bks wrote:compared2what? wrote:
No. They're not alone. But I've got to say that if medications that cause unknown, unpublicized dangers are "ubiquitous," I'm not aware of it. (And if you think about it for a moment, how could I be?)
I am aware of the very widely publicized dangers of a small number of psychotropic medications, some of which are real and some of which are alleged.
What is "real" is only known because the efforts to suppress the real dangers known to the companies marketing their drugs failed to keep them suppressed. Suppression is endemic to the system; examples abound. If a drug has dangers, and that drug is potentially [or demonstrably] profitable, then efforts will be made to suppress the dangers of that drug. Darn near every single time I imagine, c2w?. I'd be quite glad to see examples where this wasn't the case.
Okay. I'm lost.
Of course. Yes. When real dangers that have been suppressed by villains are known, it's because the villainy and suppression was discovered. Suppression is endemic to the system. I totally agree.
However, that doesn't equate to ubiquitous unpublicized dangers being endemic to pharmaceuticals. And it's a significant overstatement to say so. Because:
(a) many effective medications that have been out there for a long, long time doing good not harm; and
(b) so have no small number of medications the potential dangers of which were revealed when discovered and have been openly conceded ever since.
In short: Yes. And it's vile and amounts to abuse/torture/murder for profit.
But so does scarifying people away from vaccines as part of an over-arching program that also includes inducing them to spend thousands of dollars poisoning their children with chemical-castration drugs and industrial chelation agents. Not to mention the less-easy-to-characterize systematic abuses of children that frequently go hand-in-hand with that worldview. At least on the discussion boards dedicated to it that I've spent time on. Seriously. You'd never know those people were raising children and not vitamin-and-mineral regimens that produced bowel movements and tantrums, to read them.
Anyway. The reason that I made the real/alleged distinction was because I was thinking of that and other examples of cold-blooded profiteering off the misery and misfortune that rely on the kind of exaggeration that I (maybe wrongly) understood you to be making.
Because just about everybody is. To the point that resistance and/or condemnation is pretty much the baseline response to any and every mention of them, both at the mass-media level and (as far as I've observed) IRL.
There has certainly been a lot of negative press for controversial medications, and of course not all of the information presented is accurate. The impression made by that bad press, however, pales in comparison to that of the ceaseless barrage of dreamworld positivity oozing from pharmaceutical advertising underwritten not only by the companies footing the cost, but also implicitly by the authority of the medical profession which alone retains the power to prescribe them. The impact of the news stories hasn't been negligible, but the prescribing of psychotropic medications remains a fundamentally mainstream practice in little danger of diminishing significantly as a result of bad press, accurate or not.
I agree. But I don't see it as an either/or kind of thing. Telling dangerous and deadly lies about medications and/or medical treatments is an absolute abomination, no matter who does it. And it can kill people, too. It doesn't detract from the crimes and misdeeds pharma commits for profit to point to the crimes and misdeeds that people who purport to be opposed to such things also commit for profit. In fact, from an activist-not-wanting-to-be-discredited perspective, it's kind of essential. As I see it.
And...Let me think. In the alleged category, I'm also aware of the very widely publicized dangers of vaccines, as is everybody else. And the very widely publicized dangers of flu shots, as is everybody else. And maybe a few others, too.
A frankly specious comparison, in that the social costs associated with the marketing of pharmaceuticals [here we mean not only acute reactions but also things like addiction, lesser dependencies and psychological impacts, long-term side effects, etc.] vastly outweighs the costs of vaccinations.
Again, I was not comparing. I was just saying. Because it is there. And it is a problem.
In the criminally-marketing-meds-without-mentioning-they-kill-and-damage-people category, Vioxx and Phen-Fen are the only two that have really been widely publicized that are springing to my mind right now. I mean, there have certainly been other withdrawn drugs the potential dangers of which were concealed by their makers.
There have been lots of others,
I was actually trying to err on your side of the argument, but it's not important, so never mind. Misunderstanding. I was unclear. I apologize.
but again - and here you are avoiding the key point - it's not a matter only of this or that drug that kills hundreds of people [like Vioxx] or produces suicidal thoughts.
The latter is not comparable to the former. And I hate it, hate it, hate it, that the distinctions, which have very real implications for the health and well-being of vulnerable people get totally fucking buried by the highly polarized terms that are apparently the only ones in which anyone can even conceive of the issue anymore. That's a victory for propaganda and a defeat for all living beings, imo.
But I don't mean you, bks. I'm just venting.
The problem is that the system does not conform to scientific norms with respect to the research and disclosure of information learned from clinical trials that bear on questions of efficacy and danger, since that research is largely controlled by companies seeking first and foremost to profit.
The dangers weren't "potential" in the case of Vioxx. Some of them were certainly known to Merck beforehand. So why are you saying "potential"?
Because I was thinking about drugs the potential dangers of which were concealed and the potential benefits of which were loudly trumpeted by pharma. "Potential" in that context doesn't mean "not established," it means "not yet realized in the form of people unnecessarily dying for pharma's profit."
Come on. Do you really think I was trying to minimize Vioxx? Also: I AGREE WITH YOU ABOUT THE SYSTEM.
But since they aren't numerous enough to call the phenomenon ubiquitous and weren't widely publicized, they don't really alter the equation towards the outcome of which I'm working here either way. That outcome being:
It's neither meaningfully correct nor true to say that the dangers of pharmaceutical medications are regularly elided diminished, obscured and downplayed if what you mean by it is "There's tons and tons of persuasive evidence that pharmaceutical medications offer few benefits and are rife with concealed danger, and that's just the state of play."
"Tons and tons" is my standard to meet? I've already acknowledged that pharmaceuticals offer benefits to many, many of their users. What's your independently-generated evidence that the level of concealed danger is a tolerable one?
Misunderstanding. I don't know where it came from. But I don't think any level of concealed danger is tolerable. I understood you (perhaps wrongly) to be saying that unconcealed dangers were ubiquitous. "Ubiquitous" = "tons-and-tons-plus." It was that to which I was referring.
I'd be careful before I relied on any industry science, because you haven't yet dealt with the claim that they can be trusted to advance the best information about any research question.
I don't rely on any source of information without careful consideration, to the best of my ability to vet it. I swear. I'm persnickety that way.
And please consider: while your expressed desire to protect the "choice" of those who use pharmaceuticals seems admirable, unlike other famous pro-choice positions, this one
will consign others [in this case, some percentage of other users of the drug] to avoidable consequences if only the drugs were marketed honestly. Zyprexa was originally at issue in this thread, you'll recall. Consider:
******
In one document dated October 9, 2000, Robert Baker, a senior Lilly clinical research physician, e-mailed colleagues about a meeting of an academic advisory board he had attended in Atlanta. It had “reinforced my impression that hyperglycemia remains quite a threat for olanzapine and may merit increasing even further medical attention and marketing focus on this topic”. Dr Baker added: “[The board was] quite impressed by the magnitude of weight gain on olanzapine and implications for glucose.”
Another internal document dated October 14-15, 1998, described the risk of weight gain as a “top threat” to Zyprexa.http://clinpsyc.blogspot.com/2007/01/uk ... prexa.htmlThen:
The drug maker Eli Lilly has engaged in a decade-long effort to play down the health risks of Zyprexa, its best-selling medication for schizophrenia, according to hundreds of internal Lilly documents and e-mail messages among top company managers.
Darron Cummings/Associated Press
Zyprexa is Lilly’s top-selling drug, with sales of $4.2 billion last year.
The documents, given to The Times by a lawyer representing mentally ill patients, show that Lilly executives kept important information from doctors about Zyprexa’s links to obesity and its tendency to raise blood sugar — both known risk factors for diabetes.
Lilly’s own published data, which it told its sales representatives to play down in conversations with doctors, has shown that 30 percent of patients taking Zyprexa gain 22 pounds or more after a year on the drug, and some patients have reported gaining 100 pounds or more. But Lilly was concerned that Zyprexa’s sales would be hurt if the company was more forthright about the fact that the drug might cause unmanageable weight gain or diabetes, according to the documents, which cover the period 1995 to 2004. ******
They weren't just concerned about it; they instructed their sales reps [who are the leading source of information for doctors about such matters] to downplay the risks. Which they did.
When you express a preference for safeguarding the choices of "some people" to avail of medications that issue from companies in a system that doesn't respect the norms of science and which also doesn't respect human life beyond its capacity to enrich those companies, you're inevitably making a value judgment that needs to be defended. Maybe it's defensible, but I don't see that you've provided a sufficient argument yet.
[/i]
What?
First of all, I've never said anything good about atypicals on this board. And second of all, I said that they caused weight gain and associated health problems (like diabetes, but also like hypoglycemia, as it happens) earlier on this very fucking thread.
Second of all....I don't know.
What?
My understanding is:
Eli Lilly lied, as WE AGREE pharmaceutical companies are wont to do. Their dangerous lies were revealed, as -- and try to stay with me here -- such dangers though not necessarily such lies usually are after some NOT TOLERABLE OR EXCUSABLE amount of damage has been done, due to the legal liability doctors incur when they harm rather than heal their patients.
That doesn't, in any way, shape or form, make the systematic dishonesty and criminality of pharma TOLERABLE OR EXCUSABLE OR ANYTHING BESIDES CONTEMPTIBLE AND DESPICABLE. But it does reveal and identify the dangers, which then not only
can be guarded against when possible and avoided when not possible, but
have to be, as a matter of unambiguous legal liability.
In reality, there are shitty and irresponsible doctors who don't meet their obligations in that regard. But that's another and separate (though related) INTOLERABLE systemic problem.
As a matter of fact, as long as we're on that subject of other, separate-though-related INTOLERABLE systemic problems, in reality, the patients who are at the highest risk of harm from Zyprexa are so vulnerable to sustaining it (and so invisible and so stigmatized by society and so ill and so desperate and so lost and so alone) that if the only bad thing that happened to them as a result of the INEXCUSABLE AND INTOLERABLE lack of care (medical or other) they receive from anybody apart from pills is some irreversible tardive dyskinesia?
They'd probably be somewhere in the 90th percentile of treatment success stories for acute chronic psychosis.
And I don't, by any means, say that as a way of minimizing or justifying the incidence of tardive dyskinesia, for which there's no fucking excuse at all. I say it because there's plenty of evil to go around. And all of it needs to be acknowledged, identified and understood in order to be addressed. Not just the fun and righteous parts with great big corporate profiteering villains who are other than you and I. But all of it.
Okay? I have very little or no quarrel with anything you say, as far as it goes. I don't frankly think that Zyprexa, per se, is a good or adequate treatment for psychosis. Even dangerous side effects aside, it's a pretty punishing drug in cognitive terms. However, while psychosis isn't always life-destroying, it can be. Responsibly and sensitively prescribed Zyprexa could only ever be a lesser-of-two-evils response to it when it was, at best. And I'm under no illusions about that whatsoever. But neither am I under any illusions about there being any real alternatives for some (and not a small number) of people who want to stay alive in the least hellish state that's realistically achievable. Because they don't have any.
That's all. It's not like I'm happy about it. It's just how it is.
More shortly.