We need a new women's health movement

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2009
    What I have heard and read over and over is: radiation from mammos MAY cause bc. Is there a difinitive, well documented, long term study? How can any woman make a well informed decision without concrete evidence? Seems to be too much of a "gray area". We need FACTS - not opinions.
  • lisa-e
    lisa-e Member Posts: 819
    edited December 2009

    A quote from the article: "What we don't need, no matter how pretty and pink, is a ladies' auxiliary to the cancer-industrial complex."



    Thank you for posting the link, cp.

  • lewing
    lewing Member Posts: 1,288
    edited December 2009

    Great link, cp.  I love Barbara Ehrenreich's writing, and would probably missed it if you hadn't posted it.

    Laura, there's no definitive, long-term study of the impact of radiation exposure from mammograms.  There are scattered smaller studies and - just this week - a meta-analysis of those smaller studies.  The meta-analysis does show a significantly increased risk of bc in high-risk women who begin screening at a young age.  It's not clear how generalizable the results are - e.g., do they also apply to women who aren't high risk, or do the same genetic factors that increase bc risk also heighten susceptibility to radiation?  

    I totally agree that more research is needed.  One problem with turning routine mammogram screening into the "third rail" of breast cancer is that that sort of research is less likely to be done (or to be acted on). 

    Linda

    Edited to add: I loved the bit about a bottle of wine featuring a pink ribbon . . . when alcohol is a risk factor for bc! 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2009
    And once again, until there is a definitive, well documented, long term, accurate study, guidelines simply should not be recommended nor changed. 
  • cookiegal
    cookiegal Member Posts: 3,296
    edited December 2009

    I love Barbara's books, I have met her as well.

    I don't agree with everything in the article, but she makes some good points.

  • yellowrose
    yellowrose Member Posts: 886
    edited July 2010

    Perhaps I'm reading this wrong but...  It seems to me that all the folks who have signed on the new guideline protest thread are being labeled "pink ladies auxilliary" by this writer?

    Every time I turn around a new study causes flip-flops in treatments for disease of all kinds.    If these new guidelines are put in place, will we see a resurgence of more advanced bc diagnosis?  Are we all willing to just throw the dice and risk not only the lives of the newly diagnosed women but the emotional health of the children and family members left to pick up the pieces?

    I know I'm on my soapbox but I am so frustrated to keep hearing of "acceptable risk" and acceptable percentages of increased BC under the new guideline.  I don't want anyone I know to be one of those who fall in that small percentage of women diagnosed at later stages due to the new guideline.  I'm so tired of all the rhetoric, if there are no definitive long-term studies involving a large population, leave the guidelines alone. 

  • lewing
    lewing Member Posts: 1,288
    edited December 2009

    There's a great article in today's NYT that dissects the campaign by Big Pharma to push hormone therapy on menopausal women - even after the risks became well known.

    A couple of highlights (lowlights?):

    * A 1996 note by a Wyeth employee advocating a strategy of "dismiss/distract" in response to a new report on the breast cancer risk.

    * A 1960s-era gynecologist's description of menopausal women as (variously) flabby, shrunken, dull-minded and de-sexed.  (Thanks, Doc Wilson, you sound like a real peach!)

    The article is long, but it's fascinating (as well as enraging) and well worth reading.  Here's a link:

    http://www.nytimes.com/2009/12/13/business/13drug.html?hpw

    I'm posting it on this thread because to my mind, it reinforces the point that we *do* need a new women's health movement.

    Linda

  • vivre
    vivre Member Posts: 2,167
    edited December 2009

    lewing-would love to see you join us on the natural girls thread. You seem to be likeminded.

    Cookiegirl-If you have met Barbara, do you have any contact information? I am definitely willing to start a prevention movement, and I already have some plans to do so. I would love to get her involved, and any one else around here who wants to join LauraGTO and me in spreading the word.

    As for the dangers of mammos. This article pretty much explains it all:

    http://www.preventcancer.com/patients/mammography/ijhs_mammography.htm

    I have spoken to Dr. Epstein. He is a bit cantankerous, but he is hellbent on working to stop the epidemic of cancer. He attends seminars all over the world. He was adament that mammos cause more cancer than they find and should be outlawed. I am very suspect at them as well, as they did not find my tumor. I found it myself, my doctor verified my suspicions and the mammo only proved that it was right where I thought it was. We need to be taught how to do self breast exams, and we need to have nurses well trained in breast exams so that only suspicious palpatations are further tested. I will NEVER do another mammo. I will continue with SBE and thermography and if there is anything suspicious I will insist on an ultrasound. I have had enough radiation, thank you very much.

  • Blundin2005
    Blundin2005 Member Posts: 1,167
    edited December 2009

    Thanks CP418 and Lewing for these postings.  

  • AnneW
    AnneW Member Posts: 4,050
    edited December 2009

    I read that article yesterday and stewed over it. I thought it was well written and well-researched.

    We need all the exposes' (can't do accent marks!) that we can get on the incetuous relationships between Big Pharm, Big Insurance, and our elected officials.

    We need to get loud and we need to get obnoxious, but mostly we need to be informed.

    I'd burn my bra, except I hardly wear one any more!!

    Anne

  • iodine
    iodine Member Posts: 4,289
    edited December 2009

    yep, the connection between them and our elected officials is the one that scares me the most.

    I'm sure I'm already obnoxious to my treating docs.  Dare I go national?

  • Blundin2005
    Blundin2005 Member Posts: 1,167
    edited December 2009

    Sorry for the long post.  This text survived my computer crashes, my memory loss and thanks to my Mac I can find things in spotlight....

    Iodine, Anne and all--this research is dated but it certainly wasn't a secret if I can find it. I read this four years ago on the train ride back from my radiation therapy.  The silence in the media on these issues was deafening.  

    Did anyone see the BBC interview of the 2009 Nobel Prize winners?  If I can find a link I'll put it up.  They acknowledged that science is about questioning and curiosity of how and why anything functions.  They acknowledged that their work is built on the foundation of everyone who came before them.  They acknowledged that science is as much an art as technology advances.  They acknowledged that the black and white of matters blend to grey as more knowledge is gain and retreat to black and white again until the next scientists learns something new.  And they acknowledged that scientists need integrity because we place our trust in them.  

    Commentary
    Holiday Every Day for Pharma under the Bush Administration

    Evelyn Pringle

    Investigative Journalist

    Email: epringle05@yahoo.com

    Abstract

    A December 21, 2004 report by the watchdog group Public Citizen provides information that explains why it's been a holiday
    every day for the pharmaceutical industry, since George W. Bush took office.

    Thirteen pharmaceutical industry executives or lobbyists rank among Bush's "Rangers" and "Pioneers," the honorary titles given to
    those who have raised at least $200,000 or $100,000, respectively, for one of Bush's presidential campaigns, according to Public Citi-
    zen, "Together, these pharmaceutical industry super-fundraisers have raised at least $2.2 million for Bush."

    This report also provides details concerning TeenScreen, the Texas Medication Algorithm Project (TMAP), and other programs,
    including Medicaid, the National Institute of Health (NIH), and Food and Drug Administration (FDA) riddled with conflicts of inter-
    est.

    © Copyright 2005. Pearblossom Private School, Inc.-Publishing Division. All rights reserved.

    Keywords: Pharmaceutical industry profits, TeenScreen, government conflicts of interest

    Bush Administration and Pharma Industry: A revolving
    door

    A December 21, 2004 report by the watchdog group Public
    Citizen provides information that explains why it's been a holi-
    day every day for the pharmaceutical industry, since George W.
    Bush took office.

    For its December 2004 report, Public Citizen conducted an
    analysis of lobbying disclosure forms filed with the Secretary of
    the Senate and Clerk of the House, and the report provides rele-
    vant information about the pharma-connected fundraisers.

    Pharmaceutical Research & Manufacturers of America
    (PhRMA) itself, the industry's trade group, spent more than $16
    million for lobbying lawmakers in 2003, a 12.5% increase from
    2002. In 2003 it hired 136 lobbyists, 24 more than in 2002, ac-
    cording to a June 2004 report by Public Citizen.

    Since Bush took office, he's done much to enact policies to
    enrich his top contributors. By the end of the 2004 reelection
    campaign, Bush campaign headquarters must have resembled a
    PhRMA annual reunion.

    Thirteen pharmaceutical industry executives or lobbyists
    rank among Bush's "Rangers" and "Pioneers," the honorary
    titles given to those who have raised at least $200,000 or
    $100,000, respectively, for one of Bush's presidential cam-
    paigns, according to Public Citizen, "Together, these pharma-
    ceutical industry super-fundraisers have raised at least $2.2 mil-
    lion for Bush."

    Campaign rainmakers, include top executives such as Pfizer
    CEO, Ranger Hank McKinnell. Until last year, McKinnell
    served as chairman of the board for PhRMA. His company pro-
    duces 14 drugs that are the top sellers in their respective catego-
    ries. Public Citizen reports that Pfizer ranks second among all
    drug companies in terms of lobbying expenditures - spending
    $5.3 million in 2003.

    Retired Bristol-Myers Squibb Vice Chairman, Pioneer Bruce
    Gelb, is now a senior consultant to the company. Gelb has long-
    standing ties to the Bush family. He was appointed chief of the
    US Information Agency, and ambassador to Belgium by the
    first president Bush.

    Before the 2000 election, Bristol-Myers executives report-
    edly were pressured to make maximum donations to the Bush
    campaign. Reluctant donors were warned that CEO Charles
    Heimbold, Jr. - whom Bush later named ambassador to Sweden
    - would be informed if they failed to give, according to the
    September 5, 2003 New York Times article, Industry Fights to
    Put Imprint on Drug Bill.

    Lobbyist Tom Loeffler is a former Congressman himself. In
    2000, he served as finance co-chair for the Bush-Cheney cam-
    paign, and for Bush's first gubernatorial race in Texas, accord-
    ing to the January 13, 2003 New York Sun. He is currently a
    self-employed lobbyist with his own firm, Loeffler Jonas &
    Tuggey, whose client list includes Bristol-Myers and Purdue
    Pharma. Loeffler was a Pioneer in 2000 and a Super-Ranger in
    2004 raising more than $300,000. Loeffler took in $580,000 in
    2003 from Bristol-Myers, Purdue Pharma, and PacifiCare.

    In May 2000, Loeffler set up his own firm and business has
    increased fivefold since Bush took office. His website boasts of
    "strong ties to the current administration, having worked di-
    rectly with the President, Vice President, the White House
    Chief of Staff, Cabinet secretaries and their aides," according to
    Public Citizen.

    Bill Paxon is a lobbyist for Akin Gump and was a Bush Pio-
    neer in 2000 and 2004. In 2003, Akin Gump had total revenues
    from the pharmaceutical industry of $2,020,000, including
    $600,000 from PhRMA, $420,000 each from Pfizer and Abbot,
    $240,000 from Johnson & Johnson, $120,000 from Wyeth,
    $80,000 from Merck, and $140,000 from Human Genome Sci-
    ence, reported Public Citizen.

    A review of lobbyist registration forms on the issue of drug
    importation alone revealed that seven former members of the
    Bush administration are listed, six of whom lobbied their for-
    mer agency. But these seven are not the only people who have
    passed through the revolving door between the Bush admini-
    stration and the pharmaceutical industry. At least 14 senior offi-
    cials have left to work or lobby for drug companies or PhRMA.

    Federal law prohibits officials from lobbying their former
    employing agency for a period of one year, but the ban only
    applies to the specific sub-office where an official used to work.
    This enables officials to openly exploit the connections they
    gained in the course of their public employment, which is evi-
    denced by the large number of officials who are registered to
    lobby their former agency. This practice allows special interests
    to corrupt the federal decision-making process by promising
    officials high-paying jobs offered only because of their position
    of power in the government decision-making process.

    One of the most blatant examples of the revolving door prac-
    tice is Tom Scully, who was the chief administrator for the Cen-
    ters for Medicare and Medicaid Services and Bush's lead nego-
    tiator with Congress on the prescription drug bill, while he was
    discussing employment opportunities with a half dozen health-
    care-sector employers.

    In December 2003, less than one month after the bill was
    signed, Scully accepted jobs from both the lobbying firm of
    Alston & Bird and the private equity investment firm Welsh,
    Carson, Anderson & Stowe. Since Scully came on board,
    Alston & Bird has signed up at least a dozen drug company
    clients, including Abbott and Aventis Pharmaceuticals.

    Just three days after the Medicare bill was signed, another
    one of the lead senate negotiators, Colin Roskey, left his job as
    health policy adviser and counsel for the Senate Finance Com-
    mittee for a position with Alston & Bird, one of the same firms
    that hired Scully.

    Robert Wood, who was the chief of staff for HHS Secretary,
    Tommy Thompson, accepted employment with Barbour, Grif-
    fith & Rogers in June 2003. From there, he has lobbied on be-
    half of Bristol-Myers, GlaxoSmithKline, Pfizer, and PhRMA.
    In 2004, Wood even lobbied the HHS and the White House for
    Pfizer and GlaxoSmithKline.

    Public Citizen also lists two former pharma executives who
    have been placed in influential positions within the administra-
    tion, where they can push their former, and potentially future,
    employers' interests:

    Doug Badger became Bush's top health policy adviser in
    October 2002, after helping to bring in more than $1 million for
    Washington Council Ernst & Young in 2002 from clients like
    Aventis Pharmaceuticals, Eli Lilly, Johnson & Johnson and
    Pfizer.

    Ann-Marie Lynch, was positioned as the principal assistant
    deputy secretary for planning and evaluation at HHS, after
    Lynch had lobbied HHS and the FDA, on behalf of PhRMA in
    2001, according to Public Citizen's analysis of lobbying disclo-
    sure forms.

    Many top staffers have also left the administration to lobby
    for pharma. Dirksen Lehman was a special assistant to the
    president for legislative affairs, and served as the chief White
    House liaison to the Senate for Medicare, Medicaid and health
    care regulations. In May 2003, Lehman became a lobbyist for
    Clark & Weinstock, and during the Medicare debate, he lobbied
    on behalf of clients such as Aventis, Novartis and PhRMA.

    Overall, lobbying hit an all-time high in 2003. Nearly $2
    billion was spent on efforts to pass the industry-friendly version
    of the prescription drug bill alone. A little over $1 billion was
    spent during the 6 months immediately prior to the vote on the
    bill. This was the first time Washington lobbying reached a
    billion dollar mark in a 6 month period, according to a study by
    the nonpartisan Political Money Line campaign tracking ser-
    vice.

    In the end, the Medicare bill that passed does very little for
    seniors, but represents a windfall for pharma. The average sen-
    ior will have about $3,160 in total drug costs in 2006, when the
    program kicks in, according to a November 20, 2003 letter from
    the Congressional Budget Office to Senator Don Nichols (R-
    OK).

    Under the new law, the average senior will have to pay 66%
    of that $3,160, or $2,080. Most will have to pay a $420 annual
    premium, a yearly deductible of $250, and co-payments on
    drugs. Co-payments are 25% on the first $2,250, and then rise
    to 100% of the cost between $2,251 to $5,100, referred to as the
    "doughnut hole," according to a March 2004 Kaiser Family
    Foundation Medicare Fact Sheet.

    Never-Ending Money Trail

    When Bush signed the Medicare prescription drug bill in
    2003, he praised three supposedly non-profit organizations
    which are actually front groups financed by pharma. Bush said
    in part:

    "Jim Martin, the president of 60 Plus Association, worked
    hard. Charlie Jarvis, the chairman and CEO of United Seniors
    Association, worked hard," he said. "Mary Martin, the chair-
    man of the board of the Seniors Coalition, worked hard."

    These three groups, plus the new group, America 21, which
    arrived on the scene in 2002, all claim to be advocacy groups
    for seniors or evangelical Christians.

    In 2002, the groups sponsored broadcasts and direct mailings
    that mirrored one another's - and focused heavily on the pre-
    scription drug bill, which was the top legislative concern for
    PhRMA, according to a September 2004 report, Big PhRMA's
    Stealth PACs, by Public Citizen.

    In 2002, PhRMA appears to have channeled as much as $41
    million to its four Stealth PACs, according to records filed with
    the IRS. Money from the drug industry's association enabled
    USA, 60 Plus, the Seniors Coalition, and America 21 to broad-
    cast ads and send direct mailings in 39 US Senate and House
    contests that year. The ads consistently supported candidates
    friendly to PhRMA's agenda and criticized those considered
    unfriendly, the Citizen's report said.

    In 2002, USA reported nearly $18.6 million in radio and
    television ads on its 990 tax form. The Wisconsin Advertising
    Project, the academic research program assessing the political
    content of ads, concluded that 72.9% of the group's television
    activity was intended to influence the outcome of elections, as
    opposed to issue-advocacy work. Based on these two figures,
    Public Citizen estimates that USA spent $13.6 million on ads
    intended to influence elections in 2002.

    Voters had no way of knowing that the ads and mailings

    were underwritten with industry money. PhRMA was able to
    stay hidden in the background while exerting substantial influ-
    ence through the 501(c) groups that acted as PhRMA's Stealth
    PACs.

    Time for Bush to Pay Up

    The government-backed mental health screening programs
    sprouting up all over the country represent another gift from
    Bush to the pharmaceutical industry.

    On April 29, 2002, Bush established The New Freedom
    Commission (NFC) by executive order. On that day, while
    speaking in New Mexico, Bush said mental health centers and
    hospitals, homeless shelters, the justice and school systems
    have contact with individuals suffering from mental disorders,
    but that too many Americans fall through the cracks of the cur-
    rent system, and so he created the Commission to ensure "that
    the cracks are closed."

    On July 22, 2003, a NFC Report recommended redesigning
    the mental health systems in all 50 states, and its press release
    stated, "Achieving this goal will require greater engagement
    and education of first line health care providers-primary care
    practitioners-and a greater focus on mental health care in insti-
    tutions such as schools, child welfare programs, and the crimi-
    nal and juvenile justice systems. The goal is integrated care that
    can screen, identify, and respond to problems early."

    On February 5, 2003, a subcommittee report titled, Promot-
    ing, Preserving and Restoring Children's Mental Health, stated
    in part, "The extent, severity, and far-reaching consequences of
    mental health problems in children and adolescents make it
    imperative that our nation adopt a comprehensive, systematic,
    public health approach to improving the mental health status of
    children."

    The NFC's final report calls for mental health screening for
    every child in America, including preschool children, and states
    that "schools are in a key position to identify mental health
    problems early and to provide a link to appropriate services."

    Children who are hooked into government programs, often
    through no fault of their own, will automatically be screened
    due to the NFC recommendation that, "Screening should be
    implemented upon entry into, and periodically thereafter in, the
    juvenile justice and child welfare systems, as well as in other
    settings and populations with known high risk, such as the
    Medicaid population. When mental health problems are
    identified, youth should be linked with appropriate services and
    supports."

    To that end, the NFC recommends that a program known as
    TeenScreen be set up in all 50 states. The program is billed as a
    suicide prevention tool when in actuality, it is just another com-
    ponent in a government-backed marketing scheme to recruit
    kids as prescription drug customers for pharma.

    First of all, pharma does not need more customers. Dr.
    Marcia Angell, former editor of the New England Journal of
    Medicine, lists the industry's annual drug sales at $200 billion
    in the US and $400 billion worldwide in her book, The Truth
    About the Drug Companies: How they Deceive us and What To
    Do About It, Random House (2004).

    And we don't need more people hooked on psychiatric
    drugs. According to Dr. Barry Duncan, PSYD, author of What's
    Right With You (2005), "in 2003 more than 150 million pre-
    scriptions were written for antidepressants, and more than $14
    billion was spent on them." Yet as Dr. Duncan points out, "rates
    of depression have not changed for thirty years," and "suicide
    rates, despite the millions taking antidepressants, have not re-
    duced."

    Critics from all walks of life are outraged about the plan to
    screen the nation's school population for various reasons. "The
    New Freedom Commission is blatantly promoting the coercive
    and manipulative tactics that have led to millions of children
    being falsely labeled with mental disorders in our public
    schools," according to Peter Dockx, of the Citizen's Commis-
    sion on Human Rights.

    "The goal is to promote the patently false idea that we have
    a nation of children with undiagnosed mental disorders crying
    out for treatment," says Congressman Ron Paul (R-TX), who is
    also a physician, in Forcing Kids Into a Mental Health Ghetto.

    "How in the world have we allowed government to become
    so powerful and arrogant that it assumes it can force children to
    accept psychiatric treatment whether parents object or not?"
    asks Congressman Paul, "What kind of free people would turn
    their children's most intimate health matters over to govern-
    ment strangers?"

    In an October 31, 2004 letter to the editor of the Washington
    Times, pediatrician Dr. Karen Effrem points out: "Whatever
    good may come from the other recommendations (of the NFC),
    is completely overshadowed by the loss of freedom and damage
    that would come from labeling and drugging potentially mil-
    lions of children based on these unsupportable screening and
    treatment programs."

    Dr. Jane Orient, Executive Director of the Association of
    American Physicians and Surgeons (AAPS), is perturbed about
    the government's invasion of privacy involved in this money-
    making scheme. "Teams of experts are awaiting an infusion of
    cash," she says, "They'll be ensconced in your child's school
    before you even know it."

    To parents of children undergoing screening, Dr. Orient
    notes that an added "bonus is that your little darlings will
    probably give them quite a bit of information about you also,
    and then you can receive therapy you didn't know you needed."

    According to Orient, kids will be asked nosey questions like
    whether their parents raise their voice, or "Ever spank them?
    Have politically incorrect attitudes? Use forbidden words? Own
    a gun? Smoke cigarettes, especially indoors? Read extremist
    literature? Refuse to recycle?"

    "Prepare for a knock at the door," she warns, "The answers
    to these questions could lead to a home visit."

    School screening programs are clearly a part of an overall
    marketing scheme aimed at mining as many children as hu-
    manly possible and converting them into life-long prescription
    drug customers before they even graduate from high school.
    "One obvious beneficiary of the proposal is the pharmaceutical
    industry," warns Congressman Paul, "which is eager to sell the
    psychotropic drugs that undoubtedly will be prescribed to mil-
    lions of American school children under the new screening pro-
    gram."

    The NFC also recommends screening for all pregnant
    women which will no doubt lead to the use of selective-
    serotonin re-uptake inhibitors (SSRIs) antidepressants, even


    after the results of a study published in the American Journal of
    Pediatrics, and reported in the February 2, 2004 News Tele-
    graph, showed that pregnant women who use SSRIs "to combat
    depression could be damaging the brains of their unborn ba-
    bies."

    According to the study, the direct evidence of a link between
    fetal exposure and disrupted neurological development became
    apparent in a study of American mothers and their babies. "Ab-
    normal sleeping patterns, heart rhythms and levels of alertness
    were linked by researchers to drugs called selective-serotonin
    re-uptake inhibitors (SSRIs)," it noted.

    Philip Zeskind, a developmental psychologist and research
    professor of pediatrics at the University of North Carolina, who
    led the investigation, told the Telegraph, "What we've found is
    that SSRIs disrupt the neurological systems of children, and that
    this is more than just a possibility, and we're talking about hun-
    dreds of thousands of babies being exposed to these drugs dur-
    ing pregnancy."

    "These babies are bathed in serotonin during a key period of
    their development and we really don't know what it's doing to
    them or what the long-term effects might be," he warned.
    "We're not saying that pregnant women should not take the
    drugs, because depression is itself a big problem," the Professor
    said, "But these drugs are being given away like smarties, and
    this is a big problem."

    TeenScreen is a Fraud

    TeenScreen claims that it can assess a variety of mental
    disorders in 10 minutes. On March 2, 2004, the program's Ex-
    ecutive Director, Laurie Flynn, testified at a congressional hear-
    ing and said that in the screening process, "youth complete a
    10-minute self-administered questionnaire that screens for so-
    cial phobia, panic disorder, generalized anxiety disorder, major
    depression, alcohol and drug abuse, and suicidality."

    The survey is already being administered to students all over
    the country even after an investigation by the US Preventive
    Services Task Force found no evidence that any screening
    reduces suicide attempts or mortality, and warned that there is
    only limited evidence on the accuracy of screening tools used to
    identify suicide risk.

    While appearing before Congress, Executive Director,
    Flynn, had the nerve to ask lawmakers to redirect funding allo-
    cated for alcohol and drug abuse treatment programs to set up
    TeenScreen programs in public schools.

    In other words, she is asking Congress to take tax dollars
    earmarked for alcohol and drug treatment and allow the money
    to be used to implement a nationwide marketing scheme for the
    most profitable industry on the planet, which will without a
    doubt, propel millions of normal children straight into drug
    addiction.

    TeenScreen was developed in large part, by psychiatrist
    David Shaffer, of Columbia University. Shaffer has many
    known financial ties to pharma. He has served as an expert wit-
    ness on behalf of drug companies in several trials, and has
    worked as a consultant for pharma on various psychotropic
    drugs.

    In 2003, when British regulators were set to recommend
    against the use of SSRI antidepressants in the treatment of chil-
    dren because the drugs had been linked to suicidal thoughts and
    self-harm, Shaffer, at the request of a drug maker, attempted to
    block the recommendation by sending a letter to the British
    regulatory agency claiming there was insufficient data to re-
    strict the use of the drugs in adolescents, according to the De-
    cember 11, 2003 New York Times.

    The truth is, the TeenScreen survey cannot possibly diag-
    nose mental illness in kids, for reasons cited by the US Surgeon
    General in 1999, "The normally developing child hardly stays
    the same long enough to make stable measurements ... the signs
    and symptoms of mental disorders are often also the
    characteristics of normal development."

    Dr. Effrem explains that psychiatric diagnoses are inherently
    subjective and warns that "America's children should not be
    medicated by expensive, ineffective, and dangerous medica-
    tions based on vague and dubious diagnoses."

    "There's no doubt that there are kids who are bored, who are
    frustrated, who are anxious, there's no doubt that some kids
    don't fit into our schools and some aren't doing well in their
    families," Dr Peter Breggin advises. "But there's no evidence
    whatsoever that it's a disease or a medical disorder, it's a child
    in conflict, it has to be dealt with in a conflict situation," he
    said.

    The screening programs implemented in many schools have
    already caused grave injuries to children. For example, while in
    the 7th grade, Aliah Gleason became a victim of mental health
    screening at school, which led to five months in the hospital,
    during which time her parents were not allowed to see or speak
    to her.

    During her hospitalization, Aliah was placed in restraints
    more than 26 times and given at least 12 different psychiatric
    drugs, many simultaneously, including antidepressants Zoloft,
    Celexa, Lexapro and Desyrel; Ativan, an antianxiety drug; and
    two of the newer, very expensive atypical antipsychotics -
    Geodon and Abilify. (See Waters R, Medicating Aliah; Mother
    Jones, May 2005.)

    After the hospital stay, Aliah spent four more months in a
    residential facility-getting even more drugs, according to
    Dangers of Mental Health Screening, by Nathaniel Lehrman,
    MD, September 23, 2005.

    Another victim of a school screening is 15-year-old Chelsea
    Rhoades of Indiana. In December 2004, in accordance with her
    school's TeenScreen program, Chelsea was given a ten minute
    yes-or-no test without her parent's knowledge or consent.

    Shortly after the test, an employee from the Madison Mental
    Health Treatment Center informed Chelsea that she was diag-
    nosed with an obsessive compulsive disorder and a social anxi-
    ety disorder and advised Chelsea that her mother should bring
    her to the Madison Center for treatment if her condition wors-
    ened.

    Chelsea's parents were livid, not only about the testing
    without their consent, but over the school labeling their daugh-
    ter mentally ill. The family has since filed a law suit, with the
    assistance of the Rutherford Institute against the school district
    and the Madison treatment center.

    The TMAP Component

    The New Freedom Commission specifically recommends

    the, "Texas Medication Algorithm Project (TMAP)," as a
    model medication treatment plan which it claims "illustrates an
    evidence based practice that results in better consumer out-
    comes."

    An algorithm is a flow chart of guidelines that doctors use to
    identify and medicate a certain illness. It's a formulary of spe-
    cific drugs that a doctor must prescribe. If a drug is not on the
    list, it cannot be used as a first or second line of treatment for an
    illness.

    The true motive behind the development of the original
    TMAP, was to recruit new customers from the Texas juvenile
    justice system, foster care program, mental health hospitals, and
    prison systems to generate high volume sales of pharma's new-
    est and most expensive drugs. Once in place, the TMAP gave
    pharma unlimited access to Texas institutions to expand its cus-
    tomer base.

    TMAP provided a direct funnel for tax dollars to pharma, a
    process that was further enhanced when Texas lawmakers
    passed legislation to increase Medicaid coverage for prescrip-
    tion drugs to persons who did not ordinarily qualify, and in-
    creased the state budget to pay for the cost of psychiatric drugs
    for people in public institutions. In addition, as governor, Bush
    supported legislation that required private industry to provide
    increased insurance coverage for psychiatric drugs.

    The guidelines for the TMAP were established in the 1990s,
    while Bush was governor of Texas, by an "expert consensus,"
    based not on scientific research, but on the opinions of hand-
    picked members of an "expert" panel. Panel members were
    drawn from pools of candidates who were already known to be
    supportive of the drugs pharma wanted on the lists. In most
    instances, the "experts" chosen had easily traceable financial
    ties to pharma.

    For example, one "expert" with a host of financial ties to
    drug companies is Dr. Karen Wagner. According to the Journal
    of the American Medical Association, Wagner conducted a
    Pfizer-funded study and reported that Pfizer's SSRI Zoloft was
    safe, effective and well-tolerated in children, at an extremely
    convenient time when both the British Committee on Safety in
    Medicines and the FDA had announced that they were re-
    examining the data from clinical trials and studies on all SSRIs.

    Over the years, Wagner has received research funding from
    Abbott, Bristol-Myers, Eli Lilly, Forest Laboratories, GlaxoS-
    mithKline, Organon, Pfizer, and Wyeth-Ayerst. She has served
    as a National Institute of Mental Health consultant to Abbott,
    Bristol-Myers, Cyberonics, Eli Lilly, Forest Laboratories,
    Glaxo, Novartis, Otsuka, Janssen, Pfizer, and UCB Pharma, and
    she has participated in speaker's bureaus for Abbott, Eli Lilly,
    Glaxo, Forest, Pfizer, and Novartis, as reported by Drug News
    on September 3, 2003.

    The website http://www.cspinet.org/integrity/index.html lists
    connections between drug companies and researchers, and lists
    expert panel member, Graham Emslie, MD as: Consultant to
    GlaxoSmithKline, Forest, and Pfizer. Receives research support
    from Eli Lilly, Organon, Religion, and Wyeth-Ayerst. Member
    of the speaker's bureau for McNeil.

    Many other "experts" on the panel had financial ties to
    Pharma. Dr Jack Gorman of the New York Psychiatric Institute
    had received over $140,000 between April 1, 1997 and March
    31, 1998, in speaking fees, travel accommodations, board
    memberships, and consulting fees from Janssen, Eli Lilly,
    Pfizer, and other drug companies.

    In fact, twelve panel members were from the New York
    Psychiatric Institute, and each was found to have profited from
    drug company money.

    Nearly all of the major drug companies were involved in
    funding the TMAP component of scheme, including Eli Lilly,
    Janssen Pharmaceutica, Johnson & Johnson, AstraZeneca, No-
    vartis, Janssen-Ortho-McNeil, GlaxoSmithKline, Abbott,
    Pfizer, Bristol Myers Squibb, Wyeth-Ayerst and Forrest Labo-
    ratories.

    The TMAP mandates the use of the most expensive drugs on
    the market for the first and second line of treatment for schizo-
    phrenia, bipolar disorder and depression. The drugs chosen by
    the "experts" were predictably manufactured by the same com-
    panies that funded the scheme and include, Zyprexa, Paxil,
    Zoloft, Allerall, Risperdal, Seroqual, Depakote, Prozac, Celexa,
    Wellbutrin, Zyban, Remeron, Serzone, Effexor, and Buspar.

    A couple of years after the original TMAP was in place in
    Texas, another "expert" panel was chosen to formulate the
    TCMAP, a list of drugs to be used on children. The panel basi-
    cally decided that the drugs on the adult list should be used on
    children for the first and second line of treatment for bipolar
    disorder, depression and schizophrenia.

    The expert consensus process has become the standard de-
    vice used for approving drugs for the formularies and it has
    been employed repeatedly between 1996 and 2003.

    Drugs are Dangerous and Ineffective

    For years, the studies that have shown atypicals and SSRIs
    to be ineffective and dangerous have been intentionally ex-
    cluded from the promotional materials released by drug makers,
    and the literature sent to doctors portrayed a totally false ap-
    praisal of the drugs.

    The worst part of this tragedy is that in the end, the new
    generation of "miracle drugs," have not only proven to be ex-
    tremely harmful, they are no more effective then the older,
    cheaper drugs, and the drug companies and the regulatory offi-
    cials knew it.

    As far back as December 2000, a review of 52 studies in-
    volving 12,649 patients published in the British Journal of Psy-
    chiatry reported: "There is no clear evidence that the atypical
    antipsychotics are more effective or better tolerated than con-
    ventional antipsychotics."

    In November 2003, the Journal of the American Medical
    Association reported the results of a study that tracked 309
    schizophrenic patients at seventeen VA hospitals for 12 months.
    Of those 309 patients, 159 received Lilly's Zyprexa, and 150
    took the generic antipsychotic, Haldol. The study monitored
    symptom reduction and adverse effects, along with quality of
    life, patient satisfaction, and costs.

    In the end, the study found no significant advantage to pa-
    tients on Zyprexa in measures of compliance, symptoms, or
    overall quality of life. It determined that neither Zyprexa nor
    Haldol was superior to the other and the only major difference
    was the cost. Zyprexa prices were between $3,000 to $9,000
    more per patient each year than Haldol.

    According to Dr. Stefan Kruszewski, the entire new genera-


    tion of antipsychotics are extremely harmful and substantially
    increase the risk of obesity, diabetes type II, hypertension, car-
    diovascular complications, heart attacks and stroke. "The drug
    makers had this information and simply ignored the problem,"
    he said.

    In September 2003, the FDA directed the makers of all
    atypicals to add a warning to their labels that the drugs can
    cause hyperglycemia, diabetes, and even death. Janssen was
    also instructed to send a letter to health care providers acknowl-
    edging that the company had misled providers by representing
    that Risperdal did not increase the risk of diabetes.

    In fact, Janssen had to admit that the drug probably does
    increase the risk. On July 24, 2004, the Miami Herald reported
    that the "maker of a billion-dollar antipsychotic medication has
    acknowledged misleading doctors and other healthcare provid-
    ers about the safety of its product, minimizing potentially
    deadly side effects."

    "Risperdal is the leading drug used to combat schizophrenia
    ... earning Janssen about $2.1 billion in annual sales," the Her-
    ald noted. "The drug was first marketed about eight years ago,
    and is prescribed to more than 10 million people worldwide."

    Another side effect of atypicals was discovered in a govern-
    ment study released in June 2005, which revealed that patients
    taking the drug Risperdal had a higher incidence of benign tu-
    mors in the pituitary gland. The FDA study was presented on
    June 18, 2005 at a University of Pittsburgh conference. The
    following information describes the methodology and findings
    of this FDA study:

    The researchers analyzed 2.5 million adverse events reported
    by doctors, patients, and individuals since 1968. Of the 307
    reports of pituitary tumors, 64, or 21%, occurred in patients
    taking antipsychotics. Forty-eight reports of pituitary tumors
    were reported in patients taking Risperdal according to the June
    17, 2005 Wall Street Journal. A lead author of the study, Ana
    Szarfman, noted that this kind of study cannot accurately de-
    termine how common "the pituitary tumor side effect may be
    for users of Risperdal and the other atypical antipsychotics be-
    cause, unfortunately, it is well-known that doctors do not report
    all suspected adverse drug reactions to the FDA's MedWatch
    program," the WSJ wrote.

    As of April 2005, the FDA now requires Black Box warn-
    ings about the increased risk of death on the labels of atypical
    drugs such as Zyprexa (Eli Lilly), Risperdal (Janssen), Abilify
    (Bristol-Myers Squibb), Clozril (Novartis), and Geodon
    (Pfizer).

    As for the effectiveness of SSRIs, in June 2005, the Wash-
    ington Post reported that "Despite a dramatic increase in treat-
    ment of psychiatric disorders during the past 10 years, there has
    been no decrease in the rate of suicidal thoughts and behavior
    among adults, according to a federal study primarily funded by
    the National Institute of Mental Health."

    "The study found that although people who attempt suicide
    were far more likely to be treated, especially with antidepres-
    sants in 2001-03 compared to 1990-92, the rates of suicidal
    ideation, gestures and attempts remained basically unchanged,
    according to researchers from Harvard Medical School and
    elsewhere, in their published findings in the Journal of the
    American Medical Association," the Post wrote.

    During the February 2004 FDA hearings on SSRIs, re-
    searchers presented evidence that showed that with children,
    SSRI's were little or no more effective than placebos. Psy-
    chologist David Antonuccio, from the University of Nevada
    Medical School, was part of a team that analyzed 12 studies and
    told the committee, "Our conclusions were that the advantages
    of the antidepressants in children were so small and so trivial as
    to be clinically insignificant."

    "In order to evaluate the cost effectiveness of antidepressant
    use in children, the committee must consider the benefits, as
    well as the risks," Dr. Antonuccio testified. "Clinically mean-
    ingful benefits have not been adequately demonstrated in de-
    pressed children, therefore, no extra risk is warranted."

    "An increased risk of suicidal behavior is certainly not justi-
    fied by these minimal benefits," he said. "Neither are the estab-
    lished increased risks of other commonly reported side effects,
    which include agitation, insomnia, and gastrointestinal prob-
    lems," he added.

    The FDA committee heard from 65 speakers during the
    hearing, many of whom were grieving parents of children who
    had committed or attempted suicide or homicide after being
    placed on SSRIs which led to dramatic behavioral changes.

    Probably the most damning comments regarding SSRIs
    come from one of their inventors, Dr Candace Pert. She worked
    at the NIH for 13 years and was one of the two scientists who
    discovered the serotonin binding process that made SSRIS pos-
    sible, according to DrugAwareness.org.

    "I am alarmed at the monster that Johns Hopkins neuroscien-
    tist Solomon Snyder and I created when we discovered the sim-
    ple binding assay for drug receptors 25 years ago," Dr. Pert
    said, "Prozac and other antidepressant serotonin-receptor-active
    compounds may also cause cardiovascular problems in some
    susceptible people after long-term use, which has become
    common practice despite the lack of safety studies."

    "The public is being misinformed about the precision of
    these selective serotonin-uptake inhibitors when the medical
    profession oversimplifies their action in the brain and ignores
    the body as if it exists merely to carry the head around!" she
    advised. "In short, these molecules of emotion regulate every
    aspect of our physiology. A new paradigm has evolved, with
    implications that life-style changes such as diet and exercise
    can offer profound, safe and natural mood elevation."

    During an interview with Street Spirit in August 2005, in-
    vestigative author Robert Whitaker described the dangers of
    psychiatric drugs. "When you look at the research literature,
    you find a clear pattern of outcomes with all these drugs," he
    said, "you see it with the antipsychotics, the antidepressants, the
    anti-anxiety drugs and the stimulants like Ritalin used to treat
    ADHD."

    "All these drugs may curb a target symptom slightly more
    effectively than a placebo does for a short period of time, say
    six weeks," Whitaker said. However, what "you find with every
    class of these psychiatric drugs is a worsening of the target
    symptom of depression or psychosis or anxiety, over the long
    term, compared to placebo-treated patients."

    "So even on the target symptoms, there's greater chronicity
    and greater severity of symptoms," he reports, "And you see a
    fairly significant percentage of patients where new and more
    severe psychiatric symptoms are triggered by the drug itself."

    But what Whitaker is saying now is nothing new. Uncor-


    rupted medical professionals have tried to warn the public about
    this problem for years. For more than a decade, Dr. Peter Breg-
    gin said, "I have documented in books and scientific reports
    how this stimulation or activation profile can lead to out-of-
    control behavior, including violence."

    "Evidence from many sources confirms that selective sero-
    tonin reuptake inhibitors commonly cause or exacerbate a wide
    range of abnormal mental and behavioral conditions," Dr.
    Breggin reported in the International Journal of Risk & Safety
    in Medicine 16 (2003/2004). "These adverse drug reactions
    include the following overlapping clinical phenomena: a stimu-
    lant profile that ranges from mild agitation to manic psychoses,
    agitated depression, obsessive preoccupations that are alien or
    uncharacteristic of the individual, and akathisia," he said.

    "Each of these reactions can worsen the individual's mental
    condition and can result in suicidality, violence, and other
    forms of extreme abnormal behavior," Dr. Breggin warns.

    So in plain language, this means that rather than correcting
    the illusive "chemical imbalance," these widely prescribed
    drugs themselves disrupt the brain's chemistry.

    Whitaker told Street Spirit that the rate of Americans being
    diagnosed disabled due to mental illness has skyrocketed since
    use of SSRIs began. He reports:

    (1) the number of mentally disabled people in the US has been
    increasing at a rate of 150,000 people per year since 1987;

    (2) that represents an increase of 410 new people per day being
    disabled by mental illness.

    (3) the disability rate has continued to increase and today, one
    in every 50 Americans is disabled by mental illness;

    The statistics above beg the question of how could this hap-
    pen when all the so-called "wonder drugs" flooded the market
    during the same time frame. The truth is, the "wonder drugs"
    are the cause of many of the bizarre behaviors listed by doctors
    to warrant a diagnosis of mental illness disability.

    Whitaker says SSRIs play a dual role in transforming
    healthy people into disabled individuals because an SSRI pa-
    tient often suffers a manic or psychotic episode as a side effect
    of taking the drug; but instead of viewing the adverse reaction
    for what it is, the patient's diagnosis gets changed to bipolar
    disorder or schizophrenia, after which the patient is prescribed
    an antipsychotic, along with the SSRI, in what Whitaker refers
    to as a "drug cocktail."

    The prescribing of a drug cocktail places the patient on a fast
    track to permanent disability and converts the patient into a life-
    long customer of the pharmaceutical-psychiatric-complex.
    Since the first SSRI, Prozac, came on the market in 1987, the
    number of people diagnosed disabled by mental illness in the
    US has gone from 3.3 million to 5.7 million, according to
    Whitaker R, Anatomy of an Epidemic: Psychiatric Drugs and
    the Astonishing Rise of Mental Illness in America; Ethical Hu-
    man Psychol and Psychiatry 2005; 7:23-33.

    In addition to all the other problems with SSRIs, the drugs
    are addictive. In June 2003, Glaxo-SmithKline removed labels
    that said their drug Seroxat was not habit-forming after thou-
    sands of patients claimed they had become addicted to it.

    In October 2004, the FDA ordered Black Box warnings on
    SSRIs for children, and drug makers were instructed to include
    the following in package inserts: "Clinical Worsening and Sui-
    cide Risk: Patients and their families should be encouraged to
    be alert to the emergence of anxiety, agitation, panic attacks,
    insomnia, irritability, hostility, impulsivity, akathisia, hypoma-
    nia, mania, other unusual changes in behavior, worsening of
    depression, and suicidal ideation, especially early during anti-
    depressant treatment and when the dose is adjusted up or down.
    Families and caregivers of patients should be advised to ob-
    serve for the emergence of such symptoms on a day-to-day ba-
    sis, since changes may be abrupt."

    In June 2005, the FDA issued a Public Health Advisory on
    "Suicidality in Adults Being Treated with Antidepressant
    Medications," and said adult patients "should be watched
    closely for worsening of depression and for increased suicidal
    thinking or behavior. Close watching may be especially impor-
    tant early in treatment, or when the dose is changed, either in-
    creased or decreased."

    But the FDA should do more than merely warn the public
    when hidden reports surface involving dangerous drugs. The
    FDA should investigate each and every case and punish the
    drug company officials responsible for causing injury and death
    by allowing dangerous drugs to be sold for the sole purpose of
    increasing profits.

    In September 2005, British regulatory officials instructed
    doctors to never prescribe SSRIs to children without providing
    psychotherapy as well. They were also told to never prescribe
    the medications without trying other alternative drugs first, and
    to not prescribe Effexor or Paxil to children under any condi-
    tion.

    Tim Kendall, a British psychiatrist, led a 2-year analysis of
    both the published and hidden studies on SSRIs and the results
    of the analysis is what motivated UK officials to ban the use of
    Paxil and Effexor by children altogether and to severely restrict
    the use all other SSRIs. The long-term effects of these drugs
    still remain virtually unknown.

    Yard Sale - State Officials Cheap

    Over the last several years, with groups and programs like
    the NFC, TMAP, and TeenScreen, all working together, pharma
    has managed to compromise a whole network of government
    officials all across the US.

    According to Pennsylvania investigator turned whistle-
    blower, Allen Jones, "the pharmaceutical industry has system-
    atically infiltrated the mental health service delivery system of
    this nation." Jones was an Investigator in the Office of Inspec-
    tor General (OIG), Bureau of Special Investigations, when a
    TMAP model was being implemented in PA.

    Jones says TMAP is "part of a large pharmaceutical market-
    ing scheme designed to infiltrate public institutions and influ-
    ence treatment practices." A state's adoption of the program
    requires that all patients coming in contact with state systems
    are to be treated with the listed drugs only, regardless of a pa-
    tient's history of success with other drugs.

    Once the TMAP was set up in Texas, the Johnson & John-
    son foundation provided a $300,000 grant for the sole purpose
    of convincing other states to adopt a TMAP model. To that end,
    Johnson, and many other drug makers, paid for meetings to be


    set up with key state officials, who controlled funding for men-
    tal health services in their respective states, to sell officials on
    adopting a TMAP model.

    As the marketing scheme spread to other states, it was only
    mentioned briefly in the mainstream press. In May 2004, the
    New York Times reported that drug companies were using new
    strategies to capture the Medicaid and Medicare markets that
    involved a "focus on a much smaller group of customers: state
    officials who oversee treatment for many people with serious
    mental illness."

    "Those patients-in mental hospitals, at mental health
    clinics and on Medicaid" the Times wrote, "make states among
    the largest buyers of anti-psychotic drugs."

    On June 27, 2004 another NYT article reported: "In the mid-
    1990s, Pharma developed a new set of marketing techniques for
    dealing with local government officials. A group of drug com-
    pany giants, led by Johnson & Johnson, has worked to convince
    state officials that a new generation of antipsychotic drugs, like
    Risperdal, Zyprexa and Seroquel are superior to older and
    cheaper drugs like Haldol."

    "The marketing campaign has led a growing number of
    states to adopt prescribing guidelines for treating schizophrenia,
    bi-polar and other disorders that make it difficult for doctors to
    prescribe anything other than these very expensive drugs," the
    Times wrote.

    The Pennsylvania Medication Algorithm Project (PennMap),
    was adopted by the Department of Public Welfare (DPW), Of-
    fice of Mental Health and Substance Abuse Services
    (OMHSAS) in 2002, and was fully implemented in January
    2003. In response to a request for an interview, Allen Jones
    provided the details of his investigation into pharma's influence
    on Pennsylvania officials which lead to state's adoption of
    PennMap.

    The shady aspects of program emerged quickly Jones said:
    (1) The recommended drugs were exclusively new, patented
    and expensive; (2) The drugs were selected by expert consensus
    of persons with financial ties to Pharma; and (3) The claims of
    increased efficacy and safety made by the drug companies, and
    State employees getting perks from the companies, was contra-
    dicted by the available science.

    Jones discovered that the drugs mandated by PennMap were
    neither safe nor effective. "The pervasive manipulation of clini-
    cal trials, the non-reporting of negative trials and the cover-up
    of debilitating and deadly side effects, render meaningful in-
    formed consent impossible by persons being treated with these
    drugs," Jones found.

    Though his investigation, Jones determined that the same
    state officials responsible for writing the PennMap guidelines,
    were receiving money from drug companies with a financial
    stake in the outcome.

    When charged with examining the receipt of drug company
    funds by state employees, he "began to look at the overall issue
    of Pharma marketing and immediately became alarmed that
    tactics used in marketing to the private sector were being repli-
    cated with public employees," he said.

    Jones discovered a hidden slush fund account, "into which
    pharmaceutical companies were paying money that was being
    accessed by state employees," Jones said. "They were given
    unrestricted educational grants that were deposited into an off-
    the-books account, unregistered, unmonitored, literally operated
    out of a drawer," he added.

    Jones also "found that various pharmaceutical companies
    were paying state employees directly and also giving them
    perks such as lavish trips, meals, transportation, and honorari-
    ums of up to $2,000 for speaking in their official capacities at
    drug company events," he said.

    "It is illegal for a public employee to accept honorariums
    and to consult with industry without permission, yet it was hap-
    pening openly," he explained.

    Charles Currie, the Deputy Secretary of the Office of Mental
    Health and Substance Abuse Services, in the relevant time
    frame, was appointed by then Governor, Tom Ridge, to a key
    position even though he lacked medical credentials. It was Cur-
    rie who approved the off-the-books account that became the
    basis of the initial OIG investigation, and the receipt of "educa-
    tional grants" intended to promote the TMAP agenda.

    The OIG received reports that pharma sales representatives
    were frequently and openly making gifts of meals and sporting
    event tickets to state officials and state hospitals during Currie's
    tenure.

    The decision to adopt PennMap was made during Currie's
    reign, and shortly after PennMap was implemented, Bush ap-
    pointed Currie to head the Substance Abuse and Mental Health
    Services Agency (SAMHSA), where he worked to further ex-
    pand TMAP. In 2002-2003, SAMHSA had a $500,000 budget
    for the express purpose of aiding TMAP development, Jones
    said. Currie was also appointed to serve on Bush's New Free-
    dom Commission.

    Steven Fiorello was the Director of the Pharmacy Services
    Office of Mental Health and Substance Abuse Services in
    Pennsylvania and quickly became the main target of the Jones
    investigation.

    Fiorello was the Chairman of the Formulary Committee that
    approves or disapproves drugs for the state formulary and de-
    scribes himself as the "Point Man" for any company wishing to
    have their product added to the state formulary.

    In an April 2002 Janssen Drug Company publication, under
    "Faculty Bio," Janssen describes Fiorello as being "responsible
    for the formulation of policies and procedures for drug use for
    ten state hospitals and facilities including the development and
    implementation of the PENNMAP project."

    According to Jones, over time, Fiorello solicited educational
    grants from pharmaceutical companies totaling at least $13,765.
    Part of the money was used to bring Texas official and TMAP
    promoter, Steven Shon, to Pennsylvania to sell the TMAP
    model, and part was spent on trips to New Orleans for Fiorello,
    and OMHSAS Psychiatric Services Manager, Dr. Robert Davis,
    to meet with TMAP promoters and marketing representatives
    from Janssen.

    In late 2001, at Janssen's request, Fiorello traveled to Phila-
    delphia to promote PennMap to a group of community based
    managed care providers, and he also went to Philadelphia an-
    other time as a pharmacy consultant to Janssen.

    On April 17, 2002, Fiorello and Dr. Fredrick Maue, Chief of
    the Clinical Services Division, for the Pennsylvania Department
    of Corrections, gave a presentation on PennMap at a Janssen-
    sponsored event in Hershey, PA.

    Fiorello was paid $2,000 for the presentation, delivered in


    his official state capacity.

    A Janssen sub-contractor, Comprehensive NeuroSciences
    (CNS), arranged the Hershey event for Janssen and a Janssen
    sales representative attended.

    Documents unearthed by Jones in his investigation showed
    that CNS and Janssen personnel actually prepared and reviewed
    Fiorello's materials for the presentation. CNS sent Fiorello
    slides from the previous year to use as a template.

    According to Jones, "The presentation materials gave formu-
    laries, dates, and numbers of state hospital patients involved,
    and clearly tied the Pennsylvania Program to the identical pro-
    gram in Texas." This involvement was in direct violation of
    AMA regulations and FDA Guidelines for Industry, Jones said.

    As another favor to Janssen, Fiorello conducted "retrospec-
    tive analysis" of patient records from the state hospital system.
    He essentially mined the records for information favorable to
    Janssen and compiled a report. He then went to New Orleans to
    present the report to a meeting of pharmacists from all over the
    country with all expenses paid by Janssen.

    During the implementation phase of PennMap, Fiorello also
    gathered data regarding off-label experiments with dosages of
    atypical medications that were higher and/or lower than the
    FDA approved dose listed in the Physician's Desk Reference.
    In addition, he gathered data on the off-label use of medications
    for illnesses which were not FDA approved.

    Fiorello then entered this information into a computerized
    data collection system that was provided, at least in part, by
    pharmaceutical companies, and he later relayed the results
    drawn from patient's records to the drug companies.

    During his investigation, Jones discovered that Pfizer also
    had Fiorello on its payroll. On Pfizer's behalf, Fiorello traveled
    as a consulting pharmacist to Maryland with Pfizer representa-
    tives, where he met with his counterpart in the Maryland De-
    partment of Mental Health to discuss the implementation of a
    TMAP model in Maryland.

    Fiorello also traveled to Pfizer's world headquarters in Man-
    hattan 3 times to participate on an "advisory council" with all
    expenses paid for by Pfizer, including lodging at Manhattan's
    Millennium Hotel. Fiorello was paid an honorarium of $1,000
    for attending each advisory council meeting.

    Another key official, Robert Davis, MD, was the Psychiatric
    Physician Manager of the Pennsylvania Medical Services Divi-
    sion of the OMHSAS. Janssen paid all expenses for Davis to
    attend two functions in New Orleans with Fiorello.

    Davis also attended dinner meetings with Fiorello and
    Janssen representative and participated in Fiorello's analysis of
    patient data, the formulation of the "study report," and the dis-
    semination of information to drug companies.

    Information Jones provided to his superior in the OIG
    clearly established that state employees were experimenting on
    mental health patients and reporting the results to drug compa-
    nies, yet Jones was not permitted to question Davis about his
    pharma affiliations or his role in data gathering and its trans-
    mission to drug companies.

    Another key official, Steven Karp, was the Medical Director
    for the Office of Mental Health and Substance Abuse Services
    within the Pennsylvania Department of Public Welfare. Karp
    was recruited from private industry by Charles Currie and was a
    supervisory level above Fiorello.

    According to Jones, Karp knew about Fiorello's association
    with Janssen, his gathering of patient information, and the dis-
    semination of that information to drug companies.

    While in the private sector, Karp often gave presentations
    for drug companies for which he received honorariums and paid
    expenses. In 2000, he was appointed to an advisory board for
    the publication known as Mental Health Issues Today (MHIT).

    The Parexel International Corporation is a pharma front
    group and has a contract with Janssen to produce the MHIT
    publication, which means Janssen funnels money to the corpo-
    ration and Parexel writes the checks, Jones discovered.

    As an advisory board member, Karp was invited, at Par-
    exel's expense, to attend periodic board meetings. On June 23-
    25, 2001 he attended a meeting at the Mayflower Park Hotel in
    Seattle, Washington and using Parexel as a funnel, Janssen pro-
    vided airfare, lodging and sustenance as well as reimbursing
    Karp for his expenses in getting to the airport.

    On November 17-19, 2002, Karp attended a meeting at the
    Hyatt Regency in Tampa, Florida, again with Janssen covering
    his expenses via Parexel, and in June or July of 2002, Karp at-
    tended a meeting in Chicago with all expenses paid by Janssen,
    via Parexel.

    A list of attendees at these events reveals a membership
    comprised almost exclusively of state mental health directors,
    Jones reports.

    As a result of his participation in these meetings, Karp was
    quoted in articles published in Mental Health Issues Today, and
    achieved a degree of notoriety in his profession. Janssen, via
    Parexel, funded the publication and the distribution of the arti-
    cles.

    Karp belongs to the National Association of State Mental
    Health Program Directors (NASMHPD) along with Steven
    Shon, and NFC chairman Michael Hogan. The growth of this
    organization coincides with the development of TMAP, and it
    has been heavily subsidized by pharma.

    The NASMHPD sought and accepted grants from pharma to
    fund its conferences and publications, and its membership in-
    cludes directors from all states that have adopted a TMAP
    model.

    His superiors in the OIG severely restricted the scope of
    questions that Jones was permitted to ask Karp. He was forbid-
    den to ask Karp about his knowledge of drug treatment in the
    corrections system or pharma's involvement with state employ-
    ees, other than Fiorello.

    The same went for the Chief of the Clinical Services Divi-
    sion for the Department of Corrections, Fredrick Maue, who
    was Karp's counterpart in the Department of Corrections.

    In April of 2002, Maue made three presentations at Janssen-
    funded events sponsored by Janssen's contractor CNS, includ-
    ing one with Fiorello, and two more in Sacramento, California
    and Orlando, Florida. According to CNS, Maue received a
    $2,000 honorarium plus all expenses for each of the presenta-
    tions.

    After receiving Fiorello's presentation materials, Jones knew
    that he could obtain similar materials to document pharma ties
    to Maue's presentations.

    He advised his superiors, "that the Maue presentation mate-
    rials would give us a clear picture of the scope of the drug pro-
    ject within the state prison system" and that he could obtain the


    materials from the same source that provided the Fiorello mate-
    rials.

    Jones was ordered not to investigate the pharma money trail
    to Maue. In fact, despite the evidence of corruption involving
    many state officials, the

  • AnneW
    AnneW Member Posts: 4,050
    edited December 2009

    A very complex article, Blundin. Thanks. I learned alot. (But I think I hear the thundering herd from the right getting ready to storm in...) The last part, about the FDA, was the most telling. Indeed, thank god for whistleblowers...

    Anne

  • iodine
    iodine Member Posts: 4,289
    edited December 2009

    (gulp) (burp) excuse me, I have to go throw up. 

    Why didn't my dh get any of those offers???  Hell, he could have stayed in practice and I'd have the house to myself again!!! 

    If the right comes in, so be it.  I honestly don't think it was all Bush, and I firmly believe it continues.

  • Blundin2005
    Blundin2005 Member Posts: 1,167
    edited December 2009

    Tish, no this isn't a Bush bash....or even R or right bash....the names listed are across the board.   Our nature is to make it easy to identify problems with labels, to make order out of the chaos when what we really need is to be willing to say when the Emperor (or Queen) Wears No Clothes.

    I agree Iodine that this continues and has been the case for who knows how long.  In my younger days when I first went to work at the hospital (early 80's) and held the profession to the highest admiration, I thought that they all worked to save lives.  In fact, I found many that did and this kept me there.  Naive as I was, I soon learned that I had much to learn.  One of the docs educated me to how the NIH worked...priorities weren't driven by need in a political environment.  I was shocked!  Research papers were driven by publish or die mentality and the substance often lacked....and the ol' boy network churned what was necessary to survive.  Now it's the ol' boy and ol' girl network as women achieved rights in the work force.... because I don't see much change of ethics with the entrance.

     I found the link for the BBC Nobel interviews... http://www.youtube.com/watch?v=m5ZFFbn0yi4&feature=related   

    or google Nobel winners 2009 BBC ... there's a list of you tube to choose from.  

  • vivre
    vivre Member Posts: 2,167
    edited December 2009

    When in doubt, bash Bush of course. Honestly, do you people not see the whole picture? This is not about one party. This is about a government bureaucracy that has run amok. The FDA use to be there to protect us, but it has been increasingly corrupted by the fact that it is funded by big Pharma. They have the money to throw at ALL the political parties to get their way. The current administration and the previous administrations are just as compliant. Why do you think drug companies are now supporting obamacare? It is because they have made deals with the politicians to keep their drugs flowing. And the former head of Monsanto, the company that brings us GMO seeds and also makes the chemicals that kill us, was appointed head of the FDA by Obama. Talk about the fox guarding the hen house.

    http://www.organicconsumers.org/articles/article_18866.cfm

    The fact is we are all in this together. This is not about one party and I am sick of people blaming the GOP for everything. This is strickly politics as usual. All of Washington is bought and sold by lobbyists and we little guys are left out. Our only hope is to demand that we not be subjected to the status quo. We need to speak up and tell them we will not follow standard protocols that are heavy on drug use and go back to the simple things that our grandmothers used that were just as effective. We need to demand that we get all of the hormones out of our dairy products and that GMO crops are exposed for the health hazard that they are, not forced on third world nations by a company that has already tainted American crops. We do not have to agree on our politicians but we do need to agree that both parties need to be forced to start paying attention to the public good and not their political futures. Too bad we do not have term limits. Then they would all be forced to just make decisions based on their conscience and not on the worry that their votes will hurt their reelections. But of course, since the pols make the rules, we have no hope of that.

    Here is an example of how they play both sides of the fence. Remember that T Boone Pickens guy who was all over the news promoting his Wind Energy. Well, wind sounds like a great way to produce power, but the problem is, once you produce the power, there is no infrastructure to send that power to the areas that need it. So Pickens was hoping that his company would make millions making these wind turbines but he knew he could not sell them if they would not be able to be used by major metro areas. He never admitted any party affiliation because he was hoping to get the taxpayer to lay all the new power lines needed instead of his company, the way com ed does. So he would make a fortune. He had both sides of the aisle eating up his propaganda. So don't for one minute think that any one party will make a difference. The only ones who can make a difference are US. We need to speak out, and demand better care. Just as I stood up to my doctor and told him I refuse to have any more mammos, when he would not even look at my three therms, more women need to demand better tools than mammograms. Just as I told my doctors that I will not take some damn drug for the rest of my life and found natural solutions that lower my risk more than their pills, we all need to do our homework and stop believing all the BS that drug companies brainwash doctors with. WE need to be the voices that speak out. We are not very loud as individuals but we sure can be heard en masse. That is why we do need an movement, and I am hellbent on starting one. And I do not care who the powers in DC are I will blast them all. In fact, I have already given my GOP congresswoman a piece of my mind on her "support" of Komen, who I think is a company that is promoting awarness as a profit since it was started with the help of big pharma and the whole mammo industry. Komen makes billions and not a cent goes to prevention.

    One more issue is CODEX. (you will like this one Iodine). This is the EU version of the FDA. They were recently lobbied by the FDA to eliminate iodine, professing that it is an unsafe substance and used to make meth (what isn't?). The FDA knows that there are too many compounding pharmacies in the US who will fight to keep iodine legal so they convinced the EU to outlaw it first. Then they can say that Europe has deemed it is dangerous, so we need to outlaw it here. It is infuriating. The only reason they want to get rid of iodine is because it is a cheap alternative that prevents all kinds of diseases, including breast cancer, so they can sell more expensive drugs. As an iodine user, I can attest that it has made a huge difference in my health. Remember how our grandmothers would just put iodine on our scrapes to stop infection? Try finding a bottle of this stuff now. It is impossible. But you sure can find a lot of expensive "antibiotic" ointments that have replaced the cheap, and just as effective, iodine.

    Imagine how the costs of medicine would go down, if we could have access to all these cheap alternatives. I can buy a whole years supply of iodine for the cost of one month of arimidex. And it energizes me instead of makes me feel like I am 90.

    This is not about one party, this is about one people.

  • iodine
    iodine Member Posts: 4,289
    edited December 2009

    Ohhhhh, noooooo, like Mr. Bob, big FARMA is trying to get rid of Meeeee!!  LOL

    BTW, iodine taken internally is energising because it messes with your thyroid.  Might want to be careful with that.

    And the states refusing free mammos to poor women---just the second step to taking them from the rest of us.  You will see remarks in the near future that only the rich can have mammos so we need to take them away so care will become equal and "fair".  I guess since all MEN are created equal, we gals must become "equal" too.  LOL

    No, it's not a party thing.  At least as far as we are concerned.  But the pols in DC make Everything a political thing.  It gets them more face time on TV which helps them look good (?)or at least like they are doing Something) to their voters and as you know, Everything has to do with getting reelected!  They don't have time to take care of the nation's business because they are too busy getting reelected to then begin on working for the next election.

    The only choice we have: vote the suckers out!  I  began a few years ago to never vote for an incumbant.

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