
I grew up in the 1950’s when times were simpler, and customer service was more personal.
Sealtest delivered milk and dairy products to our back door. The dry cleaner came and picked up clothes that needed special attention. Southern Foods delivered meat right to our freezer when we could afford it, and the local automobile dealer would even bring my Dad used cars to test drive every few years. And then there was the family physician.
Back then if you were sick, your doctor would make house calls. It was just like in Gunsmoke where Doc Adams would pay a visit to an ailing resident of Dodge City. And just like the doctors of the old west, our family medicine man showed up at our house carrying a little black bag. It contained all sorts of miraculous items, including pills which almost always cured what ailed us. We trusted our doctor to give us the right medicine because it was the right thing to do, and not because he had been paid to prescribe it. That was then and this is now.
Over the intervening years, most doctors have stopped making house calls, and their black bags have become stuffed with cash instead of cures. Last week the Greensboro News & Record published a report on doctors who accept money from pharmaceutical companies, and I was astonished to learn about the amount of green that was changing hands.
According to the report, Dr. Scott MacDiarmid, a urologist with Alliance Urology Specialists was paid nearly $609,000 between 2009 and 2012. His fees came from Allergan, Johnson & Johnson, and Pfizer. During that same period, Dr. Stephen Smith and Dr. Richard Aronson, both with Guilford Medical Associates, made $383,000 and $263,000 respectively from Eli Lilly, Merck, Forest, and Glaxo Smith Kline. There were plenty of other doctors receiving six figures for consulting, giving speeches, and, by implication, endorsing a particular brand of drug. Those included physicians from Eagle Family Medicine, Cone Health Cancer Center, and LeBauer Healthcare, among others.
I spoke with a local physician who told me that big pharma has always cozied up to large medical practices. In the beginning, he said doctors were paid to show up in Hawaii or some other exotic locale and do nothing to earn their kickback except kick back and get a tan. That raised some eyebrows and red flags, so, as time went on, those vacationing Docs were expected to deliver a speech in exchange for payment. Others were compensated for having conducted clinical trials ostensibly designed to bolster credibility of the industry sponsor’s product. Charles Ornstein, a reporter with Pro Publica, explained the problem, saying, “Patients trust their doctors to prescribe the right drugs for them and not be influenced by financial interests.” The bad news is that pay perks continue today. The good news is that they are not as pervasive as they once were.
According to Pro Publica, payments to physicians from pharmaceutical companies declined between 2011 and 2012, primarily due to increased transparency, and to drugs losing patent protection. The former is a result of the Physician Payment Sunshine Act, which now gives patients and the media unprecedented access to data regarding cash deals between doctors and the drug industry. Glaxo Smith Kline, for example, announced back in December that they would no longer pay doctors to make promotional speeches. However, GSK still compensates physicians to conduct clinical trials, a practice which has increased nationwide among many big companies. In fact, according to Pro Publica, over 1,300 researchers now have personal or promotional ties to drug companies.
Fortunately, most academic medical centers have adopted strict rules that govern the way clinical trials are conducted, and the kinds of speeches their doctors can deliver when being paid by a pharmaceutical company. Dr. John McConnell, CEO of Wake Forest Baptist Medical Center shared with me his hospital’s conflict of interest policy which establishes specific guidelines. For example, Wake’s policy precludes its doctors from being involved in “any marketing program designed by an industry solely to influence purchasing or prescribing decisions.” Also, compensation or honoraria accepted by a doctor for delivering a speech “must be reasonable and reflect fair market rates.” Moreover, Wake physicians who deliver outside speeches can’t even use power point or slides provided by an industry sponsor. In addition, WFBMC has its own Conflict of Interest office that monitors and reports on industry funded presentations. And while such oversight by teaching hospitals is admirable, it is discouraging to know that so many area physicians in private practice are still accepting large sums of money from big pharma.
Old Doc Adams carried a black bag alright, but he wasn’t a bagman for drug companies. Truth is he never took a dime from anyone except for his patients, and often times not even from them. That’s because a good doctor thinks more of healing than he does of being well-heeled.





























Posted April 30, 2014 By Triad TodayLying is Legal in Politics
There’s only one politician in American history that supposedly never told a lie, and he earned his rep early on. According to legend and to children’s book author Bella Koral, when George Washington was about six years old, he chopped down one of his father’s prized cherry trees that had been shipped over from England. When asked, “George, do you know who chopped down my cherry tree?” the future Commander in Chief replied, “Father, I cannot tell a lie. I did it with my little hatchet.” Rather than become angry, young George’s father said, “That was my favorite tree, but I’d rather lose a thousand trees than have a son who lies.”
Washington went on to lead our nation into independence, establish a Bill of Rights, voluntarily set term limits, and, so far as we know, he never told a lie. How then did we go from being led by such an honest politician to being victimized by candidates who will say anything in order to get elected?
The fact is that lying in a political campaign has become commonplace. So much so that the Supreme Court is poised to rule that political lies are protected speech. Last week the high court heard arguments from U.S. Solicitor General Donald Verrilli, and others, that an Ohio law that criminalizes lying in a political campaign is unconstitutional.
Currently, Ohio and 15 other states have made it illegal to communicate lies through political advertising, however, it seems that very few folks from either party are happy with those laws. The aforementioned Solicitor General, for example, who speaks for the Obama administration, has argued that lying in a political campaign is protected under the first amendment. Said Verrilli in defending political liars, “Petitioners have sufficiently alleged that a credible threat of prosecution will chill them from engaging in deceptive speech relating to elections for public office.” Are you kidding me? That’s like arguing that we shouldn’t make robbing a bank illegal because it would discourage criminals from stealing money. Mr. Verrilli has obviously never been the target or victim of political slander and libel. Many others have.
In the Fall of 2010, for example, the North Carolina GOP ran an attack ad against Democrat House Majority Leader Hugh Holliman, saying that the incumbent was soft on crime, and, “Thanks to Hugh Holliman, death row inmates can leave prison early and move in next door to you.” In fact, Holliman was tough on crime, supported the death penalty, and even attended the execution of the man who raped and murdered his daughter. But the damage had been done to Holliman’s reputation, and he lost the election. Fast forward to this year’s primary battle for the GOP 6th District nomination, and Bruce VonCannon is suing a PAC, which supports Phil Berger Jr., for running an ad that said VonCannon is a banker for the Chinese. Things never change.
I suppose it’s possible that the conservative Supremes will uphold Ohio’s law against lying, but it’s not likely. Failure to do so, however, will have a catastrophic effect on our society, as explained by AlterNet’s Eric Zuesse. “The idea behind this law is that any democracy in which lying in political campaigns isn’t penalized by severe penalties, won’t remain a democracy much longer, but will instead descend into a kleptocracy – the theft of elections themselves.”
SCOTUS has already allowed corporations and unions to donate huge sums of money to a single campaign, and the Court recently ruled that individuals can now donate the maximum amount of money to as many campaigns as they wish. Those decisions, coupled with a possible ruling to strike down the Ohio law, will give millionaires and billionaires free reign to shape the national conversation, and elect candidates who serve their interests.
Back in 2010, I called on State legislators and Congress to criminalize political lying, but only a handful of states have attempted some kind of reform. What’s lacking is federal oversight. If he wanted to, President Obama could create an inter agency commission consisting of the FEC, the FCC, and the FTA, which would govern, monitor, and penalize any campaign or candidate found guilty of transmitting lies through print, speech, or broadcast. After all, we already punish TV pitchmen who lie about their product (Kevin Trudeau just got ten years in prison for making false claims about his weight loss pills.) Of course, political hacks will argue that there’s a difference between lying about a weight loss pill and lying about a candidate, but there’s not. They are both products to be marketed and sold to the detriment of competing products, but that process should be done honestly. When it’s not, those responsible should be punished and chopped down to size. Alas, there’s never a boy with a hatchet around when you need him.