by the drug Companies

Notice Dr. Cathal P Grant MD, Bedford, Texas is paid by Eli Lilly, Johnson & Johnson, AstraZeneca, Cephalon, GlaxoSmithKline, and Pfizer to push their drug in our opinion it is clear what Dr. Cathal P Grant MD, Bedford, Texas is doing, prescribing drug if you need them or not.

Doctors Paid Big By Drug Companies?

One patient statement about Dr. Cathal P Grant MD, Bedford, Texas:

“We found out that he gets paid to speak for almost every drug company out there, even if the drugs are competitors. He is out to make the money and it is apparent the way patients are herded through the practice with no regard for the patient’s needs. Beware if he tries to prescribe you a “new” drug on the market, it probably means they are paying him now. “

 

In our experience Dr. Cathal P Grant MD, Bedford, Texas, does not tell you one big fact that you the patient has and that is Informed Consent, Dr. Cathal P Grant MD, Bedford, Texas, does not discuss this or wants you to know about this, in our experience so he can get you hooked on psychotropic medications so you can do nothing but feed you greed for money, and you do not care at all what you do to the patient’s life.

This video proves what we are saying in our opinion about Cathal Grant’s medical practice, it also shows how Cathal Grant does not want you to have informed consent in your visit with him, and he does not tell you the truth, as the video below shows:

 

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One Response to “In my opinion Psychiatrist Contends the Field Is ‘Committing Professional Suicide’ Psychiatry — and medicine in general — has a dangerously close relationship with the pharmaceutical industry”

  1. kialombardo@arcor.deon 02 Feb 2014 at 10:36 AM

    If you want to improve your knowledge just keep visiting this
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    • In My Opinion Free Speech site was attacked I guess they do not like the truth to be told
      It seems like that when you supply the truth as  In my opinion free speech does, and you start exposing the drugs, drug companies, and the people responsible for hurting so many innocent people who among many actions, break up marriages and basically ruinin people’s lives and careers by their actions and drugs they use wrongly, and abusively, that when Related posts: In my opinion the drug Cathal Grant is paid by Eli Lilly to push on you if you need it or not, has major issues as told in the article “Suicide and Cymbalta” In my opinion: What’s really behind the school shootings. In tha case of Cathal Grant his patient have attacked members of thier won family, even though the famly members warned his what what going on, all Cathal Grant wants to do is keep people hooked on the drug hie is supplying if they need the drigs or not. In my opinion the truth about the drugs Cathal Grant Prescribes and the facts he does not want you to know: Mental Health Watchdog Launches Psychiatric Drug Side Effects Database—Search All Drug Regulatory Agency Warnings, Studies & Adverse Reactions Reports
    • In my Opinion the payment still being made to Cathal Grant to give you medication you may not need
      Dr. Cathal P Grant MD, Bedford, Texas, is still accepting money from the drug companies , our experience to push the drugs if you need them or not. Payments: At a Glance 566 payments $210,057 payment total Rank: 8 out of 1,268 doctors in this specialty and state Drugs & Devices Totals listed below account Related posts: In my opinion a release Eli Lilly: Lying is the Best Defense The drug company who pays Cathal Grant (Cathal Grant’s total payment $151,474.00 since 2010 by all drug companies) to give you medication you may not need In my opinion a report: Psychology Professor: Grief and anxiety are not mental illnesses; People need help & understanding not labels & medication, but Cathal Grant will label you and give you drugs if you need them or not, all he wants is the money for office visits, and credit with the drug companies for the drug he has perscribed and hooked you on they have paid him $151,474.00 since 2010. In my opinion asks the question: Why Must Everything Be a Medical Condition? ADHD prescriptions soar 50% in six years, In Cathal Grant’s case he getd patients hooked on these drugs for nothing more than he own personal gains and his payment by the drug companies to increse thier profits by prescribing these drug if you need them or not.
    • In my opinion Cathal Grant the doctor and drugs in Medicare Part D a real tale of over prescribing for money
      Dr. Cathal P Grant MD, Bedford, Texas, is still accepting money from the drug companies which brings his total to $151,474.00 since 2010, our experience to push the drugs if you need them or not.   Source: Pro Publica   Cathal Grant keeps in our opinion  increasing his wrongful prescribing of drug these patients do Related posts: In My Opinion SSRI Tragedy a Real Risk, and Cathal Grant does not care what the drugs he prescribes to you does, all he is interested in is the money he collects for the 2 to 5 minute office visits and what the drug companies pay him to push their drugs In my opinion News: Media Ignores Real Story in Conn School Shooting, and Cathal Grant keeps prescribing the same class of drug that has caused these incidents, caring for nothing but his office visit fees In my Opoinon Report on Cathal Grant Prescriber Checkup The Doctors and Drugs in Medicare Part D, the time Cathal Grant spends with his patient 2 to 5 minutes is not enough time to do a proper diganosis, just to push drugs on unsupecting Medicare and other patients, like the drug companies pay him to do if they need the drug or not in our experience Cathal Grant a true legal drug pusher
    • In my opinion: A Psychiatrist’s Perspective on Using Drugs . Cathal Grant does not practice like this he gets you hooked on these drug for his own profit and the proffit of the drug companies who pay him to hook you on their drugs
      Dr. Cathal P Grant MD, Bedford, Texas, is still accepting money from the drug companies which brings his total to $151,474.00 since 2010, our experience to push the drugs if you need them or not.   In our experience the facts below prove Dr. Cathal P Grant MD, Bedford, Texas, is doing what he paid Related posts: In my opinion: When it comes to Anti-depressants, it appears profit, not benefits, outweigh the risks and Dr. Cathal P Grant MD, Bedford, Texas practice is for nothing but profit his profit , he spends only 2 to 5 minutes with each patient so he can make the most profit by seeing the maxium number of patients each day and it is the patients who gets hooked on these drug in his practice when they do not need these drug at all. In my opinion a Documentary: The Drugging of Our Children, and Cathal Grant will drug you children, not because they need it only so he can get them hook on the drugs for more profit for him and the drug companies who pay him to push their drugs In my Opinion: Top psychiatrist: ‘We are turning childhood into a disease’ all for the prifit of Cathal Grand and the drug companies who pay him to get prople hooked on these drugs
    • In my Opinon: Danish Doctor Offers Ten Myths About Psychotropic Drugs, these are facts that Cathal Grant does not want you to read, he wants you not to know these facts so he can push drugs on you and get you hooked on them.
      Danish Doctor Offers Ten Myths About Psychotropic Drugs Design & Trend – January 23, 2014 By Pete Calautti Source: Design & Trend & CCHR Dr. Peter Gotzsche has created a controversy and sparked criticism over what he sees as a damaging over-prescription of drugs by psychiatrists. Gotzsche recently compiled a list of ten common myths held Related posts: In my Opinon Dr. Mercola Explains that Psychotropic Drug Use Associated with Increased Risk for Car Crashes, But Cathal Grant is a pro profit not for patient doctor who wants to get you hooked on these drugs reguardless of how you life is affected by these drugs In my opinion a Report: Mental Disorders: The Facts Behind the Marketing Campaign and Cathal Grant knows if you read this information you will come to the conclusion he is only in the business of pushing drugs you do not need using false diganostic methods and theories no longer accepted by the medical community. In my opinon the facts exposed: Psycho-Pharma Front Groups The Campaign to “Stop the Stigma” of “Mental Illness” was launched by…. the Pharmaceutical Industry, the same drug companies who pay Cathal Grant to get you hooked on their drugs of you need them or not.
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