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黑幕重重:介绍一本书
作者:USMedEdu
发表时间:2009-12-28
更新时间:2009-12-28
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发信人: docrockville (docrockville), 信区: MedicalCareer
标 题: 黑幕重重:介绍一本书
发信站: BBS 未名空间站 (Sun Dec 27 13:56:34 2009, 美东)

On the Take: How Medicine's Complicity with Big Business Can Endanger Your
Health

此书作者是新英格兰医学杂志的前任主编,此书讲的是美国医疗界和药商之间的黑幕,
文笔不错,很多内容有确凿的出处,比较可信。里面有一个被点名批评的医学界牛人,
我还在他属下工作过,真是有趣。

Book Review from The New England Journal of Medicine

The profession of medicine encompasses a wide variety of ways in which a
physician can dedicate his or her life within the traditional areas of
clinical practice, research, education, and administration. In this book,
Jerome Kassirer, a former editor-in-chief of the Journal, documents, with
well-referenced examples, how conflicts of interest, primarily financial in
nature, have infiltrated all areas of the profession. The audience for the
book is clearly the U.S. public, who, the author writes, "must become
involved if we are to change the greed culture that permeates medicine." I
agree, in principle, with the author that there are substantial conflicts of
interest within the medical profession. However, I question the potential
effectiveness of this book as written for the public. The most obvious
reason for a physician of Kassirer's stature as a clinician, academician,
and former editor to write a book about conflicts of interest in medicine
would be to continue his attempts to eliminate or at least decrease a
problem that diminishes the profession. But is this book a good way to
accomplish that goal? The book wavers between a scholarly work and a
sensational expose. For example, the cover features a man wearing a white
coat and a neat shirt and tie, with a stethoscope around his neck and a
pricey pen and a few crisp $100 bills tucked in his pocket. I was taken
aback by the image, which is clearly meant to depict a "fat cat doc" on the
take. However, this jarring image is then tempered by the two opening
sentences of the first chapter, which declare that most physicians are hard-
working and dedicated to their patients and that perhaps even hundreds of
thousands of physicians refuse to take any financial gift that might affect
their clinical judgment. Then, aside from a few selected exceptions to that
supposed rule, the rest of the book is dedicated to stories about physicians
tainted by financial self-interest that altered how they cared for patients
, how their research was conducted and reported, what they taught, and how
they administered medical institutions, with evidence that all of these
conflicts of interest led to the detriment of patient care. The final
chapter discusses "what can be done," ending with a "possible roadmap" that
includes 10 items for immediate implementation that would be possible
primarily by legislation. The reader is asked to take a political stand to
force the enactment of such legislation. If the reader were to take such
action, the author would deserve a medal. However, if the reader's more
likely reaction would be to view with distrust all physicians currently
practicing in the United States,



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1   [nomdeplume 于 2009-12-28 20:56:43 提到] [FROM: 98.]
咦?木完啊?!
 
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