Sickening: How Big Pharma Broke American Health Care and How We Can Repair It
Sickening: How Big Pharma Broke American Health Care and How We Can Repair It book cover

Sickening: How Big Pharma Broke American Health Care and How We Can Repair It

Hardcover – Illustrated, February 8, 2022

Price
$22.49
Format
Hardcover
Pages
336
Publisher
Mariner Books
Publication Date
ISBN-13
978-1328957818
Dimensions
6 x 1.06 x 9 inches
Weight
1.15 pounds

Description

"Abramson provides a detailed, accessible cost-benefit analysis of more than a dozen [brand-name drugs] . . . to make a compelling case that drug companies have created a chasm between 'their claimed or implied value and their true value.' . . . His recommendations should command the attention of every American.” — Psychology Today “The Purdue Pharmaceutical company and its owners, the Sackler Family, have paid out billions of dollars in legal settlements, after deploying sales personnel to mislead physicians into believing that Oxycontin was not an addictive opioid. As John Abramson brilliantly shows in Sickening , the Purdue gang was simply following a script used by drug companies generally, hyping medicines and deceiving physicians about every aspect of their safety and efficacy. It’s a medical horror show.” — Laurie Garrett, winner of the Pulitzer Prize and New York Times bestselling author “Powerful … Abramson proposes worthy long-term solutions … But this book, the best on prescription drugs since Katherine Eban’s Bottle of Lies , should also have high short-term value for patients, whom it might embolden to question their doctors more aggressively about whether there’s an equally effective substitute for a drug with a sky-high price tag. A blistering, persuasive critique of the harms done when drug companies hide the truth about their drugs.” — Kirkus Reviews (starred review) "Abramson… has compiled multiple patient stories to demonstrate how the pharmaceutical industry’s financial interests have corrupted and diminished the American health care system, costing not only many Americans their entire bank accounts but also, for many, their lives." — Fortune “Dr. Abramson’s book is a scholarly tour de force that should be read by all prescribers, researchers, publishers of that research, and users of pharmaceutical drugs.” — Catherine DeAngelis, Editor in Chief Emerita, Journal of the American Medical Association "A crash course in the profit-driven systems built by Big Pharma that dominate the U.S. health care industry and how they can cause undue suffering.... Sickening is written in tempered language backed up by hard data and historical examples to illustrate Big Pharma’s enrichment strategies." — Undark Magazine "Abramson shines a light on the questionable and unchallenged practices of drug companies that guarantee immense profits at the expense of misleading physicians about drug efficacy." — Library Journal “ Sickening is a must-read for all health professionals and anybody impacted by prescription drugs—that is, all of us. The book rigorously and convincingly documents that Big Pharma is largely responsible for the horrendously expensive yet inferior health care in the United States.xa0To improve Americans’ health, a large proportion of the US population must read the book and incrementally reverse this travesty. When that happens, it will improve the health of the rest of the world as well.” — — James M. Wright, MD, PhD, Emeritus Professor, University of British Columbia “For nearly 20 years, Dr. Abramson’s lectures have been a staple of the Harvard Medical School’sxa0annual Herbert Benson, MDxa0CMExa0Course inxa0Mindxa0Bodyxa0Medicine. His perceptive and compassionate analysis of the U.S. health care system’s failings—and possiblexa0remedies—consistently receives a standing ovation.xa0With this important book, the general public will be able to share in his insights and help to advance our common mission of making health care work for everyone.” — Peg Baim, MS, NP, Course Co-Director,xa0annualxa0Herbert Benson, MD CME Course in Mind Body Medicine at Harvard Medical School "Over many years of working with John Abramson in pharmaceutical and device litigation, I witnessed his unique blend of compassion for patients, deep medical knowledge, and unyielding intellectual integrity. He provided invaluable expertise on how manufacturers distort medical science,xa0andxa0he exposed the tactics used by manufacturers to mislead both doctors and the public. Now he brings those skills to this masterful and profound book, which exposes the routine dishonesty at the heart of the American health care crisis." — Clinton Fisher, JD,xa0Simmons Hanly Conroy (retired) Dr. JOHNxa0ABRAMSON has been on the faculty of Harvard Medical School for twenty-five years, where he teaches health care policy.xa0 He also served as a family physician for 22 years, during which he was named a “top doctor” six times in local, state, and national surveys. He served as an unpaid consultant to the FBI and Department of Justice, including in a case that resulted in the largest criminal fine in U.S. history. In addition to many academic articles and op-eds in the New York Times and other publications, he is the author of Overdo$ed America: The Broken Promise of American Medicine . Dr. Abramson has appeared on Today, CNN's American Morning, NPR's All Things Considered , CBS Evening News , NBC Nightly News , The Dr. Oz Show, and elsewhere. He lives near Boston.

Features & Highlights

  • The inside story of how Big Pharma’s relentless pursuit of ever-higher profits corrupts medical knowledge—misleading doctors, misdirecting American health care, and harming our health.
  • The United States spends an excess $1.5 trillion annually on health care compared to other wealthy countries—yet the amount of time that Americans live in good health ranks a lowly 68th in the world. At the heart of the problem is Big Pharma, which funds most clinical trials and therefore controls the research agenda, withholds the real data from those trials as corporate secrets, and shapes most of the information relied upon by health care professionals.
  • In this no-holds-barred exposé, Dr. John Abramson—one of the foremost experts on the drug industry’s deceptive tactics—combines patient stories with what he learned during many years of serving as an expert in national drug litigation to reveal the tangled web of financial interests at the heart of the dysfunction in our health-care system. For example, one of pharma’s best-kept secrets is that the peer reviewers charged with ensuring the accuracy and completeness of the clinical trial reports published in medical journals do not even have access to complete data and must rely on manufacturer-influenced summaries. Likewise for the experts who write the clinical practice guidelines that define our standards of care.
  • The result of years of research and privileged access to the inner workings of the U.S. medical-industrial complex,
  • Sickening
  • shines a light on the dark underbelly of American health care—and presents a path toward genuine reform.

Customer Reviews

Rating Breakdown

★★★★★
60%
(128)
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(54)
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15%
(32)
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Most Helpful Reviews

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Fantastically revealing insights into our healthcare issues and the role of big pharma.

This is an amazingly well written book. Dr. Abramson presents heretofore unrevealed important insights into the impacts on our health of the commercialization of medical knowledge to sell prescription drugs. After you read it give it to your doctor.
38 people found this helpful
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Good information but……

Very informative book about Big Pharma but the author still says the Covid vaccines are safe?? A little hypocritical in my opinion. Big Pharma is not our friend and that includes the jab.
24 people found this helpful
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Should be required reading for all health-care professionals, before they begin to practice.

"Our health care in the US is an excess of 1.5 trillion annually compared to other wealthy nations-yet the
time that Americans spend in good health ranks a lowly sixty-eighth in the world", a direct quote from the
book cover. The inside gives the facts, and the changing landscape of funding for what we rely upon for
establishing practice guidelines in medicine.
16 people found this helpful
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Even more sickening

This book describes the top-to-bottom control over medical research and its dissemination exerted by large drug manufacturers. Of course, they have their own research staff, paid to test their patented drugs and make sure those tests come out favorably. In addition, they are the largest sponsors of research at all the major medical schools, their reprint purchases from medical journals supply 40% of total journal revenue, and they are the largest advertiser in mainstream media, newspapers and TV, assuring that the most influential purveyors of science news know where their bread is buttered.
Thus “science-based medicine” has become tilted toward science that is curated and supported by the companies that profit from a particular approach to medicine, and toward exaggerating the benefits and minimizing the risks from the most recent and most expensive medicines.

Sickening, yes. But the actual situation is even worse than the bleak picture Dr Abramson paints. Big Pharma is not just cheating us, their approach to medicine has had disastrous effects on public health in the West, especially the USA.

For example, Abramson gives a complete pass to vaccines. Why should we think that companies which have defrauded the FDA and paid billion-dollar fines would tell us the truth about the efficacy and side effects of their vaccines?
13 people found this helpful
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Great info with some caveats

The information in this book is generally great and of utmost importance for people to know. I do have some issues I thought relevant to express in this review.

First, let me say the information contained within this book is excellent and well-presented. For people who were unaware of the suffocating, constrictive grasp Big Pharma has over the health care system in this country, this book will open your eyes to a dark world that will make your skin crawl and have you questioning everything you thought you knew about our most trustworthy health care professionals. For those who had some idea of that influence already, this book will show you the depths to which Big Pharma's tentacles reach. It is enough to make you want to scream, but it is information that must be made known to as many people as possible before real change can begin.

As I mentioned, I did take issue with several of Dr. Abramson's positions in this book, which I will explore here for anyone interested.

At the end of the book, Dr. Abramson mentions he worked on it for over 6 years. I certainly got the impression that he finished the bulk of it by Iate 2020 to mid 2021. The level of unwarranted praise he showers on the vaccine makers for their COVID vaccines (particularly in the Introduction, which is devoted almost entirely to stroking the vaccine companies) is, in my opinion, quite off-putting, especially given the internal documents now coming into the public eye which clearly show these vaccines were not anywhere near as "safe and effective" as the public was led to believe throughout the pandemic. Dr. Abramson also mentions the effectiveness of mask-wearing as a life-saving social measure, which is also infuriatingly and provably false, as studies have continued to show. I just don't understand how Dr. Abramson could spend so long and put so much effort into a project documenting the wanton carelessness and blatant dishonesty that drugmakers have been proven to demonstrate when it comes to developing, marketing, and selling new drugs, yet at the same time praise those same companies for their efforts in rushing COVID vaccines to market, with apparently no inkling that those vaccines may have suffered from the very same lack of effectiveness, hyped-up marketing, and buried dangers of risk and rates of harm as the prescription drugs he details. I would love to see a second edition once the allegations of misrepresented results and the entirety of the research data from the vaccine trials has been brought to light with all new and relevant data on this subject included.

It is also quite clear from the text that Dr. Abramson is quite left-leaning in his politics. While I don't necessarily take issue with that fact, I do find it distasteful to make one's political leanings so obvious in a work of nonfiction (though I wholeheartedly agree that Mitch McConnel is a slimy POS). I'm willing to give Dr. Abramson a pass here, as the issues he points out are largely political in nature, and I can understand his frustration.

Lastly, I disagree with Dr. Abramson's assessment on the role that "free market" capitalism has played on the cancerous growth of the pharmaceutical industry's revenues and influence, though his arguments are quite compelling and completely understandable. He compares Milton Friedman's notions of government's role in a free market society with what we see today, apparently in an attempt to show how far "free market" capitalism has fallen, but in my opinion succeeds only in demonstrating that what we have today in the pharmaceutical industry (and others) can no longer be considered free market capitalism, particularly as described by Friedman.

Overall, this is required reading in my opinion, and I am grateful to Dr. Abramson for his efforts in compiling this work and sharing his experiences in the effort to improve our society as a whole. There is no question we need health care reform from a fundamental level up, and Dr. Abramson shows us exactly why before offering his own suggestions on how. While herculean in scope now, if everyone in this country would read this book, I believe that reform would happen nearly overnight.
9 people found this helpful
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Great description of problems but offers backwards solutions

This book describes the evil ways in which Big Pharma misleads doctors and the public and the effects this has on our healthcare system and overall health. The author does a great job detailing several cases where Big Pharma offered products that were dangerous or ineffective and how this happened. This is where the book excels.

The author gives almost a complete pass to the doctors that accept marketing materials from Big Pharma sails people without the slightest bit of skepticism. The author was/is a practicing physician and is hesitant to criticize his fellow healthcare workers. Much like a cop looking the other way when other cops abuse their power.

The book's weakest part is when it comes to solutions and the author demonstrates a criminally basic understanding of economics and capitalism. He correctly points out the wildly high prices that Big Pharma can charge for prescription drugs because of monopoly privilege, but he attributes this to the free market and recommends price controls. The author fails to grasp that patent law and monopoly privilege are not products of the free market, but of government regulation and his solution is for more regulation. He seems to believe that additional regulations won't be taken advantage of like the regulations we already have are.

In one of the more outrageous passages, the author describes how the wealth of billionaires drastically increased during the 2020 epidemic as "gloves-off capitalism." That's right, the author thinks that the government telling ordinary people that they can't go to work and then printing billions of dollars and giving it to their friends in big business is "gloves-off capitalism."

I recommend reading the first 1/3 to 1/2 of this book and then skimming the rest. There is some good information in the later parts, but it's buried in a lot of ignorance.

Side-note, the author works at Harvard and seems very proud of this. He frequently name drops other Harvard or Ivy league professors that he has associated with and they all have similar ideas. Must be nice...

For anyone looking for knowledgeable economic assessment of the US Healthcare system, I recommend "The Primal Prescription".
9 people found this helpful
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Concerning if true

Concerning and eye opening
7 people found this helpful
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Outstanding Reading

To be frank, in these days of consistent lies from almost every source available, who knows what to believe. As a Type 2 Diabetic for the past 25 years, the information in this book is damning to the pharmaceutical industry and indirectly damning to doctors everywhere. The primary cause of my loss of confidence in the medical profession is with the US government, who appears to be willing to screw every citizen in exchange for lining the pockets of all of our elected representatives. January 6 would have been better if all of our congressman and senators had been jailed for high crimes and misdemeanors. Wonderful book . . . read it and consider it.
5 people found this helpful
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It truly is Sickening....

A must read for every American! Deep dive into how the pharmaceutical industry spins everything, controls congress, and is bankrupting us slowly but surely in the name of better health, when the products and services they are providing are there mainly to provide return on investment to shareholders and not improved health. They are doing their jobs masterfully, at the public's expense.
5 people found this helpful
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Must read for 2022

One of the most important books to read for 2022. To gain an understanding of the impact of Big Pharma on our political, cultural and economic landscape, we must pull back the curtain and look at the facts unflinchingly. We must also be willing to examine our own complicity. Informative, frustrating, enraging, this book takes a hard look at how our so-called health care system has been hijacked. Not an easy read, but well worth it.
4 people found this helpful