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Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients [Hardcover]

Ben Goldacre
4.3 out of 5 stars  See all reviews (66 customer reviews)

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Book Description

February 5, 2013 0865478007 978-0865478008 Reprint
We like to imagine that medicine is based on evidence and the results of fair testing and clinical trials. In reality, those tests and trials are often profoundly flawed. We like to imagine that doctors who write prescriptions for everything from antidepressants to cancer drugs to heart medication are familiar with the research literature about a drug, when in reality much of the research is hidden from them by drug companies. We like to imagine that doctors are impartially educated, when in reality much of their education is funded by the pharmaceutical industry. We like to imagine that regulators have some code of ethics and let only effective drugs onto the market, when in reality they approve useless drugs, with data on side effects casually withheld from doctors and patients.
     All these problems have been shielded from public scrutiny because they’re too complex to capture in a sound bite. But Ben Goldacre shows that the true scale of this murderous disaster fully reveals itself only when the details are untangled. He believes we should all be able to understand precisely how data manipulation works and how research misconduct in the medical industry affects us on a global scale.
     With Goldacre’s characteristic flair and a forensic attention to detail, Bad Pharma reveals a shockingly broken system and calls for regulation. This is the pharmaceutical industry as it has never been seen before.

Frequently Bought Together

Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients + Bad Science: Quacks, Hacks, and Big Pharma Flacks
Price for both: $29.00

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Editorial Reviews

From Bookforum

Bad Pharma is surely the most comprehensive account to date of how the pharmaceutical industry games the regulatory process. Still, Bad Pharma is short on practical prescriptions for reform, and it is not until the last ten pages that Goldacre acknowledges that drug companies are manufacturing products that save lives and alleviate pain for billions of people. —Chris Wilson

Review

Praise for Bad Pharma

“[Bad Pharma] is a book to make you enraged—properly, bone-shakingly furious—because it’s about how big business puts profits over patient welfare [and] allows people to die because they don’t want to disclose damning research evidence . . .This is a book that desperately needed to be written . . . A work of brilliance.” —Max Pemberton, The Telegraph

“A thorough piece of investigative medical journalism. What keeps you turning its pages is the accessibility of Goldacre’s writing, . . . his genuine, indignant passion, his careful gathering of evidence and his use of stories, some of them personal, which bring the book to life.” —Luisa Dillner, The Guardian


Product Details

  • Hardcover: 448 pages
  • Publisher: Faber & Faber; Reprint edition (February 5, 2013)
  • Language: English
  • ISBN-10: 0865478007
  • ISBN-13: 978-0865478008
  • Product Dimensions: 8.3 x 5.9 x 1.5 inches
  • Shipping Weight: 1.4 pounds (View shipping rates and policies)
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (66 customer reviews)
  • Amazon Best Sellers Rank: #12,868 in Books (See Top 100 in Books)

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Customer Reviews

The book is written in an easy to access language, and so it reads well. Martin Orsted  |  13 reviewers made a similar statement
Makes me want to read all his books. Tomislav Stojanovic  |  7 reviewers made a similar statement
Most Helpful Customer Reviews
56 of 58 people found the following review helpful
5.0 out of 5 stars Another killer blow from the pen of Dr. Goldacre September 27, 2012
Format:Kindle Edition
It is a common claim among alt med cranks that skeptics are only critical of alternative medicine. This is not and has never been true - most of Bad Science is about "Big Pharma" and its shenanigans, but this latest book by Ben Goldacre goes a lot further.

In "Bad Pharma" you will read about the ways in which vested interests bamboozle us and our doctors, whether by accident or design. You will find out why the benefits of most medicines are overstated, and why the systematic review is incredibly important. You will become, in short order, very angry indeed, and then you will be told what you can do about that anger - whether you are a patient or a doctor.

Goldacre's style is engaging and informal, and he is a practising doctor. The books include anecdotes about how he himself has unknowingly prescribed drugs which are not just ineffective, but worse than doing nothing - despite having read the research evidence with a particularly critical eye. All the data and references are there if you need them but they don't derail the narrative, so the book functions both as a reference and as an eminently readable story.

This is my pick for best book of the year so far, and one of the most important books most of us will have read. This is about your health. Get informed, get angry and get active!
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26 of 27 people found the following review helpful
5.0 out of 5 stars A tough reality check on drug companies and legislation October 15, 2012
Format:Kindle Edition|Amazon Verified Purchase
Bad Pharma highlights serious issues with the way the pharmaceutical industry works today. In the book Ben highlights the problems with the industry from several angles, how the tests can be tweaked, how negative tests are not published, how you can make a neutral test appear positive by sub-dividing the goals and then emphasize the fluke positive one. He also shows how the medical journals are part of the problem and the issue with ghost written articles. He shows the problems with the regulatory side as well, for example the European Medicines Agency, their lack of transparency, and how they have effectively blocked access to critical data for researchers. All through the book Ben makes use of well documented examples, and all the issues highlighted are well documented and exemplified.

The book is written in an easy to access language, and so it reads well. He does repeat himself a bit, so one more round of editing and cleanup before release would probably have been a good idea. Some readers on amazon.co.uk have criticised this, but I don't see it as an issue.

You don't need to have a degree in medicine or a higher degree in general to understand the issues Ben highlights.

Ben Goldacre runs the Bad Science website (badscience dot net) and has previously written the book Bad Science. Where Bad Science was an attack on quackery and pseudo science, and his website to a large degree has dealt with the same topics, this book is a critical look at the pharmaceutical industry. As such it ought to silence those that have attacked Ben Goldacre for being in the pockets of the Pharmaceutical industry over time.

Ben Goldacre has done society a big favour by writing this book. I definitely recommend reading it if you want to understand more about how US and European health care works and what can be done to improve it in the future.
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23 of 24 people found the following review helpful
5.0 out of 5 stars Extensive, well-written and scientific. October 11, 2012
Format:Kindle Edition|Amazon Verified Purchase
Ben Goldacre fills a vitally important niche in popular science literature. His books serve as a way of explaining highly technical and complex medical issues in language that is easily understood and with emphasis and focus that makes the seriousness of the issues at hand impossible to ignore.

Goldacre also holds himself to a far higher standard of scientific excellence than the groups he is critiquing, exhaustively referencing, justifying and clarifying his points so that there is no doubt of the accuracy of his claims.

This book sinks a knife into the heart of the nonsense and pseudo-science that is far too often espoused by the pharmaceutical industry and tacitly endorsed by overawed journalists and cowed academics.

If you want to know why the drugs are you taking sometimes don't work and often make you ill then you need to read this book.

And any medical practitioner, academic or researcher who does not read this book should be thoroughly ashamed of themselves.

It is absolutely excellent.
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Most Recent Customer Reviews
4.0 out of 5 stars The good news is that most drugs work
Yes, as Dr. Goldacre reports at great length, the systems of reporting - or not reporting - clinical trials is faulty. Read more
Published 1 day ago by Abe Krieger
1.0 out of 5 stars Bias...on top of bias!
Regardless of the subject matter OR the underlying facts, clear bias and polemics ruin the intelligent discussion every time. Read more
Published 9 days ago by Roger A. Ross
5.0 out of 5 stars Very well written, very true...
This is a must read for any doctor who wants to better understand how likely it is to be manipulated by studies sponsored by pharma companies
Published 11 days ago by Catalin Popescu
5.0 out of 5 stars Scary exposé that everyone should read
I know that Big Pharma is a double-edged sword: amazing, life-saving products at ridiculous prices, but this book clearly delineates some of the sleazier practices used to get less... Read more
Published 17 days ago by K. Gorelick
4.0 out of 5 stars Not convinced the title is right! This is also about Bad Physicians....
This is one of those books that is set to polarize. And what you get from reading this will really depend upon your starting position. Read more
Published 20 days ago by David Laws
3.0 out of 5 stars Useful information
A lot of good information the average consumer of drug products would never know, and would probably be happier never to know. Read more
Published 22 days ago by Gary
5.0 out of 5 stars Medication research and marketing
I began my medical practice 34 years ago. Over the years, I have seen many highly promoted drugs go off the market. Read more
Published 22 days ago by Old country doctor
5.0 out of 5 stars Important for physicians to read
Publication bias is insidiously affecting the validity of things we do in medicine. This book is an excellent introduction to the subject.
Published 24 days ago by Pranay Sinha
4.0 out of 5 stars It's worse than you think
This book is a good, thorough examination of a scandal that we all suspect is there but can't quite quantify. Read more
Published 27 days ago by Fred Moody
5.0 out of 5 stars This book should be read by everyone who visits physicians or takes...
It is upsetting how ignorant many physicians are in interpreting the results of published medical research and in applying those findings to patient care. Read more
Published 29 days ago by C. J. Baird
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