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Hooked: How Medicine's Dependence on the Pharmaceutical Industry Undermines Professional Ethics

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Overview

For decades, medical professionals have betrayed the public's trust by accepting various benefits from the pharmaceutical industry. Both drug company representatives and doctors employ artful spin to portray this behavior positively to the public, and to themselves. In Hooked, Howard Brody argues that we can neither understand the problem, nor propose helpful solutions until we identify the many levels of activity connecting these purportedly noble industries. We can pass laws and enact regulations, but ultimately the medical profession must take responsibility for its own integrity. Hooked is a wake-up call for anyone expecting high quality, ethical medical care.

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Editorial Reviews

Chicago Tribune Magazine
In this extraordinary book, Dr. Howard Brody, a medical ethicist, lays out in great detail what he judges to be Big Pharma's misdeeds and the seduction of U.S. docs. His targets are the influence of company drug reps, the suppression of negative research data, the abuse of patents, phony advertising and weak oversight by the FDA.
Explore: The Journal of Science and Healing
I highly acclaim and recommend this book to all physicians, medical students, and those in policy-making positions regarding our broken health-care system...It ought to be required reading for the medical profession as a whole and a call to action to help us regain the public's trust in our integrity, altruism, and professional ethics.
Journal Of Value Inquiry
Hooked is a detailed analysis of the relationship between the medical profession and the pharmaceutical industry primarily in the United States. Hooked is well researched and well written. Brody's style is fluent, helping make his arguments persuasive.
— Thomas Harter, 2009
Journal of Value Inquiry
Hooked is a detailed analysis of the relationship between the medical profession and the pharmaceutical industry primarily in the United States. Hooked is well researched and well written. Brody's style is fluent, helping make his arguments persuasive.
— Thomas Harter, 2009
Explore: The Journal of Science and Healing
I highly acclaim and recommend this book to all physicians, medical students, and those in policy-making positions regarding our broken health-care system...It ought to be required reading for the medical profession as a whole and a call to action to help us regain the public's trust in our integrity, altruism, and professional ethics.
Carl Elliott
The single best, most balanced, most comprehensive guide to the current difficulties with the pharmaceutical industry that I have ever read.
Philip R. Lee
Physicians, policy makers, and the public should thank Dr. Brody for this major contribution to our understanding of the medical profession and the corrupting influence on the profession of its complex relationship with the pharmaceutical industry.
September 2008 Health Affairs
It seems that no stone is left unturned in this 367-page book, which can feel at times overwhelming but is without a doubt, thorough.
September 2008 Anesthesia and Analgesia
This book is useful for any medical student or resident who, like me, finds the practice of distributing free pens and lunches a nice perk but an ineffective marketing strategy. Hooked is surely worthwhile for the academic physician-investigator who struggles to win grants, or for the rural practitioner.
(Jama) JAMA: The Journal of the American Medical Association
The densely written book captures one's attention and reads like a nonfiction thriller....I highly recommend this book to anyone who wants to gain a thorough understanding of the relationship between the pharmaceutical industry and the medical profession. This knowledge provides a platform for the development of rational solutions, which are sorely needed.
Journal of Value Inquiry - Thomas Harter
Hooked is a detailed analysis of the relationship between the medical profession and the pharmaceutical industry primarily in the United States. Hooked is well researched and well written. Brody's style is fluent, helping make his arguments persuasive.
Metapsychology Online Reviews, July 7, 2009 - Imre Szebik
We still have too many doctors and patients who may be aware of some of the deviances of the pharmaceutical industry, however, consider these to be exceptional and of marginal importance. In fact, if someone reads Brody's book, they will learn that fraud, malpractice, and lying is an inbuilt phenomenon in the system of clinical research, drug regulation, scientific publication, medical training and drug advertisements. What Brody adds to our present knowledge is a systematic collection of recommendations for changing the present malfunctioning status quo. It is good to read Brody's book, and it is good to have his reflections in our minds.
(Per) Pediatric Endocrinology Reviews
An extremely timely book, recommended.
Chicago Tribune
In this extraordinary book, Dr. Howard Brody, a medical ethicist, lays out in great detail what he judges to be Big Pharma's misdeeds and the seduction of U.S. docs. His targets are the influence of company drug reps, the suppression of negative research data, the abuse of patents, phony advertising and weak oversight by the FDA.
The New York Times
[Brody] aims for the measured cadences of the ethicist . . . calmly laying out the relevant facts and then reasoning from basic principles to determine whether the medicine-pharmaceutical relationship, as it stands now, is an ethical one or not. That Dr. Brody manages to deliver a hundred-odd pages of determinedly objective analysis before he, too, lets the righteous indignation roll should not really be called a failure of methodology: even as he carefully lays out the facts in this impressively comprehensive book, those facts begin to speak damningly for themselves . . . for a detailed overview of this very jagged terrain, if not for a map of the pathway out, a better general guide than this one is hard to imagine.
The Journal Of Nuclear Medicine
Dr. Howard Brody has written a powerful book that is relevant to all out practices and questions the relationship between medicine and the pharmaceutical industry.
Library Journal

The relationship between the medical profession and the pharmaceutical industry is an ethical minefield. Brody (director, Inst. for the Medical Humanities, Univ. of Texas Medical Branch, Galveston; The Placebo Response) traces the gradual intertwining of the two, showing how it has led to a climate in which research, prescribing practices, government regulation, and even journal articles are influenced by dollars and marketing in ways seldom questioned. From medical school on, he writes, physicians encounter pharmaceutical representatives and receive favors that start small and grow, causing doctors to develop a sense of entitlement. They see others as being compromised by grants, gifts, and other enticements, yet deny that they themselves are influenced. Brody offers suggestions for achieving divestiture rather than continuing to try to manage the status quo. Thoroughly documented, logically structured, and well written, his book offers a good starting point for discussing ethical issues that impact us all. There is some overlap with Leonard J. Weber's Profits Before People?: Ethical Standards and the Marketing of Prescription Drugs, but Brody's work is more focused on medical ethics. Recommended for all medical and public libraries.
—Dick Maxwell Copyright 2007 Reed Business Information

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Product Details

Table of Contents

Chapter 1 Introduction: The Tipping Point Part 2 I. Overview Chapter 3 1. The Good, the Bad, and the Ugly: A Story of Two Medications Chapter 4 2. An Ethical Framework Part 5 II. Specific Issues and Problems Chapter 6 3. The Pharmaceutical Industry and the Free Market Chapter 7 4. Patents, Generic Drugs, and Academic Science Chapter 8 5. Research and Profits Chapter 9 6. Suppression of Research Data Chapter 10 7. The Quality of Pharmaceutical Research Chapter 11 8. The Drug Rep: Historical Background Chapter 12 9. The Drug Rep Today Chapter 13 10. The Influence of Drug Reps: What the Data Show Chapter 14 11. Continuing Medical Education Chapter 15 12. Professional Organizations and Journal Advertising Chapter 16 13. The Industry and the Consumer Chapter 17 14. The FDA: From Patent Medicine to AIDS Drugs Chapter 18 15. The FDA and the Industry, 1990-2004 Part 19 III. Toward Solutions Chapter 20 16. Solutions: The Management and Divestment Strategies Chapter 21 17. Solutions Requiring Enhanced Professionalism in Medicine Chapter 22 18. Solutions Requiring Regulatory Reform Chapter 23 Epilogue: Industry Woes and Professional Opportunities
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