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[ Home ] [ Up ] [ Misinformation About Pan ] [ Drug Reactions ] [ Lost Health Freedom ] [ Alternative Medicine Inquiry ] [ The Pan Crisis, The Codex, & the TGA ] [ Codex in Australia ] [ Modern Medicine & Codex ]
Modern Medicine & the Urgent Need for Codex & Alternative
Medicine
Global Trends in Health Care
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When health is too expensive and sickness is too profitable –
scientific medicine reaches a state of ‘diminishing returns’
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Modern
scientific medical tests and treatments are becoming so expensive, in more
ways than one, that they are becoming increasingly unaffordable (1,2,3,4,5;
see also Medical Rationing). On an
individual level medical treatments are increasingly being priced out of
the range of the lower socioeconomic groups and public health authorities
around the world are moving to reduce total health expenditure by
rationing or restricting medical resources (see Medical
Rationing). The growth of medical costs
is quite simply unsustainable and authorities agree that urgent action is
required (1,2,3,4,5;
see also Medical Rationing).
The reason for
these escalating costs and their impact upon the future sustainability of
modern scientific biomedicine have recently been studied in detail in a
comprehensive study by Hallam (6). Hallam points out that health expenditure has doubled across
OECD countries from 1960-1998 (7). According to Hallam modern health care
is in crisis and the dominance of medicine (7)
"is increasingly
being contested" due to "the
relative and increasing ineffectiveness of health care interventions.”
Hallam
describes modern medicine as being in a state of “diminishing returns”
(7):
| “Beyond cases
where more medical care is necessary, evidence suggests that the
biomedical model of health is in a state of diminishing returns –
whereby less and less is achieved through more and more health care.”
|
There is an
amazing paradox here. If, as we are often told, medical treatments are
becoming more and more effective, how is this explosion of costs possible?
If treatments are increasingly effective then of course there should be
less and less need for such treatments. While some increase in costs may
be expected because of more expensive treatments for trauma cases, on the
whole medical costs are increasing because they are ineffective (8;
see also Health Trends, Medical
Rationing, But What About
Efficacy?, Science Today Quackery Tomorrow,
Science or Progress?, Darwinian Medicine). In
other words, health outcomes are not being improved in proportion to
increased health spending.
According to
Hallam (7), statistical data pertaining to life expectancy and infant
mortality “demonstrates that there is not a clear relationship between
increased health expenditure and improved health outcomes.” Hallam
asserts (7)
"we are reaching the limits of what biomedicine can deliver
for improved health.”
In further
confirmation of this assessment Hallam points out (7) that new and
incurable diseases are emerging and “old infectious diseases, including
tuberculosis, cholera, malaria, and diphtheria are making a worldwide
comeback.” But Hallem goes even further, pointing out not only the
ineffectiveness of modern medicine, but also its harmful or iatrogenic
capacity (7).
This agrees
with other recent research indicating that increasing the number of
doctors results in increased mortality (9;
see also Codex and the Pan Crisis).
Although
chronic ill health is spiralling out of control (see Health
Trends, But What About
Efficacy?) and
more and more expensive but non-curative symptom controlling treatments
are required (see Symptom
Suppression), now it is increasingly being realized that these expensive
treatments may often be more hazardous than beneficial (see Holistic
Medicine Sets the Standard for Safety,
Science or Progress?, Darwinian Medicine).
Since
our
health care experts have long been more or less satisfied with this
situation, changes are now being driven predominantly by politicians and
economists and those responsible for administering health expenditure (see
Medical
Rationing). The
costs, in terms of suffering and chronic ill health it seems, have always
been acceptable since this has created extremely lucrative pharmaceutical
and para-medical industries. Sooner or later however, someone must pay.
Modern medical
science it seems, has created an enormous money guzzling monster which
will consume entire countries if left to proceed on its relentless march.
While suffering and ill health continues unchecked, politicians,
bureaucrats, and economists have nevertheless joined forces to restrict
the availability of medical resources to the sick, particularly those in
greatest need of expensive treatments (see Medical
Rationing).
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Causes of the Costly Failure of Medicine
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Hallem (7)
acknowledges “claims that the successes and prowess of the medical
model, relative to other models, are greatly exaggerated.” Hallem (7)
points out that declining mortality rates and improvements in public
health have generally been due to improvements in nutrition, agriculture
and sanitation (although doctors now say, as a result of the “Hygiene
Hypothesis”, that we are too clean) rather than medical
interventions. Even when it comes to infectious diseases, with the
exception of diphtheria, death rates were declining before the
development of vaccines and antibiotics (7). More recently, reductions in
diseases like lung cancer have been linked to social reforms such as
anti-smoking campaigns rather than modern high tech medical treatments (7),
a fact which further confirms the importance of sociological and lifestyle
factors (7).
The
ineffectiveness of modern high tech medical treatments is not surprising
given the fact that many treatments are not properly evaluated and have little or no
solid physiological or scientific basis (7,10,11), a fact which I have pointed
out elsewhere (see Science Today Quackery Tomorrow,
Medical Bias, Darwinian
Medicine). According to Hallem (7):
| “there is
increasing evidence from the international research community that a
significant proportion of health care activity is not only ineffective and
inefficient but also inexplicable, and in many cases unevaluated.”
|
Not only are
they unevaluated, but furthermore, many people in the pharmaco-medical
industry, and also the media, seem to have made a career out of ways of
deceiving the public about the effectiveness of modern medical treatments
(see Medical Bias, Health
Trends).
The deceit industry of course, has survived, flourished, and
reached its current degree of complexity, simply because it was considered
necessary to ensure the profitability and dominance of modern medicine.
The truth was clearly seen to pose a significant and costly threat.
The precise
reasons why scientific medicine has been such an expensive failure are
well known, and since I have dealt with these reasons elsewhere (see Holistic
or Reductionist?, Orthodox Medicine, Darwinian
Medicine, Science Today Quackery Tomorrow, Nutrition
and Megavitamins ) I
will simply list the main points here.
- Symptom
or outcome based, not cause based – in other words medicine is
concerned primarily with the patient’s awareness of the disease and
not the underlying cause.
- Interventionist
and not vitalistic – the doctor seeks to actively intervene to
‘fix’ the patient and is unconcerned about supportive treatments
which maximize the patient’s own healing and preventative
mechanisms.
- Medicine
is based upon disease and an admission of failure rather than being
based upon health and disease prevention – since scientific medicine
is not concerned with optimum health and resistance to disease doctors
must wait until a diagnosable disease appears before they can
intervene.
- Medicine’s
reductionist philosophy provides a tunnel vision distorted piecemeal
view of reality which dismisses the whole picture as unimportant.
- Medicine’s
preference for toxic drugs and invasive procedures and rejection of
nutrition and natural therapies has created a community
dependence upon drugs and an entirely new class of diseases, namely,
iatrogenic diseases.
- Modern
scientific medicine is based upon the view that limited short term
“clinical trials” are more important than real life trials
conducted throughout the world for generations.
- High
tech scientific medicine encourages gadgetry and technology and an
obsession with profits but is
very weak when it comes to caring and compassion.
In view of
these facts it is hardly surprising that many are very pessimistic
regarding the future of health care as it is presently constructed.
According to Wulff for instance (12):
| “Anybody who
follows the development of medicine will know that progress continues in a
large number of fields, but at the same time it is impossible to suppress
the suspicion that the major health problems of the day cannot be solved
within the conventional framework of ideas.”
|
The reader
should note the fact that the construction of an artificial restrictive
“conventional framework of ideas” is proof in itself of the dangerous
intellectual rigidity which has been created by the development of
reductionism and the rejection of holism.
Similar
pessimism has also been expressed by Saltman (13):
| “whilst
everyone talks and searches for the ‘cure to end all cures’, the
prospects are not good. The number of diseases without definitive cures is
increasing daily.”
|
But one has
need to be pessimistic when medicine seems eternally confined within the
considerable constraints of reductionist thought (7):
| "the biomedical model places limited
importance on complex causal relationships, and instead adopts a
reductionist approach by focusing on the availability of
professional and increasingly technological medical care. Over
time, this bias has led biomedicine to overly credit itself with
the general improvements in health and the declining mortality
rates evidenced from the eighteenth century onwards in Western
societies. The reality is not as clear cut. While the introduction
of vaccinations for diseases such as diphtheria made a key
difference to morbidity rates, biomedicine's greatest achievements
can, in many ways, be seen more as political and economic." |
As is so aptly
emphasised by Hallem (7,15),
medicine's reductionist mechanistic philosophy simply does not embrace
all those factors which impact upon human health and therefore, unless
there is a considerable broadening of the limitations of medicine and/or
the adoption of alternative health paradigms, optimal health outcomes
could not be reasonably expected in the future.
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Medicine did
not become dominant because of the relative ‘safety’ and
‘efficacy’ of its treatments or its alleged scientific basis, but
rather because it was more effectively ‘sold’ to the community at
large, and politicians in particular (14). Although the advent of
reductionism and the development of medicine’s mechanistic view of
disease tended to justify quite conveniently claims that medicine had a
more scientific basis than any competing paradigm (14), in reality the
scientific basis of medicine is merely an illusion (see
Science Today Quackery Tomorrow, Medical
Bias, Darwinian Medicine, Holistic
or Reductionist?, Orthodox Medicine, Integrated
Medicine, Nutrition and Megavitamins). As
has been noted by Roger Williams (34), "when science becomes
orthodoxy, it ceases to be science."
The abandonment of
nutrition and the creation of widespread community drug dependence and an
epidemic of iatrogenic diseases clearly has more to do with commercial
interests than science. The epidemic nature and long history of all forms
of medical bias (see Medical
Bias), the intent of which is to mislead and deceive, also has
little to do with science. What medicine has done is to sell itself,
flawed as it is, far more effectively than any competing paradigm. The
concepts of modern medicine have been sold so effectively that today it is
considered quite normal to ingest several toxic drugs daily, thousands of
deaths annually from prescription drugs being considered quite normal, while on the
other hand innocuous vitamins and dietary supplements are frequently
considered dangerous. It would be difficult indeed to depart much further
from science, reason, and common sense.
While
developments in microbiology served to encourage the perception that the
entire practice of medicine had a solid scientific basis, the eventual dominance of medicine was achieved
primarily by influencing legislators, philanthropic organizations, and
educational facilities (14,20,21,), tactics which are still popular today. In the
words of Hallem (14):
| “it is also
abundantly clear that biomedicine’s dominant position in the health care
field reflects the long political process by which it was imbued with
social and cultural significance. Indeed, the history of medicine through
the eighteenth, nineteenth and twentieth centuries makes it clear that if
it were not for the extensive political manoeuvring by the profession in
accordance with its own visions and goals, it is extremely doubtful
whether biomedicine would occupy the position it does today."
|
Hallem
continues (14):
| “Beyond
arguably its demonstrable success, biomedicine thus ultimately became
dominant because it created and systematically defended its position in
the health care market by aligning itself with political and social elites
and destabilizing other traditions”……..”even though biomedicine
had asserted its dominance over health care by the 1930s, it continued to
use its political and social influence to marginalize other models of
health.” |
Hallem concludes (15):
| "There was nothing inevitable about the
dominance of the biomedical model. It only became dominant after
biomedicine became linked with capitalist infrastructure early in
the twentieth century. This was achieved after very calculated
reforms to medical education and research that promoted investment
from conservative industrialists, such as Rockefeller...........large
scale investment enabled the biomedical model to establish a
virtual monopoly in developed nations within a few decades." |
Medicine became dominant not entirely because of
the zeal with which the influence of social and political elites was
utilised to promote it, but also because of their relentless attempts to
outlaw and (14)
"marginalise other models of health". It is this process
of outlawing opposing paradigms which is particularly relevant today given
current moves to reassert medicine's dominance over increasingly popular
alternative medicine (see Alternative Medicine
Takeover).
Tactics used to eliminate competing alternative health paradigms
include (14,15,16),
"subordination", "incorporation",
"limitation", "exclusion",
and "reformulation." Hallem
describes tactics employed by the Australian Medical Association to
"marginalise" alternative practitioners (16):
| "These tactics include exclusion,
reformulation and incorporation. Exclusion is a strategy of
occupational closure that seeks to keep alternative practitioners
out of the health care market by defining them as 'menacing and
dishonest'. Reformulation is an attempt to broaden medicine to
account for social and environmental factors while still seeking
to achieve occupational closure through 'sound science'.
Incorporation, in turn, involves embracing the practice of some
alternative therapies by conventional medical practitioners." |
The extent to which medical authorities realised that dominance could
never be achieved by efficacy and science is further highlighted by
another tactic which was considered necessary, namely, the (7)
"medicalisation of life". Closely associated with (7)
"disease mongering" or inventing of new diseases (17),
the (7)
"central argument" is to make medicine a (7)
"major institution of social control" by (7)
"making the labels of 'healthy' and 'unhealthy' applicable to more
and more aspects of human existence." As a result of this process
(7)
"everyday problems that people have traditionally dealt with through
natural, social, community and personal activities have been 'colonised'
by medical professionals." Hallam
lists the following two factors which have contributed significantly to
the medicalisation of life (7):
| "First, the medical profession has been
allowed by the state to 'manufacture' increased demand for
existing services"......."Second, the profession has, in
conjunction with drug and medical equipment manufacturers, been
able to 'manufacture' demand for new services through re-defining
conditions as illnesses and through creating new areas for testing
and therapeutic intervention. The expansion of definitions of
health and ill-health in the field of human genetics today
constitutes one of the most prominent examples of the
medicalisation of life." |
Hallem further cites the case of
pregnancy and childbirth which, although normal bodily functions, have
been successfully medicalised ,
even in spite of the fact that initially midwifery had much superior
results to doctors in producing healthy births (14). Since
the dominance of medicine has more to do with propaganda and political
support rather than scientific facts, efficacy, and laboratory research,
it is clear that the media has played a fundamental role in elevating
medicine to its current position of dominance (7,18).
Traditionally the media has encouraged an inaccurate and favourably biased
view of modern medicine by a deliberate preference to publicise favourable
items and suppress or downplay any news which might show medicine in a bad
light (7;
see also Medical Bias).
We can see an excellent recent example of this media disinterest in truth
from the recent Pan fiasco where the mainstream media generally replaced
truth and scientific evidence with sensationalism and exaggerations (see Pan
Crisis, Alternative Medicine Inquiry). It
is hardly surprising that journalists have been accused of (19) "retailing
science and medicine more than investigating them." The fact that
people generally have (9)
"an erroneous and exaggerated belief in the efficacy of modern
medicine" is testament to the persistent misdeeds of our
educators, those in the media, and others who influence public
opinion.
When it comes to the current
crisis between alternative medicine and orthodox medicine, it is clear that the battle will not be fought in the
laboratory - and it will not be won in the laboratory. The battle will be
fought in the court of public opinion, with the assistance of politicians,
because medical authorities know from experience they can never obtain the
dominance they seek by laboratory research and scientific evidence. They
are dependent upon the type of distortions and sensationalism which were
employed during the Pan crisis (see Pan Crisis, Alternative
Medicine Inquiry).
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The Future of Health Care and Genomics
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It is clear
that the continued dominance of modern scientific medicine in its current form, due to its lack of efficacy, cost and
iatrogenic potential, is not in the best interests of public health. The
push for dramatic health care reforms is accelerating as it is realized
that (22) “society has overestimated the effectiveness of the
biomedical approach, and simultaneously underestimated its limitations.”
According to Hallam (7)
"systems of health
oriented around individualistic, curative interventions and the
commercial interests associated with medicalisation appear
increasingly inequitable, undesirable, ineffective, and
economically unsustainable" and therefore "there is decreasing
functional justification for the continued dominance of
biomedicine in its current form."
While the
accuracy and general thrust of the above assessment is beyond question,
any suggestion that modern medicine’s interventions are generally “curative”
is totally inconsistent with
the “ineffective” nature of modern medicine.
While the
urgent need for fundamental change to modern health care is abundantly
clear from a public health perspective or from the point of view of
efficacy and safety, the huge commercial and political interests involved
in health care are contrary to the public interest and serve to protect
and maintain the current technological profit based system of medicine (15).
To politicians, economists and pharmaceutical companies of course, the
most “effective” health care system is one which generates profit and
stimulates the economy. If the increasing financial burden of health care
can be transferred from governments and public authorities to patients and
private insurance companies then the present profit based system may be
seen as ideal by those with vested interests. Patients of course, will
simply be told they must pay for all the wonderful new medical technology. From this perspective of course, effective curative
therapies would be seen as a threat to the global economy.
As has been
noted by Hallam (23):
| “Despite
the momentum to build a broader model of health and to work
towards more of a balance between primary and acute care,
governments are highly unlikely to be supportive to the extent
that may be warranted from a public interest perspective. The
influential transnational capitalist class is an important part of
this dynamic. They are primarily interested in advancing the
global economy and powerful multinational interests, including
those associated with the biomedical model.” |
It is clear
that health care reforms are linked more to profits and the global economy
than they are to caring, compassion, and public health considerations.
Increasingly, minimizing costs and maximizing financial gain are the
yardsticks by which efficacy of health care is determined. Bearing these
facts in mind, and remembering the state of diminishing returns of modern
medicine, successful reforms to our current health care system are likely
to be profit driven, but increasingly funded by patients and private
insurance companies. Two areas which are seen as holding considerable
potential for the continuing commercialisation of medicine are alternative medicine and genetics.
The potential
of alternative medicine is clear for three fundamental reasons.
- A
huge market is already established and profits may be guaranteed with
a few legislative changes.
- There
is increasing scientific and anecdotal evidence of efficacy.
- The
safety profile of alternative medicines makes possible considerable
cost savings from litigation and medical insurance.
When it comes
to the marketing of alternative medicines one of the primary impediments
for drug companies has been the universal and unrestricted availability of
these products in plants, health food shops, and over the counter
medicines. However, with the development of Codex and global moves to
takeover the alternative medicine industry (see
Alternative Medicine Takeover, Codex
in Australia, The Codex and the Pan Crisis) this ‘problem’ is well
on the way to being solved. Meanwhile, the medical profession is already
moving to take the high ground in the alternative medicine debate by
dispensing advice on diet and supplements and publicly acknowledging the
link between diet, nutrition, and chronic diseases (see Health
News and Links). Such topics of course,
traditionally the forté of alternative medicine, were regarded as quackery
by mainstream medicine only a few years ago (see Nutrition
is for the Birds, Science Today, Quackery
Tomorrow). There is clearly some concern
in medical circles that medicine may soon find its dominance seriously
challenged unless it can quickly incorporate these traditional teachings
of naturopathy and natural therapies within mainstream medicine.
Other experts
believe however, that the rapidly expanding field of human genomics will
permit medicine to reassert its dominance (6,15). Unlike the holistic all
embracing nature of alternative medicine, which is fundamentally at odds
with medicine’s reductionist philosophy (see Holistic
or Reductionist?), the essentially reductionist
nature of genomics is entirely consistent with the intellectual rigidity
and restrictiveness of medical reductionism. For this reason it would
undoubtedly be more popular with those who see holistic alternatives as
involving an unacceptable and unworkable shift in philosophy. Genomics may
permit medicine to reassert its dominance without challenging its
restrictive, mechanistic underlying philosophy. But do we simply require
more hospitals, more doctors, and more drugs, or is a fundamental change
of direction necessary?
Hallam
emphasizes the limitations of our current approach to health care (15):
| “Diminishing
returns from the biomedical model points to a need to broaden the
model’s base to more meaningfully incorporate elements from
other or alternate traditions that reflect the multidimensional
nature of health. While often stereotyped or stigmatized as a
fringe movement, the popularity of other traditions has grown to
the point where the term ‘alternative’ no longer realistically
applies. Such traditions reject the simplistic reductionism
inherent within the biomedical model, and instead endorse a
holistic approach that incorporates environmental, economic and
social factors related to improved living standards and, by
association, better health outcomes.” |
Of course to
attempt to “incorporate” the holistic practices of alternative
medicine within the reductionist framework of modern medicine will be an
exercise in futility. This will lead for instance, to the processing,
purifying and standardizing of herbs to produce potent drugs – simply
because the “whole” is considered unimportant (see Holistic
Medicine: From Alternative to Mainstream?). This is a mistake which
has already been made repeatedly with both natural medicines as well as
foods. Alternative medicine is
safe and effective because it is holistic – a lesson which frequently
remains unlearned. Throughout history, the reduction or ‘purification’
of herbs and natural medicines has been associated with toxicity and
iatrogenic diseases – all because man ignored the importance of holism
or the big picture (see Holistic or Reductionist?).
The most
significant factor for alternative medicine in its current struggle for
survival however, is the substantial ties which exist between modern
medicine, drug companies and regulators, capitalism, globalisation and politics (6,15,24,25,26,27,28,29,30,31,32,33,35,36). These forces tend to
ensure that our health care system will continue to be shaped
predominantly by financial considerations rather than efficacy and safety
(6,15). Although
the diminishing returns and increased costs of modern medicine will
continue to cause dissatisfaction, it will continue to prevail over the
alternatives, even allowing for the fact that medicine will be forced to
superficially incorporate some alternatives within mainstream medicine in
order to create an appearance that it is becoming more cause based and
preventative..
According to
Hallam (15):
| "The local and global ascendancy of the GM
model of health, replete with its underlying scientific and social
biases and thinly veiled commercial core, diminishes the
likelihood of the biomedical model being seriously challenged in
the foreseeable future"............"The genomic revolution in health will exacerbate the problems
of escalating costs and diminishing returns that characterise
health care systems in industrialised countries." |
Modern medicine it seems, will continue to be shaped
predominantly by commercial considerations. The fact that the genomic
revolution is entirely consistent with medicine's reductionist and
commercial basis obviously favours continuing developments in this area.
For those who wish to 'sell' medicine and 'health care', genomics no doubt
promises a very secure and profitable future, even in spite of the fact
that current developments in genomics are (6)
"not particularly noteworthy" and merely serve to
indicate how much money is spent on genetic research (6).
But as the failings of medicine are increasingly accepted attempts to
discover the cause and cure for many diseases will be increasingly
abandoned as experts in genomics promise a future where humans are
redesigned and made to order (37,38,39,40,41).
As medicine continues to fail doctors may even be 'forced' to prescribe
new drugs (42,43). At
the same time however, for those who are driven by dollars rather than
caring and compassion it must be tempting indeed to somehow incorporate the most
profitable aspects of alternative medicine within medicine's reductionist
framework. If natural medicines can be standardised and concentrated into
commercially exploitable and potent new toxic drugs, and if consumers can
be convinced that these new drugs are 'natural medicines' which are safer
than, and superior to, the original natural products, then enormous
profits may be possible. And if scientists can at last unlock what they
perceive to be the health promoting 'secrets' of natural foods and enable
pharmaceutical companies to isolate and sell these 'magic ingredients'
then marketing of such nutrients could also be converted into an extremely lucrative
pharmaceutical industry. However, politicians must first give the
pharmaceutical industry the legislative power to exploit and monopolise
these markets. Health care is big business. This will
not change as long as health care continues to be shaped by vested
interests and their political servants. Only when health care is shaped
predominantly by those whose only vested interest is health outcomes (ie
patients) can we realistically expect to see consistent and progressive
improvements in the standard, quality and outcome of modern health care.
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Links and References
1. http://www.marketwatch.com/news/story.asp?guid=%7BEBEF918A-1D3
See: Kristen
Gerencher, Health-care costs demand attention,
Study warns system is fragile, spending unsustainable, Market
Watch, San Francisco, 17th Feb 2005.
2. http://mediresource.sympatico.ca/channel_health_news_detail.asp?channel_
See: Dennis Bueckert, Health-care system
unsustainable in current form, Seniors'
Health News, Canadian Press, 10th March 2004.
3. http://smh.com.au/articles/2005/04/19/1113854169255.html
See: Better technology pushes up health costs, Sydney Morning Herald,
19th April 2005.
4. http://tvnz.co.nz/view/news_politics_story_skin/453142%3fformat=html
See: Health Cost Unsustainable, TVNZ, 14th Oct 2004.
5. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&
See: Mundinger MO, Thomas E, Smolowitz J, Honig J., Essential health care:
affordable for all?, Nurs Econ.
2004 Sep-Oct;22(5):239-44, 227.
6. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040812.114745/
See: Hallam, Adrienne Louise, Globalisation, Human Genomic Research and
the Shaping of Health: An Australian Perspective, Australian Digital
Theses Program, Griffith University, 2003.
7. http://www4.gu.edu.au:8080/adt-root/uploads/approved/adt-QGU20040812.
See: Hallam, Adrienne Louise, A Biomedical Critique, Chapter 3 in Globalisation,
Human Genomic Research and the Shaping of Health: An Australian
Perspective, Australian Digital Theses Program, Griffith University,
2003.
8. http://bmei.org/jbem/volume3/num1/terrell_medical_efficacy_and_medical_ethi
See: Hilton P. Terrell, Medical Efficacy and Medical Ethics, Journal of
Biblical Ethics in Medicine, Vol 3, No 1, 2003.
9. http://www.buseco.monash.edu.au/centres/che/pubs/wp137.pdf
See: Richardson, J., Peacock, S., Will More Doctors Increase or
Decrease Death Rates? An econometric analysis of Australian mortality
statistics, Centre for Health Program Evaluation, Working Paper 137,
Monash University, Australia, April, 2003.
10.http://jama.ama-assn.org/cgi/content/full/287/21/2765
See: Altman, D.G., Poor-Quality Medical Research, JAMA. 2002;287:2765-2767.
11.http://www.chiroweb.com/archives/12/13/06.html
12.Wulf, H., Andur Pedersen, S., Rosenberg, R., Philosophy of
Medicine; An Introduction, Blackwood Scientific Publications, Oxford,
1990. Cited by Hallem (6),
p6.
13.Saltman, D., "The 'Disease Model' Challenged", on P. Baume
(Ed) The Tasks of Medicine: An Ideology of Care, Maclennan and
Petty, Sydney, 1998. Cited by Hallam (7),
p67.
14.http://www4.gu.edu.au:8080/adt-root/uploads/approved/adt-QGU20040812
See: Hallam, Adrienne Louise, Biomedicine: The Dominant Model of Health,
Chapter 2 in Globalisation, Human Genomic Research and the Shaping of
Health: An Australian Perspective, Australian Digital Theses Program,
Griffith University, 2003.
15.http://www4.gu.edu.au:8080/adt-root/uploads/approved/adt-QGU20040812
See: Hallam, Adrienne Louise, Conclusion, Chapter 8 in Globalisation,
Human Genomic Research and the Shaping of Health: An Australian
Perspective, Australian Digital Theses Program, Griffith University,
2003.
16.http://www4.gu.edu.au:8080/adt-root/uploads/approved/adt-QGU20040812
See: Hallam, Adrienne Louise, The Rise of Australian Genomics,
Chapter 7 in Globalisation, Human Genomic Research and the Shaping of
Health: An Australian Perspective, Australian Digital Theses Program,
Griffith University, 2003.
17.http://bmj.bmjjournals.com/cgi/content/full/326/7379/45
See: Ray Moynihan
, The making of a disease: female sexual dysfunction, BMJ
2003;326:45-47 ( 4 January )
18.http://www.mja.com.au/public/issues/173_11_041200/moynihan/moynihan.h
See: Ray Moynihan
and Melissa Sweet, Medicine, the media and monetary interests: the need
for transparency and professionalism, MJA 2000; 173: 631-634.
19.Nelkin, D., originally cited by Moynihan, R., in Too Much Medicine?,
p207,ABC Books, Sydney, 1998. Cited by Hallam (7),
p61.
20.http://www.gifam.org/article-025.htm
See: Thomas Smith, Gangsters
In Medicine, Global Institute for Alternative Medicine.
21.http://alternativecancer.us/doctors_print.htm
22.http://www4.gu.edu.au:8080/adt-root/uploads/approved/adt-QGU2004081
See: Hallam, Adrienne Louise, Introduction, Chapter 1 in Globalisation,
Human Genomic Research and the Shaping of Health: An Australian
Perspective, Australian Digital Theses Program, Griffith University,
2003.
23.http://www4.gu.edu.au:8080/adt-root/uploads/approved/adt-QGU2004081
See: Hallam, Adrienne Louise, Globalisation, Public Policy and Health,
Chapter 4 in Globalisation, Human Genomic Research and the Shaping of
Health: An Australian Perspective, Australian Digital Theses Program,
Griffith University, 2003.
24.http://www.aflcio.org/aboutaflcio/magazine/0503_bigfix.cfm
See: Mike
Hall, What Drug Companies Aren't Telling You, America At Work, May
2003.
25.http://bmj.bmjjournals.com/cgi/content/full/328/7435/306
See: Ray Moynihan, Drug company
targets US state health officials, BMJ 2004; 328:306
(7 February).
26.http://bmj.bmjjournals.com/cgi/content/full/bmj;328/7449/1153
See: Jeanne Lenzer, Whistleblower
removed from job for talking to the press, BMJ 2004;
328:1153 (15 May).
27.http://www.washingtonpost.com/wp-dyn/articles/A16546-2004Oct7.html
See: Marc Kaufman, FDA Official
Alleges Pressure to Suppress Vioxx Findings, Washington Post, Staff
Writer, Friday, October 8, 2004; Page A23
28.http://psychrights.org/Articles/NYTMakingDrugsShapingtheRules.htm
See: Melody Petersen, Making
Drugs, Shaping the Rules, New York Times, 1st Feb 2004.
29.http://pn.psychiatryonline.org/cgi/content/full/36/13/5
See: Jim
Rosack, Residency Program Addresses Drug Company Influence,
Psychiatric News July 6, 2001, Volume 36 Number 13.
30.http://www.corporatewatch.org.uk/profiles/pharmaceuticals/pharmaceuticals.rt
31.http://www.pnc.com.au/~cafmr/online/research/injure.html
See: Robert Ryan, Why Do
Pharmaceutical Drugs Injure and Kill?, Campaign Against Fraudulent Medical
Research.
32.http://www.abc.net.au/rn/science/ss/stories/s1353671.htm
See: Robyn
Williams, Book Review: 'Selling Sickness', Saturday
30 April 2005, The Science Show, Radio National, ABC.
33.http://www.newmediaexplorer.org/sepp/2005/05/30/pharmaceutical_medicin
See: Sepp Hasslberger, Pharmaceutical
Medicine Reform: Whistleblowers Lead Way, May 30, 2005.
34. Williams, R.J., Nutrition Against Disease, Pitman Publishing
Corp., New York, USA, 1971.
35.http://www.newmediaexplorer.org/sepp/2005/06/12/fda_suppressed_vital_
See: Sepp Hasslberger, FDA
Suppressed Vital Drug Safety Information, 12th June 2005.
36.http://news.independent.co.uk/uk/health_medical/story.jsp?story=646243
See: Roger Dobson, Jeanne Lenzer,
US regulator suppresses vital data on prescription drugs in Britain, The
Independent Online, 12th June 2005.
37.http://research.arc2.ucla.edu/pmts/sciencer.htm
See: R. E. Spier, Genetic
Engineering:, Toward a New Human Species?, A
Review: See also; Gregory Stock, Redesigning Humans Our Inevitable
Genetic Future, Houghton Mifflin Company, Boston, 2002; Francis
Fukuyama, Our Posthuman Future Consequences of the Biotechnology
Revolution, Farrar, Straus and Giroux, New York, 2002.
38.http://research.arc2.ucla.edu/pmts/nytimesrdh.htm
See: Gina Maranto, ‘Redesigning Humans’: Taking Charge of Our Own
Heredity, New York Times, 25th August 2003; See also: Gregory Stock, Redesigning
Humans Our Inevitable Genetic Future, Houghton Mifflin Company,
Boston, 2002
39.http://www.globalchange.com/medicine.htm
40.http://www.humanitas.org/articles/redesigninghumans.htm
See Michael Poore, Redesigning
Humans, June 2003; See also:
See: Diane B. Paul, Swashbuckling
into the Nebulous Future, American Scientist, Sept-Oct 2002; See
also: Gregory Stock, Redesigning Humans Our Inevitable Genetic Future,
Houghton Mifflin Company, Boston, 2002.
42.http://www.newmediaexplorer.org/sepp/2005/06/16/should_pharmaceutical
See: Sepp Hasslberger, Should Pharmaceutical Markets Decline?, 16th
June 2005.
43.http://business.timesonline.co.uk/article/0,,9068-1642607,00.html
See: Richard Irving, GPs accused of 'Luddism' over
drugs, The Times Online, 6th June 2005.
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