It seems Dr. Carl Elliott has let his instincts as a provocateur get the better of his perspective as a physician and healer. Promoting his book "White Coat, Black Hat: Adventures on the Dark Side of Medicine,” Dr. Elliott, a frequent contributor to The New Yorker and Atlantic Monthly, finds it deplorable that physicians who use drugs to relieve human misery have any actual contact with companies that research, develop and sell those medicines.
Compared to the storied family doctor who was blessed with endearing bedside manner, physicians today can actually relieve suffering, correct disorders of the body, and allow more of us to live long and healthy lives. And as Dr. Elliott surely knows, effective care and prevention these days most often comes from a prescription pad.
On CNN this week Dr. Elliott took aim at pharmaceutical marketers for supposedly “selling diseases” to push nostrums that meet a contrived public demand. He calls it “disease branding” and compares the practice to a classic 1928 work titled “Propaganda”.
It is true, as he says, some conditions that people used to keep quiet about (urinary incontinence, impotence, gastric distress, even mental illness) have been made more acceptable and treatable as clinical conditions. But to say that these and other conditions were “rare until a marketing campaign transformed the brand” blithely ignores the quality of life improvements won for millions of people thanks to therapeutic R&D.
Medical innovation is our best hope for taming more lethal affronts to life and longevity as well. Not long ago Americans died at twice the rate as now from heart attacks and stroke; cancer was considered shameful, and dementia was accepted as a natural part of aging. I for one am grateful for the yes-we-can attitude of American medicine to combat diseases and improve the quality of our lives.
But Dr. Elliott is not interested in that story. He is quite candid about his purposes in his book: “I do not claim to offer a balanced picture of contemporary American medicine," he says right in the introduction. "My intent is in how medicine has gone wrong, not in what there is to admire.”
Thank you, Dr. Elliott for that bit of refreshing honesty.
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How many countries allow this "branding" that he dislikes and you deny?
I don't know either of you but since a majority of even the non-third-world countries disallow drug advertising, I'm guessing he's more right than you are.
It looks like a must read book. I just joined the health care workforce and I really want to know more about what lies beneath.
It's so good to hear that someone with credibility is stating it how it is in an honest, believable way. I hope his book has the impact I think it should. Thanks for sharing with us.
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if you are ever in the mood to go exploring on your own or with friends, I recommend biking through the city. You see a lot more from your bike than you would from an automobile. One of my favorite bike trips is taking the Euclid Ave. bike lane downtown through the city, then over the Detroit Superior Bridge. You can bike down Detroit Rd. all the way until Lincoln Park, which is part of the Cleveland Metroparks and is a beautiful oasis of green in the city.
I think is impossible to come back from the dark side to the white side. I said that because the people seems to not understand what is happen.
The pharmaceutical giants have done a good job at darkening their name with the massive marketing of their "branded" diseases. No one wants to hear a commercial for Valtrex or a discussion on E.D., but clearly there is a market for it. I too am grateful for the "yes-we-can attitude of American medicine to combat diseases and improve the quality of our lives." It is saving mine as I type.
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Great blog with good information. It's the choice of the patient on what brand of medicine he is getting in solution with his disease.
There are plenty of information about this topic in the net & some are definitely better than others.
The people aging is normal and you don't need to change anything in this direction. The human being is perfect optimized to life.
I really can't stand how big pharma has utilized hyper-attractive and flirty blonde reps to push doctors into prescribing prescriptions that people don't need. A travesty really. Patients should be teaming up with psychiatrists to determine the best course of action, not letting doctors motivated by money and attractive women make their decisions for them!
it is a normal thing in may opinion. they should find alternative methods.
I am in the same situation and i have the same preferences.
whatever will cure it is welcome.
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