BMJ's Opinion Piece - The Illusion of Evidence Based Medicine

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thebmj Op-ed - The illusion of evidence based medicine

theBMJ has a beautifully written article which highlights some of the issues with the current evidence based medicine practices. They also have a great list of proposals to correct these anomalies. Let's review.

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My additions to the fixed proposed by thebmj:
Forbid high level employees from a large corporation to join regulatory agencies.
Forbid high level employees of a regulatory agency from joining large organizations.
Forbid either of these employees to join startups as board members or PR team. They can join as research workers or other internal facing employees.
Tax big corporations to fund independent organizations that will review, analyze, and certify the trial data. These organizations should be the public's representation.
Formulate a non-government non-corporate drug review board that should go over the phase IV results of all the newly approved drugs and recommend to stop or continue based on these results.
Non medical hospital management should not be part of the therapy policy maker or enforcers.
Correct the political leaning of the state medical boards.
Fine the media pundits/gurus that represent drugs/therapies without having the credentials to discuss medicine.
On yearly basis make public all communications about drug trials and approvals.


#drbeen #koolbeens #COVID

Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.

URL list from Wednesday, Mar. 30 2022

The illusion of evidence based medicine | The BMJ

Clinical trials and drug promotion: Selective reporting of study 329 - IOS Press

Narrative review: the promotion of gabapentin: an analysis of internal industry documents - PubMed

Risk of cardiovascular events associated with selective COX-2 inhibitors - PubMed

Pandemrix vaccine: why was the public not told of early warning signs? | The BMJ

The BMJ - Wikipedia

pharma sponsoring cmes in the us after:01-01-2017 - Google Search

New Jersey Finalizes “Gift” Ban of Physicians Working with the Pharmaceutical Industry – Policy & Medicine

Medical Marketing in the United States, 1997-2016 | Health Care Economics, Insurance, Payment | JAMA | JAMA Network

Pharma, medtech spending accounted for 28% of CME funds in 2017 | Healthcare Dive



Prescription for Conflict: CME Funding from Big Pharma to Big Placebo – Policy & Medicine
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The pandemic has opened my eyes to the complete failure of our government to do what is right for the citizens. FDA and CDC needs to be gutted and re-built with controls that limit the influence of private companies and authority to see ALL the data.

centerrightproudamerican
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drbeen’s courage and integrity continually elevate my respect for him and his work. He always takes care to distinguish opinion from fact, keeps an open mind and changes his opinion when the facts require. He is an exemplar of honesty, an essential voice for our times. He deserves our financial support.

musimedmusi
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I had never understood how we were so misled about sugar in our diet from the 60s till the 90s and even into the but it is becoming clear that the failure was our blind belief that the government orgs were actually doing their jobs.

centerrightproudamerican
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One of the largest unseen influences that should be added to this excellent discussion is the search engine rigging. Yet another barrier to finding unbiased information.

hieronymushumble
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Your detailed analysis has opened my eyes as to how our governments, here in Australia, have based their mandating solely on the industry's reports! What shocked me is that the Chief Medical Officers, on whom the Premiers and the PM based their mandates, our doctors loosing their licenses with their Medical Association, the AMA, fully complicit, all these things were based on the industry's say so. Needless to say the thousands of unfortunate patients who died due to the pandemic could very well have been saved with treatments costing merely $20 AUS. Thank you Dr. Been, you brough a breath of fresh air on an otherwise stinking and foul atmosphere.

lautrey
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How does this not have millions of views? This is very suspect. TY Dr M. I refer as many as I can here in comments. 👏🙏

jmc
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Thank you for reviewing this very important article - I agree with your opinion too!

danilodesnica
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Corruption throughout the entire process. Have witnessed my entire career, fought against it, won some battles. What is most disheartening is watching the erosion of the intelligent mind to blindly accept that which does not make sense, even to the most casual observer, let alone an educated, intelligent one.

amberstone
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Dr Been: You should add the following to the list: All failed trials must publish the data just like successful trials.

centerrightproudamerican
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DrBeen, this is THE subject nowadays, and I think that it is a lost battle in advance, unfortunately. All that we have seen in these last two years tell us much about that. I'm a doctor (pediatrician) in Brazil, 34 years practicing, and God knows how difficult it is to convince people of all these problems. It takes us long time to explain about strategies of industries, about conflicts of interests, about alternatives to medicalization, etc. People tend to consider us fools no to give away to corporate clout.

DrOscarPacheco
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Dr. Been, YOU should be the head of the FDA -- this whole disaster is a result of the steady decline of this nation into complete corporate ownership of politics in the United States.

svemory
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Forgive my pessimism, I’m afraid our medical/health departments have been compromised, and the corruption will last throughout our lifetime.

spacjunk
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Mobeen… your suggestions are brilliant… Both necessary & sufficient

scottcoston
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If you have integrity, nothing else matters. If you don't have integrity, nothing else matters. You matter Dr Mobeen.

TheAldousc
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Wow, ....one or two BRAVE Doctors out of, what now appears to be, a cowardly profession, which BTW was once a very noble one. The truth stands naked, only lies need be dressed. Bless you Dr. Sayed

shadowbay
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Dr Been, You need to come up with some legislation with all these ideas or write a list of things we can bring to our senators and representatives for making these legislation changes

sharongogan
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Thanks for bringing this article to my attention. Actually surprised BMJ printed this. We live in a global society with power resting with the wicked via the mechanism of money versus virtue, conscience and morality. When a corporation commits a crime - even what would have been called murder if committed by a person - all they get is a fine, which is immediately passed on to other consumers. Any corporation found guilty of such crimes should lose their corporate license and ability to operate, and the individuals responsible for said crimes need to be held personally responsible and receive suitable punishment.

susanwoodward
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I appreciate you. Thank you for your integrity. One of the most important videos you’ve done.

starbailey
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"The studies that _we_ funded to obtain data _we_ cherry-picked found _our_ product to be *safe & effective* for _your_ children... and _our_ profit margins. Don't forget to bang pots for healthcare heros and show your vaxx card for a free donut!"

AmbuBadger
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Dr Mobeen, couldn't agree more. You've articulated so clearly the flaws and failings in practices and processes which are motivated by greed, and which lead to the corruption of the very principles of medicine. The love of money is the root of all evil.

shantibel