» Conflict of Interest Where the World Finds Bioethics Tue, 28 Jun 2016 12:31:45 +0000 en-US hourly 1 Even Cheap Meals Influence Doctors’ Drug Prescriptions, Study Suggests Tue, 21 Jun 2016 12:48:15 +0000 0 BioethicsTV: Boundaries are Black and White on Grey’s Fri, 29 Apr 2016 05:13:38 +0000 by Craig Klugman, Ph.D.

Reaching back to its roots, Grey’s Anatomy in its 12th season has been investigating more professional and ethical challenges in medicine. The April 28th episode (Season12: Episode 21) focused on questions of boundaries of why physicians should not treat their loved ones.

The first story was about a resident dating a former patient. Since the key term is former such a move may not be a pragmatic choice, but it does not violate professional boundaries (unless the physician is a psychiatrist in which case the APA says it may never be okay to date a former patient).…

]]> 0
Code Black Ends the Season on Bioethics Tue, 01 Mar 2016 19:27:47 +0000 BioethicsTV is an occasional feature where we examine bioethical issues raised in televised medical dramas.

by Craig Klugman, Ph.D.

The season finale of Code Black (season 1; episode 18 – February 24, 2016) presented a plethora of ethical challenges for the hard working doctors and nurses of Angels Memorial Hospital’s emergency department. The conceit for this show is that this is the busiest emergency room in the country, entering “code black” on over 300 days a year. The show defines a code black as overwhelmed, understaffed, overcrowded.…

]]> 0
Putting Patients Before Publicity Thu, 21 Jan 2016 04:49:05 +0000 by Craig Klugman, Ph.D.

Imagine if 5 million people learned about your hospital in a week. Would you want your hospital to be featured in a television reality show? Described as “unscripted authentic medical dramas,” such shows follow trauma cases from accident to emergency room. Over 2 seasons, NYMed followed stories at New York-Presbyterian Hospital, Lutheran Medical Center, University Hospital (NJ), and St. Luke’s Roosevelt Hospital. Similar shows include Hopkins, Boston Med, Save My Life: Boston Trauma and Boston EMS.…

]]> 0
Heart doctors outraged Florida dumps hospital standards after big gifts to GOP Fri, 15 Jan 2016 20:59:03 +0000 0 Coca-Cola Spends Millions Of Dollars Funding Research That—Surprise!—Says Soda Is Just Fine Thu, 12 Nov 2015 20:51:12 +0000 0 An F.D.A. Commissioner With Ties to the Pharmaceutical Industry? Heaven Forbid? Mon, 12 Oct 2015 04:10:18 +0000 0 Drug Price Hikes and the Misguided Profit Imperative Fri, 25 Sep 2015 18:55:13 +0000 by Craig Klugman, Ph.D.

Headlines this past week were abuzz with news that Daraprim—a drug that has fought parasitic infections such as toxoplasmosis for 62 years—saw its price hiked by 5500%, nearly overnight. For decades Daraprim has been a front line drug available for $13.50 a table. When Turing Pharmaceuticals bought the company that makes the drug last month, the new owners raised the price to $750 per pill. Often used by HIV patients, the per year cost would be $634,500.…

]]> 0
Is a gift of ribs “slightly unethical” in the physician-patient relationship? Wed, 08 Apr 2015 20:56:20 +0000 by Craig Klugman, Ph.D.

In an editorial in the Chicago Tribune, a physician tells the story of an underserved patient who owned a rib joint. The patient would bring ribs whenever he had an appointment. And once a year, the patient would come to the hospital just to bring a smoked Thanksgiving turkey to the physician.

The patient lacks insurance and thus is not able to get a badly needed hip replacement. As the story continues, the physician contacts an orthopedic surgeon in another health system in hopes of getting treatment for the rib-producing patient.…

]]> 0
FDA proposal to allow drug reps to circulate data draws protests Thu, 12 Mar 2015 22:31:53 +0000 0 Marketing Extremes That Even Give Big Pharma Supporters Pause Tue, 09 Dec 2014 02:12:55 +0000 0 Marketing Extremes That Even Give Big Pharma Supporters Pause Tue, 02 Dec 2014 10:12:34 +0000 0 Dollars to Doctors: Sun Rises on Sunshine Act’s Open Payments Database Tue, 30 Sep 2014 07:15:50 +0000 by Craig Klugman, Ph.D.

Today, Tuesday, September 29, the Centers for Medicare and Medicaid Services will release most of the Open Payments database. The public will now have access to the monetary value of gifts, marketing, and payments for clinical testing made by the pharmaceutical industry to physicians. The database is being rolled out 12 days later than planned and with one-third of the 2013 data unavailable until June 2015: There have been some glitches including mix-up of names and wrong provider and license numbers entered.…

]]> 0
Facebook responds to criticism of its experiment on users Mon, 30 Jun 2014 22:15:26 +0000 0 UC OKs paying surgeon $10 million in whistleblower-retaliation case Wed, 23 Apr 2014 17:40:52 +0000 0 Free samples of prescription drugs are costly to patients, study says Thu, 17 Apr 2014 21:37:45 +0000 0 Hawaii police urge lawmakers to let undercover cops have sex with prostitutes Fri, 21 Mar 2014 18:46:20 +0000 0 GlaxoSmithKline and Conflicts of Interests Fri, 07 Mar 2014 10:03:06 +0000 0 Should Those Selling Natural Cures and Supplements Get a Free Ride When It Comes to COI? Wed, 22 Jan 2014 21:01:05 +0000 by Arthur Caplan, Ph.D.

Earlier this week I was a guest on a Pennsylvania public television show.  The topic was the safety of GMO foods.  One of the guests who appeared with me was the owner of a natural foods and supplements store.  He was no fan of GMOs.  He cited many ailments and woes he claimed were associated with eating GMO foods ranging from cancer to Parkinsonism to infertility.  Put aside the fact that no major scientific or medical group has found any reason to be concerned about the safety of GMOs. …

]]> 0
GlaxoSmithKline To Stop Paying Doctors To Promote Drugs Tue, 17 Dec 2013 23:00:28 +0000 0 Feds Have Beaten Pharma Into Submission Over Off-Label Drug Use, But At What Cost? Fri, 08 Nov 2013 18:41:03 +0000 0 U.S. directed medical professionals to ignore ethics, abuse detainees, report says Wed, 06 Nov 2013 21:37:38 +0000 0 Hospital CEO Pay Not Tied to Quality Tue, 15 Oct 2013 18:37:28 +0000 0 For Med Students, Love From the Drug Rep Tue, 15 Oct 2013 18:35:15 +0000 0 How Young is Too Young: Bariatric Surgery in Toddlers Tue, 24 Sep 2013 07:13:02 +0000 by Craig Klugman, Ph.D.

The Oxford American Dictionary defines the term “outrageous” as “shockingly bad or excessive.” Case in point, a recent publication in the International Journal of Surgery Case Reports about a two-and-a-half year old boy in Saudi Arabia who two years ago underwent laparoscopic sleeve gastrectomy (LSG). The toddler is the youngest patient to ever receive this therapy.

In LSG surgery, the surgeon reduces the stomach’s volume by 80 percent. Because of the smaller area, the patient ingests less and eventually with proper diet and exercise, loses weight.…

]]> 0
Science and conflicts of interest: Ties to industry revealed Mon, 23 Sep 2013 19:51:04 +0000 0 Oregon DOJ case means doctors could tell patients ties to drug, implant makers Mon, 19 Aug 2013 18:13:12 +0000 0 Groundbreaking Oregon DOJ cases target doctors’ failure to inform patients about device payments Mon, 12 Aug 2013 22:58:51 +0000 0 NIH Funds and Lobbying Activities Tue, 28 May 2013 17:58:02 +0000 0 Practicing medicine pharma-free in a drug rep-filled world Thu, 23 May 2013 18:26:05 +0000 0 Did Novartis Violate Its Corporate Integrity Agreement? Tue, 30 Apr 2013 16:39:11 +0000 0 Marijuana: Shane Cohn Says Police Sergeant’s Pro-Reform Lobbying is a Conflict of Interest Tue, 09 Apr 2013 20:14:35 +0000 0 Majority of U.S. Medical Schools Have Strong Pharmaceutical Conflict-of-Interest Policies Tue, 09 Apr 2013 20:11:45 +0000 0 Texas Sex Ed Bill Seeks To Block Planned Parenthood Over ‘Conflict Of Interest’ As Abortion Provider Thu, 07 Mar 2013 20:56:38 +0000 0 Study authors: On medical school conflict of interest policies, more enforcement needed Fri, 01 Mar 2013 18:43:27 +0000 0 Physician Payment Sunshine Act Mon, 04 Feb 2013 19:18:30 +0000 0 Rising painkiller addiction shows damage from drugmakers’ role in shaping medical opinion Wed, 02 Jan 2013 01:29:04 +0000 0 Doctors Who Advise Wall Street Investors Operate In Ethical Grey Zone Fri, 30 Nov 2012 20:30:31 +0000 0 As drug industry’s influence over research grows, so does the potential for bias Mon, 26 Nov 2012 23:34:27 +0000 0 Research Firm Reaped Stem Cell Funds Despite Panel’s Advice Fri, 19 Oct 2012 23:51:14 +0000 0 Pfizer agrees to pay $60M to settle foreign bribery case with U.S. Wed, 08 Aug 2012 21:36:39 +0000 0 M.D. Anderson drug trial raises ethical concerns Wed, 18 Jul 2012 15:14:44 +0000 0 APA Criticized Over DSM-5 Panel Members’ Industry Ties Wed, 21 Mar 2012 02:27:41 +0000 0 Is Your Doctor on a Drug Company’s Payroll? Thu, 22 Sep 2011 04:00:00 +0000 0 Study: Drug firms fund health advocacy groups Fri, 14 Jan 2011 05:00:00 +0000 0 Drug firms have to stop paying doctors Wed, 01 Dec 2010 05:00:00 +0000 0 Federation of American Societies for Experimental Biology Mon, 25 Oct 2010 04:00:00 +0000 0 Drugmakers hold too much influence over doctors’ decisions, public says Mon, 13 Sep 2010 04:00:00 +0000 0 FDA and Office of Human Research Protection Respond to Fetal Dex Complaint Fri, 03 Sep 2010 20:10:06 +0000 The September issue of The American Journal of Bioethics, presaged by such astonishing articles as “The Lesbian Drug” in Newsweek, stretched the boundaries of the Journal by engaging questions about the relationship between advocacy and scholarship, the meaning of transgressing boundaries in that regard, and the extraordinary implications of the social and medical debate concerning the administration of dexamethasone during pregnancy in females with congenital adrenal hyperplasia. With the release of the September issue of the Journal, both the FDA and OHRP have released letters responding to the complaints that are the subject of the Target Article by Drs.…

]]> 1
Debate Over Industry Role in Educating Doctors Wed, 23 Jun 2010 04:00:00 +0000 0