Download Medical Research for Hire: The Political Economy of by Jill A. Fisher PDF
By Jill A. Fisher
This day, greater than seventy five percentage of pharmaceutical drug trials within the usa are being carried out within the deepest area. as soon as the only real province of educational researchers, those vital stories at the moment are being outsourced to non-academic physicians.According to Jill A. Fisher, this significant swap within the approach scientific learn is played is the end result of 2 difficulties in U.S. future health care: lowering profit for physicians and reducing entry to therapy for sufferers. As physicians document diminishing source of revenue because of restrictive relationships with insurers, expanding malpractice assurance rates, and inflated overhead expenditures to function deepest practices, they're drawn to pharmaceutical agreement examine for its profitable go back. medical trials additionally supply constrained scientific entry to people who don't have any or insufficient medical insurance simply because they give unfastened medical professionals visits, diagnostic checks, and medicinal drugs to contributors. targeting the pro roles of these concerned, in addition to key learn practices, Fisher assesses the hazards and benefits for physicians and sufferers alike while pharmaceutical drug reports are used as a substitute to straightforward clinical care.A quantity within the severe concerns in well-being and drugs sequence, edited through Rima D. Apple and Janet Golden
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Additional info for Medical Research for Hire: The Political Economy of Pharmaceutical Clinical Trials (Critical Issues in Health and Medicine)
Example text
He argued that he could then apply his direct knowledge of the products to treatment decisions for his private-practice patients rather than relying on the information provided by pharmaceutical companies and their sales force. Richard’s interest in and commitment to clinical trials work was atypical for physicians conducting pharmaceutical studies. While Richard took an incredibly active role in the quotidian operation of the studies he was overseeing, his partner was the epitome of what the industry calls “phantom investigators”; although his partner was quite willing to sign on to trials, he seemed equally unwilling to invest much time in study-related activities.
Richard’s involvement with pharmaceutical studies began when he and his partner were seeking ways to augment the revenue generated by their private practice. They had begun to see their incomes diminish as payments from managed care organizations and Medicare dipped, malpractice insurance premiums swelled, and overhead costs for maintaining their office tripled. 2 Soon, several pharmaceutical companies began offering them contracts to conduct clinical trials out of their practice. Because he had worked on studies during his residency,3 Richard felt that adding pharmaceutical studies to their practice would be a natural progression of his training and clinical experience.
S. 15 The PHS then initiated a ten-year study to document how quickly miners died after their exposure to uranium dust. Profound prejudice likewise has made Latinos targets of scientific research. S. 17 State institutions, such as mental institutions, orphanages, and prisons, have also been a locus of medical inquiry because researchers saw their occupants as convenient, captive populations. 20 Although hepatitis was extremely prevalent in public institutions at that time, the investigators decided to infect children deliberately with the disease under allegedly carefully controlled research conditions rather than studying children who were already infected with hepatitis.