Doctors in Denial examines the relationship between the Canadian medical profession and the pharmaceutical industry, and explains how doctors have become dependents of the drug companies instead of champions of patients' health. Big Pharma plays a role in every aspect of doctors' work. These giant, wealthy multinationals influence how medical students are trained and receive information, how research is done in hospitals and universities, what is published in leading medical journals, what drugs are approved, and what patients expect when they go into their doctors' offices. But almost all doctors deny the influence and control the drug companies exert. In this book Dr. Lexchin urges the medical profession to make the changes needed to give priority to protecting and promoting patients' health and benefitting society, rather than enabling Big Pharma to dominate health care while raking in billions in profits from citizens and governments.
Tables, Figures and Boxes
Foreword by Dr. Brian Goldman of CBC Radio's White Coat, Black Art
Introduction: Doctors in denial: welcome to the comfort zone
Chapter 1: Medicine and industry: a marriage of convenience or a marriage made in heaven?
Chapter 2: Government, industry and the medical profession: ménage à trois
Chapter 3: Medical journals— advertisements, money, regulation, rebellion and possibly retrenchment
Chapter 4: Academic health science centres: research, money, controversies, conflict of interest and independence
Chapter 5: Key opinion leaders, clinical practice guidelines and medical societies: getting the message out
Chapter 6: Guidelines on relationships between industry and the medical profession: a guide to salvation?
Chapter 7: Medical students and physicians-in-training (residents): get them while they are young
Chapter 8: Doctors, sales representatives, samples, gifts, trips and dinners
Chapter 9: Don't worry, be happy?
Chapter 10: Reforming the comfort zone so that doctors are no longer in denial