Ethics

This Is Going to Hurt: What Your Doctor Doesn't Say Can Cost You

Insurance companies are hot targets right now in the debate over skyrocketing medical costs and health care reform.

But there is another, little-noticed factor could also be sucking untold health care dollars out of our pockets, and it's one we seem loathe to address: the part that doctors themselves have in quietly pushing up the costs of our medical care. This is an area that is begging for closer scrutiny, and in which patients need more help.

Ghosts Selling Drugs

"Newly unveiled court documents show that ghostwriters paid by a pharmaceutical company played a major role in producing 26 scientific papers backing the use of hormone replacement therapy in women," reports Natasha Singer. "The articles, published in medical journals between 1998 and 2005, emphasized the benefits and de-emphasized the risks" of Premarin and Prempro, two homone drugs produced by the Wyeth pharmaceutical company.

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Murdoch Subsidiary Faces Investigation Over Spying Claims

Nick Davies reports that a UK subsidiary of Rupert Murdoch's News Corporation "has paid out more than £1m to settle legal cases that threatened to reveal evidence of his journalists' repeated involvement in the use of criminal methods to get stories." "The payments," he reports, "secured secrecy over out-of-court settlements in three cases that threatened to expose evidence of Murdoch journalists using private investigators w

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Bristol-Myers' "Celebrity Patient" Goes off Script

The Wall Street Journal has published a revealing story about one of the seamier sides of the drug industry's marketing campaigns: paying patients to offer testimonials about their drugs. As health industry observer Merrill Goozner explains, the story came to light because a "celebrity patient" had a "falling out with his corporate sponsor, Bristol-Myers Squibb.

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JAMA Says Nobody Shoulda Said Nothin'

The Journal of the American Medical Association is requiring that anyone who complains to its editors about conflict of interest violations at the publication must remain silent publicly while they investigate the complaint. "The new policy is the result of a public spat with Jonathan Leo, a professor of neuro-anatomy at Lincoln Memorial University in Harrogate, Tenn.," explains the Center for Science in the Public Interest.

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Australian Police Unspun

After pleading guilty to counts of perjury and three of disclosing a confidential hearing, the former media director for Australia's Victoria Police, Stephen Linnell, has been fined $A5,000 and sentenced to eight months in prison, suspended for two years. Linnell, a former journalist, became a friend of the then-assistant commissioner, Noel Ashby, after being appointed media director in 2003. In May 2007, Ashby was a suspect in an investigation by the Office of Police Integrity (OPI) into the leaking of confidential information.

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The PR Firm for "Evil"

After it was revealed that the floundering American International Group (AIG) had hired Burson Marsteller (B-M) as one of its PR advisers, Rachel Maddow, the host of “The Rachel Maddow Show” on MSNBC, wondered who else the firm had worked for. After a scathing review of their past clients -- including the Argentinean military dictatorship, Philip Morris, and Romanian dictator Nicolae Ceaucescu -- Maddow concluded that "when evil needs public relations, evil has Burson-Marsteller on speed dial.” In response, B-M CEO Mark Penn wrote an internal email to staff claiming that Maddow "significantly mischaracterized the nature of the firm's past." In the email, which was leaked to PR Week, Penn wrote that "we are and should be proud of the work we do. ... While we can't spend our time responding to every attack that comes our way over the internet or cable television, I do think it is important that I reach out to each of you to let you know that we have a good story to tell about the work we do."

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Mixing Advocacy, Scholarly Research and Journalism: Can the New America Foundation Square the Circle?

In the spring semester of 2008, I was a fellow researching a paper on think tank ethics ("The Perils of Non-Profit Journalism") at the Harvard Kennedy School of Government's Shorenstein Center on the Press, Politics and Public Policy. I was thus pleased when the New America Foundation's President, Steve Coll, spoke at the Shorenstein Center on March 11, 2008, and expressed his commitment to high ethical standards for journalists, researchers and other think tank staff.

New America Foundation logoThe New America Foundation is a Washington, DC based think tank that has pioneered the introduction of journalism to the traditional think tank mix of advocacy and research. A two-time Pulitzer Prize winner, Steve Coll is the former Managing Editor of the Washington Post and spent 20 years at the Post as a reporter and editor. Currently, in addition to serving as New America's President, Mr. Coll writes a column for The New Yorker magazine. Launched in 1999, the New America Foundation currently employs more than 100 individuals and has an annual budget of over $10 million. Its Chairman of the Board is Eric Schmidt, the CEO of Google, Inc.

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