Sickening: How Big Pharma Broke American Health Care and How We Can Repair It

Sickening: How Big Pharma Broke American Health Care and How We Can Repair It

by John Abramson
Sickening: How Big Pharma Broke American Health Care and How We Can Repair It

Sickening: How Big Pharma Broke American Health Care and How We Can Repair It

by John Abramson

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Overview

The inside story of how Big Pharma’s relentless pursuit of ever-higher profits corrupts medical knowledge—misleading doctors, misdirecting American health care, and harming our health.

The United States spends an excess $1.5 trillion annually on health care compared to other wealthy countries—yet the amount of time that Americans live in good health ranks a lowly 68th in the world. At the heart of the problem is Big Pharma, which funds most clinical trials and therefore controls the research agenda, withholds the real data from those trials as corporate secrets, and shapes most of the information relied upon by health care professionals.

In this no-holds-barred exposé, Dr. John Abramson—one of the foremost experts on the drug industry’s deceptive tactics—combines patient stories with what he learned during many years of serving as an expert in national drug litigation to reveal the tangled web of financial interests at the heart of the dysfunction in our health-care system. For example, one of pharma’s best-kept secrets is that the peer reviewers charged with ensuring the accuracy and completeness of the clinical trial reports published in medical journals do not even have access to complete data and must rely on manufacturer-influenced summaries. Likewise for the experts who write the clinical practice guidelines that define our standards of care.

The result of years of research and privileged access to the inner workings of the U.S. medical-industrial complex, Sickening shines a light on the dark underbelly of American health care—and presents a path toward genuine reform.


Product Details

ISBN-13: 9780063268722
Publisher: HarperCollins
Publication date: 02/21/2023
Pages: 336
Sales rank: 127,440
Product dimensions: 5.20(w) x 7.90(h) x 0.90(d)

About the Author

Dr. JOHN ABRAMSON has been on the faculty of Harvard Medical School for twenty-five years, where he teaches health care policy.  He also served as a family physician for 22 years, during which he was named a “top doctor” six times in local, state, and national surveys. He served as an unpaid consultant to the FBI and Department of Justice, including in a case that resulted in the largest criminal fine in U.S. history. In addition to many academic articles and op-eds in the New York Times and other publications, he is the author of Overdo$ed America: The Broken Promise of American Medicine. Dr. Abramson has appeared on Today, CNN's American Morning, NPR's All Things Considered, CBS Evening NewsNBC Nightly NewsThe Dr. Oz Show, and elsewhere. He lives near Boston.

Table of Contents

Introduction xi

Part I Health Care American-Style

1 Vioxx: An American Tragedy 1

2 Neurontin: Fraud and Racketeering 20

3 The Truth About Statins 39

4 Insulin Inc.: The Exploitation of Diabetes 58

Part II Pharma Means Business

5 As American Society Goes, So Goes American Health Care 83

6 How Doctors Know 104

7 Manufacturing Belief 134

8 Market Failure in Medical Knowledge 160

Part III Moving Forward

9 The Limits of Obamacare 193

10 The Key to Meaningful Reform: Fix the Knowledge Problem 202

11 Reform from the Bottom Up 223

Afterword 231

Acknowledgments 237

Notes 241

Index 295

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