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The Financial Conflicts of Interest Behind Closed Doors in Your Hospital

As I cite the many statistics involving medical errors and health care workers ignoring them or even a personal account of how they can needlessly and forever maim someone, you may be thinking that they can't happen to you and that your hospital and its attending physicians are beyond reproach.

Guess again, according to a New England Journal of Medicine study about the financial conflicts and compromises that plague your hospital. By the numbers, based on reviews of the institutional medical boards who oversee 100 university medical centers:

  • 36 percent of their members receive money from companies that produce drugs or medical devices studied at their institution (few, if any, ever disclose those ties publicly).
  • 15 percent of medical board members were asked to review a study conducted by a company for which they consulted or one of a competitor over the previous year.
  • Although more than 50 percent of the respondents claimed they always discussed their conflicts of interest with university medical boards, 35 percent rarely or never did.

Despite a lack of awareness evidently by some physicians, as noted so politically correctly by the study's lead author, federal laws prohibit members of an institutional review board with conflicts of interest from ruling on a study. Perhaps, that's because their review boards never formally spelled out what constitutes a conflict of interest, the case reported by more than half of the respondents.

New England Journal of Medicine, Vol. 355, No. 22, November 30, 2006: 2321-2329

Yahoo News November 29, 2006




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Article's Comment     ( 4 Comments )
 
 
 +5 Points           
 
Author of the Article
BY mmc88121   
  
[ Joined on 11/06 ]
[ Posted on November 30, 2006 ]
Post Reply

Mistakes happen every day in medical facilities.  Anyone who says they don't is very naive.  Hospitals use people, people make mistakes.  Sometime major mistakes occur, usually mistakes are caught before they become big ones.  The nursing staff is usually not adequately staffed, and frequently under appreciated.  If you want good care in a hospital be nice to the nurses, they are the ones who take care of you.  If they are good ones they will take on the doctor to help you.  How often do you see a doctor in the hospital once or twice a day.  The nurse is there for 8-12 hours each day.  The nurse is the one who actually tells the doctor what is going on with you.  The nurse is the person who will call the doctor at 2 a.m. if something is wrong and will get chewed out by the doctor for calling.  They will also get chewed out for not calling

mmc88121

 

 +3 Points           
 
Author of the Article
BY chev_v   
  
[ Joined on 08/06 ]
Author of the Article [ Posted on November 30, 2006 ]
 

Mistakes? How about not a mistake, just a dr with an ego too large thinking he can give medicine to someone even when all the allergy alerts are in place. Nurses still gave the medication to the patient. When told to stop, drug name changed and given through the IV so the patient & family don't know it's the same drug.   

   Nobody could explain why the patient kept getting worse. Just because he did not have anaphylactic shock the killer dr. figured he was right that there was no allergy. 

  Nurses? How about the one that asked, "Are you dying?" Or the nurse when asked for pain medication said, "No, and don't call me again for it. They don't call me the nurse from Hell for nothing."

  So we took the patient home. The drug wore out his body & he died after 3 weeks at home. With 60 pounds of water in him from the waist down. No accountability for doctor or nurses.

  Do I respect the medical profession? Not until each one proves themselves. Not when they no longer say they will try to "do no harm" anymore.  I am comforted by the fact that there will be accountability....at those pearly gates.    


 -4 Points           
 
Author of the Article
BY andrewlee   
  
[ Joined on 11/06 ]
Author of the Article [ Posted on November 30, 2006 ]
 

I'm a student nurse and am continually appalled at the standards of SOME nurses and doctors... that is, doctors being rude to patients (as if the patient is worthy to be in their presence) and nurses that claim to be overworked (this can be the case, but-more-often-than-not, they're lazy!)

The medical establishment, is full of 'conflicts of interest'. It is disgraceful that they're allowed to get away. But as stated in this blog, much of it is financial based, and money talks.

Until people are outraged and stand up against such things, nothing will change.


 
 -4 Points           
 
Author of the Article
BY friendly curmudgeon   
  
[ Joined on 11/06 ]
[ Posted on December 01, 2006 ]
Post Reply
Last year while in the hospital for an outpatient procedure, I listened as my doctor told me how lucky I was because the procedure was cheaper at his hospital than at <<fill in name of nearby and very prestigious hospital>>.  Then he ordered a follow-up procedure and said how lucky I was because *that procedure* (which involved a barium cocktail and, what else, radiation) would be covered completely by my healthcare provider.

"All well and good," I said wondering why we were discussing economics at a time when my body felt like the malfunctioning robot on LOST IN SPACE, "but do I really NEED this procedure?"

He looked at me strangely as if turning the discussion from hospitals as competing businesses to hospitals as mere health facilities were passing odd.  "Of course," he said (tone = that stock reply kind of voice).

Unfortunately, I was at a huge disadvantage in that I was desperate for answers and no one seemed to be able to diagnose my problem.  To make bad worse, the pathologists in this "reasonably-priced hospital" told my doctor that the biopsy indicated pre-cancerous cells of a type of cancer that would dispatch of me within the year.  I asked for and waited four weeks (OK, four weeks that felt like years) for a second opinion from a more prestigious (and expensive, as if I care when I'm "dying") hospital, which ultimately indicated no cancer at all -- pre, post, or imaginary.

What a roller coaster.  What a thrill ride.  My body eventually healed itself (after throwing sparks for 7-weeks) and, despite all the prescribed tests, my doctor was none the wiser as to what the heck had happened to me during the whole trauma.  He and his hospital were some the richer, however, having thrown every modern gadget and gizmo they had in their arsenal at it (my body, that is).

Is this a conflict of interest?  I don't know.  I only share it because I'm conflicted and hope you're interested. 

The bottom line for me?  I no longer trust doctors like I used to.  I no longer bow to the white coat as a symbol of supreme authority.  And I now understand in spades that doctors are mere practitioners and often as flummoxed as your average Joe in the street if the symptoms don't cooperate and follow the letter of the Merck Manual.

That's the moral of this simple morality tale, anyway.  Reader experiences may vary according to doctor and hospital...
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