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Is anyone in any doubt that we are experiencing a plague of corporatism? From the media sector, the astonishing stories about the behaviour of News International, dwarfed by the scandal after scandal of the financial sector (most recently Barclays coming to the fore), and now, too, a record fine for a drug company.

What’s going on?

I suspect it’s the old “power corrupts, and absolute power corrupts absolutely”. Or is it the theory that psychopaths rise to the top?

Look at the GlaxoSmithKline story….

prosecutors found the company had been allotting over half a million dollars a year to its district sales representatives to offer doctors regular golf lessons, fishing trips, and basketball tickets while promoting the use of antidepressant drug Paxil in children. The GSK sales campaign also involved helping to publish an article in a medical journal that misreported evidence from a clinical trial. Meanwhile the company was also being accused of marketing the drug Wellbutrin for sexual dysfunction and weight loss, when it had only received official consent from the FDA to treat depression. Some of its drugs reps were reportedly describing Wellbutrin as “the happy, horny, skinny pill”. In the case of a third treatment, Avandia, the company did not report to the FDA studies it had carried out that showed there were safety concerns about heart risks. Critics had been calling for the drug to be banned four years ago yet it was only in 2010 that restrictions were finally slapped on its use.

A combination of selling drugs for indications for which they didn’t have a license (because they hadn’t sought approval), to the setting aside of millions to entertain prescribers, to the much worse, in my opinion, hiding research evidence of harms, burying evidence of lack of efficacy, and misreporting trials in publications, has led to them being hit with one of the largest fines the industry has suffered – $3 billion (£1.9 billion).

The latter issues about deliberate manipulation of the research reporting seriously undermines the credibility of “evidence based medicine” (an enterprise which stands of falls on the issue of what is published as “evidence”)

The fine, although large, is a fraction of the profits made from the drugs this company markets –

Avandia has made $10.4bn in sales, Paxil took $11.6bn, and Wellbutrin sales were $5.9bn during the years covered by the settlement,

What does the GSK CEO say?

At GSK, we firmly believe that operating in a responsible and ethical way is essential for the success of our business. We have come a long way but recognise that there is much more we can do and we will continue to challenge ourselves.

The fine is split between one third as a criminal fine, and two thirds a civil one. Despite this, the company says

the civil settlement is not an does not admission of any liability or wrongdoing in the selling and marketing

The thing is, this company is not alone. Take a look at this link which itemises six major drug companies’ fines over the last three years.

This stinks. But the drug companies are sure not alone. Whatever your political persuasion, is it not clear that corporatism is failing us (the 99%)?

Certainty

How come if we know this from economics..…

One of the few things that we do know – for certain – about the future is that actions have consequences. In the world studied by the physical sciences of inanimate matter, it is possible to predict the future with certainty. That is because the entities being studied ARE inanimate. They have no power to initiate an action so they have no power to vary their reaction to a force which is applied to them. In the field of the study of HUMAN action, the situation is fundamentally different. No “stimulus” will ever produce the same response on entities which have the power of thought and the power of choice

………..we still practice Medicine as if one drug will produce the same outcome in every person (it won’t).

Look at this

Fungus hovering

What do you see?
Use your imagination. What could it be?
A spacecraft flying over a galaxy?
A sea creature swimming over seaweed on the sea bed?
A fairy dancing over a magical carpet in the forest?
Go on. Use your imagination and play!

Goodness! Look what I saw yesterday, 7am, on my way to work….

the surfing slug

A slug skateboarding!
Or was it a slug snowboarding without the snow?
Seriously, this isn’t a set up. Too early in the day for someone to have put this little guy here!
Made me laugh though, which is a good start to a day!

If we take a whole of life view, instead of a short term next few days view, things can look very different. David Healy tells the fascinating story of the patterns of Syphilis across on his blog.

There’s an advanced stage of syphilis known as “tertiary” syphilis, or GPI (“General Paralysis of the Insane”). It presents with psychiatric and neurological symptoms – dementia and paralyses.

Interestingly, this form of syphilis was not described in the Americas where the disease was found. But it became a significant problem back in Europe. Why was that? Even more curious was the fact that prostitutes in Europe rarely seemed to develop this advanced stage of the disease despite having a high incidence of syphilis itself. Yet their clients, the men who paid them, did tend to develop GPI. Only one group of prostitutes in Europe developed GPI – those in Vienna.

There’s a hidden element in this story, isn’t there?

It turns out that the hidden element was Mercury.

Mercury was the standard treatment for syphilis in Europe (“a night with Venus, a lifetime with Mercury”). It wasn’t used in the “New World”. It wasn’t used by prostitutes, but it was by their wealthier clients. Only the prostitutes in Vienna were forced to take Mercury prophylactically by the authorities.

What a great cure, huh? I wonder how many other short term, apparently obvious “cures” or treatments lead to worse disease further down the line? How about this research into inflammatory diseases (which are increasing rapidly)

Increasing evidence suggests that the alarming rise in allergic and autoimmune disorders during the past few decades is at least partly attributable to our lack of exposure to microorganisms that once covered our food and us. As nature’s blanket, the potentially pathogenic and benign microorganisms associated with the dirt that once covered every aspect of our preindustrial day guaranteed a time-honored co-evolutionary process that established “normal” background levels and kept our bodies from overreacting to foreign bodies. This research suggests that reintroducing some of the organisms from the mud and water of our natural world would help avoid an overreaction of an otherwise healthy immune response that results in such chronic diseases as Type 1 diabetes, inflammatory bowel disease, multiple sclerosis and a host of allergic disorders.

Unexpected treats

wild strawberries

These wild strawberries are tiny, but tasty! The various hedgerow berries will soon be ripe. It’s an extra special bonus on a walk when you stumble upon a little tasty treat.
Any unexpected tasty treats turn up in your life recently?

Silver and gold

Silver lining….

silver lining

All that glitters…..

sparkling hedge

dew web

sparkling leaves

rain row

Just say no

I remember a few years back there was a Public Health campaign directed at young people who were offered illegal drugs – “Just say no” – was the campaign slogan. Turns out the bigger problem is prescription drugs….

photo

According to the UN report referred to in this sensationalist heading women are more likely to be “abusing” prescription drugs than illegal ones. And the problem is getting worse and worse….

photo

The rate of increase in prescribing is colossal. It simply isn’t sustainable.

The excellent David Healy, author of “Pharmageddon”, points out that in the 1960s it was unusual for a doctor to prescribe more than two drugs to the same patient. Now, 50 years on, ten to fifteen drugs for a patient is not uncommon. That’s truly astonishing.
David Healy has an interesting take on this today. He points out that there was a shift in focus and law in the 19th Century which resulted in doctors, rather than patients, becoming the prime “consumers” of drugs.

Doctors who for centuries had being trying to push quacks and hucksters out of the medical marketplace were being offered the means to conclusively do so. You would only be able to get the drugs that really worked from your doctor. But the bargain was Faustian. Few if any doctors seemed to spot that patients would no longer be the consumers of drugs. If by consumers we mean those who are the targets of pharmaceutical company marketing, then doctors were the new consumers. These new consumers moreover would consume by putting drugs into their patients’ mouths and so would consume without side effects. This was a win-win of which Mephistopheles would have been proud.

As he rightly says

Left to their own devices few of a doctor’s patients would ever take 10-15 over the counter drugs at the same time for indefinite periods no matter what the supposed benefits.

He quotes Pinel as saying about the Art of Medicine –

“It is an art of no little importance to administer medicines properly: but it is an art of much greater and more difficult acquisition to know when to suspend or altogether to omit them”.

That’s what I was taught, but it seems this principle has lost ground rapidly. Nowadays doctors don’t only prescribe to suppress almost every symptom a patient presents, they prescribe for the healthy to stop them becoming sick!

This is not sustainable. It has to stop.

…..doctors are going to have to come up with something extraordinary. They may even need to become a revolutionary class, partisans, who create a space that markets do not readily understand – a space where No is the operative word.

I don’t want to be completely negative here. Understand I’m not arguing for doctors to refuse to help patients. I’m arguing for doctors to rediscover the Art of Medicine, to become patients’ partners in health, helping them to flourish in their lives, during health, and during sickness. I’m arguing for a reality check, instead of reflex prescribing of substances that only dope, and dull, and mask.

Let’s learn how to be discerning and only prescribe as a contribution to the work of assisting a person’s natural self-healing.

The Life Force – the only known way to health.

Thomas Berry (The Great Work) wrote that the Universe is a

community of subjects, not a collection of objects

….a simple little phrase which has the potential to radically alter your perspective.

If the Universe is a collection of objects, and every person, every animal and every plant is just such an object, then we’ll relate to others in a certain way. In fact, if we consider that all of Nature is a collection of objects, we’ll not only treat the other as an object, but we actually objectify ourselves. What does it mean to live as if you are a random, meaningless, occurrence of a machine-like thing?

If the Universe is a community of subjects, then we open ourselves up to becoming aware of the experience of the other, and to our relationship with them.  And we open ourselves up to the phenomena of subjectivity – from love to beauty, to pain and distress, to consciousness itself. What does it mean to live as if you are a unique, purposeful, utterly connected manifestation of the Life Force?

How we view the world profoundly influences our experience of it. We really do create our own lived worlds.

Flow as Life

river teith

One of the great things about the recent rains is that the river is flowing fast and strong. As I stood by the River Teith at the weekend I wondered about how we emerge from what flows through us.
Pause for a moment and reflect.
Notice the air flowing into and out of your body as you breathe.
Think how all the cells of your body, billions of them, are constantly being replaced. Some cells are replaced within days, others weeks, all of them within about five years. How strange is that?
A stranger came up to me on the platform of the station the other day and told me he is going to be 70 on the 1st of July. He said, it’s strange because I still feel the way I did in my 20s. I can’t believe I’m almost 70.
Despite all this constant change, we still feel whole, we still feel ourselves (although sometimes as we emerge from major live events, we feel wholly changed, but, even then, we still feel we are ourselves).
Think for a moment of how everything that we are emerges from the flows of Life and Nature – energy, information, materials, time…..
Life is a constant flow, and we are constantly becoming as we emerge within this flow.
Be the flow.