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How Corporate Health Care Leaders Maintain Their Impunity: The Case of Purdue Pharma's Funding of the Washington Legal Foundation to Attempt to Weaken the Responsible Corporate Officer Doctrine

The ongoing epidemic of narcotic (opioid) abuse, and the resulting rise in the deaths due to overdoses, has focused attention on pharmaceutical companies' aggressive promotion of these drugs which minimized their substantial risk. A recent article in the Intercept showed how the leadership of one such company tried to insulate itself from responsibility for such actions even while such promotions were continuing. Background: Impunity of Top Leaders of Big Health Care Organizations For years, we have railed against the impunity of top leaders of health care organizations.  We have noted that despite numerous legal settlements made by health care organizations of alllegations like fraud , bribery , and kickbacks , almost never do top leaders who presided over these actions face any negative consequences.  Lack of deterrence caused by such impunity appears to be a major cause of  the epidemic of continuing unethical behavior, crime and corruption on the part of large health car

Health Care Renewal Bloggers to Teach Short Course on Why Physicians Do Not Make Rational, Evidence-Based Decisions

Health Care Renewal bloggers Dr Roy Poses and Dr Wally Smith will be teaching a short course on Sunday, October 23, 2016, at the annual North American meeting of the Society for Medical Decision Making, in Vancouver, British Columbia, Canada. The course title will be "Why Do Physicians Not Make Rational, Evidence-Based Decisions, and What Might Help?"

We will emphasize many topics relevant to Health Care Renewal.  These will include:

- physician level factors that affect decision making, emphasizing the influence of extraneous values (values that should not be taken into account by physicians when making decisions as an agent for patients), such as perverse incentives, particularly conflicts of interest;

- problems with the evidence on which evidence-based decisions ostensibly ought to be based, including manipulation and suppression of clinical research studies, which may happen when research is sponsored by organizations with vested interests in having the research show particular results; and

- problems with ostensibly evidence-based clinical practice guidelines which are often taken to be the "gold-standard" for rational evidence-based decision making, especially the role of vested interests in constructing these guidelines.

We hope to see some of our Health Care Renewal readers there.  

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