Pharmageddon. David Healy

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      UNIVERSITY OF CALIFORNIA PRESS Berkeley • Los Angeles

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      University of California Press

      Berkeley and Los Angeles, California

      © 2012 by David Healy

      Library of Congress Cataloging-in-Publication Data

      Healy, David, MRC Psych.

      Pharmageddon / David Healy.

       p. cm.

      Includes bibliographical references and index.

      ISBN 978–0-520–27098–5 (cloth : alk. paper)

      [DNLM: 1. Drug Industry. 2. Drug Utilization. QV 736]. I. Title.

      LC-classification not assigned

      338.4'76153—dc23

      2011026063

      Manufactured in the United States of America

      20 19 18 17 16 15 14 13 12

      10 9 8 7 6 5 4 3 2 1

      In keeping with a commitment to support

      environmentally responsible and sustainable printing

      practices, UC Press has printed this book on Rolland

      Enviro100, a 100% post-consumer fiber paper that

      is FSC certified, deinked, processed chlorine-free,

      and manufactured with renewable biogas energy.

      It is acid-free and EcoLogo certified.

       For over fifteen years I have been involved incases linked to injuries on drug treatment. Thisbook is for those who have survived to passtheir stories on, for the families who have beenleft behind, and especially for those who havestruggled to put things right.

      When she was a child I read Exodus

      To my daughter ‘The children of Israel…’

      Pillar of fire

      Pillar of cloud

      We stared at the end

      Into each other's eyes Where

      She said hushed

      Were the adults

      —George Oppen, “Exodus”

      The new wood as old as carpentry

      Rounding the far buoy, wild

      Steel fighting in the sea, carpenter,

      Carpenter

      Carpenter and other things, the monstrous welded seams

      Plunge and drip in the seas, carpenter,

      Carpenter, how wild the planet is.

      —George Oppen, “Carpenter's Boat”

       Contents

       Acknowledgments

       Introduction

       1. They Used to Call It Medicine

       2. Medicine and the Marketers

       3. Follow the Evidence

       4. Doctoring the Data

       5. Trussed in Guidelines

       6. The Mismeasurement of Medicine

       7. The Eclipse of Care

       8. Pharmageddon

       Notes

       Index