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Big Pharma, Big Greed: The inside story of one lawyer’s battle to stem the flood of dangerous medicines and protect public health Paperback – February 11, 2019

4.4 out of 5 stars 15 ratings

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In "Big Pharma, Big Greed: The inside story of one lawyer's battle to stem the flood of dangerous medicines and protect public health", Stephen Sheller tells a tale that is at once deeply personal but also with wide repercussions for the U.S. health care system and the hundreds of millions of Americans whose lives literally depend on it. In the book, Sheller not only recounts his major litigation battles but also makes sweeping proposals for industry reform. To restore regulatory credibility, Sheller proposes that responsibility for testing new medicines be taken away from the industry and given over to hospitals and other public entities partnering with government regulators. Pharmaceutical companies that betray the public trust would risk government- initiated dissolution. Harsh medicine to be sure, but Sheller believes entirely appropriate to the underlying malady.
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Product details

  • Publisher ‏ : ‎ Strong Arm Press
  • Publication date ‏ : ‎ February 11, 2019
  • Language ‏ : ‎ English
  • Print length ‏ : ‎ 153 pages
  • ISBN-10 ‏ : ‎ 194749225X
  • ISBN-13 ‏ : ‎ 978-1947492257
  • Item Weight ‏ : ‎ 8.3 ounces
  • Dimensions ‏ : ‎ 6 x 0.39 x 9 inches
  • Customer Reviews:
    4.4 out of 5 stars 15 ratings

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4.4 out of 5 stars
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Top reviews from the United States

  • Reviewed in the United States on April 27, 2019
    Format: PaperbackVerified Purchase
    Attorney Stephen Sheller has done an excellent job in his book Big Pharma, Big Greed providing readers a glimpse into his remarkable work over the years standing up to pharmaceutical companies. The stories outlined within the book are frightening and enlightening and allows readers to dive into some of the horrendous stories surrounding people impacted and significantly effected by the dubious actions of pharmaceutical companies. After making a career of standing up to Big Pharma and representing those harmed by their greed, Sheller's passion for standing up on behalf of his clients and his knowledge on the issue truly shines through in this book. A great week for someone looking to learn more about Big Pharma and the negative impacts it has had upon society. Highly recommend!
  • Reviewed in the United States on July 12, 2019
    Format: KindleVerified Purchase
    It is a combination who done it and detective story. However, it reveals the truth about the greed and profits of the major pharmaceutical companies.
  • Reviewed in the United States on March 19, 2019
    Format: PaperbackVerified Purchase
    Every citizen should read this book! An eye opener! Thank you for clueing us in!
    One person found this helpful
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  • Reviewed in the United States on April 9, 2019
    Format: PaperbackVerified Purchase
    GREAT BOOK!!
  • Reviewed in the United States on April 20, 2019
    Format: Paperback
    Most of us involved in the fight for a more rational and fair health care system know of the greed of the pharmaceutical industry, but this book shows even more than I could have imagined what drug makers will do for profit. This is a book every member of Congress should read as they consider legislation to rein in this industry. All of us read it to understand the consequences of drug companies’ devotion to the stakeholders they value most—their shareholders.
    3 people found this helpful
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  • Reviewed in the United States on July 28, 2020
    Format: Paperback
    The title suggests that Pharma is immoral. As Sheller explains well, the real source of corruption is the unholy alliance between Big Business and Big Government, shutting out the interests of the individual consumer. He details how it works by describing the relationships between politicians and producers of drugs. Sheller's way of fighting pharma fraud is through the courts. This book chronicles his successes and failures.

    The main, though by no means only, drug discussed by Sheller is Risperdal (risperidone in case you're taking a generic form), a supposed antipsychotic widely prescribed off-label to just about anybody who is disliked. Although he mentions other somatic adverse effects such as weight gain, stroke, and involuntary movements, he focuses on gynecomastia. This is the development of female breasts, an effect experienced according to Sheller by 12.5% of men and boys on this drug. Sheller wrongly claims that Risperdal is the only drug in its class that has this effect. He makes no mention of the mind-changing effects: lost affect and cognitive degeneration. Nor does he mention physical addiction, meaning permanent changes to the central nervous system rendering safe withdrawal after a certain period impossible. These effects occur not to 12.5% but to 100% of the people who take this or a similar drug.

    Sheller rails against Risperdal's manufacturer, Janssen, for under-reporting the incidence of gynecomastia on the package insert. What difference does the package insert make? Who reads it? Risperdal is usually administered by force. Victims are routinely injected while held down or handcuffed by police. Other people who are prescribed Risperdal are the elderly, the intellectually disabled, children, and the incarcerated. They are drugged into a stupor for the convenience of nursing home staff, caregivers, teachers, or warders. In the United States foster children are targeted. Parents often agree to administering Risperdal because they are lied to that it will alleviate their child's disability. Sheller mentions the elderly and the children, but nowhere in the book touches on the subject of coercion by court order.

    Psychiatrists who prescribe Risperdal don't read the package inserts either. What would be the use? Every drug in their formulary is equally harmful but they have to prescribe something because that's what they are paid to do.

    Sheller's proposals for protecting the public from Pharma ring familiar. They amount to compelling the cat to guard the cream. It won't work. For example, he calls for new laws

    "to regulate the widespread practice of prescribing drugs off-label. After all, if a drug hasn't been proven safe for a particular use, then it ought not be prescribed for that use."

    But then in the very next sentence he contradicts himself:

    "In certain life-or-death instances, however, or if a physician is convinced beyond any doubt that it is the right drug to prescribe to their patient at that time, then the physician ought to be permitted to prescribe it."

    How could a physician be "convinced beyond any doubt that it is the right drug to prescribe" if it hasn't been proven safe (or effective) for that particular use? Furthermore, every physician is always convinced that he is doing the right thing or that the situation demands it, particularly in psychiatry which has no treatments that are safe or effective.

    Sheller does briefly mention non-pharmaceutical interventions, ironically, only regarding somatic conditions:

    "How do the risks and benefits of a new diabetes drug ... compare to a change in diet and moderate exercise?
    "Does a new cancer treatment extend a patient's life or simply mask the symptoms of disease?"

    When it comes to psychiatry he upholds, even encourages, belief in drug solutions:

    "most [pharmaceuticals] *do what they claim to do* when taken as prescribed;
    "[lives were damaged even of] patients who* legitimately needed to be treated* with the drug;
    "Janssen ... took away the rights of the children to *safe and effective drugs* for their ailments."
    (emphasis by reviewer)

    Psychiatric drugs never do what they claim to do; no one legitimately needs to be treated by psychiatric drugs; and there are no safe or effective drugs in psychiatry, including child psychiatry. The risk of gynecomastia is for naught.

    I admire Sheller's work because it illuminates that drug approval is in reality an old boys' network. Too bad that at the same time he fuels the false hope that psychiatry is more than sham medicine.

    Superstitions die hard. We will probably never totally eliminate the belief in a pill for every ill. But we could tackle Big Pharma by breaking up the marriage with Big Government. For that we have to shrink government.

    The reviewer is a board member of MeTZelf.
    4 people found this helpful
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