Originally posted by loam
So here's how it works:
1. A drug manufacturer hires a professional medical writing or communications company which prepares a preferred title, outline and a possible
draft of an article;
2. The drug company or its ghostwriters later find the names of proposed medical or scientific authors for the pre-determined article including its
slant or bias;
3. The outline or draft is sent to the selected author for approval.
Ta da! Instant printed 'truth'.
Happy reading! 
When a publicist writes a press release for his client, he will usually include 'quotes' from real-life client spokespersons or senior employees
that he has, in fact, made up himself. The spokesperson or employee in question then vets the 'quote' in the context of the release and approves it.
This is regarded, both legally and in practical terms, as equivalent to the spokesperson or employee having actually uttered or written those words.
It is quite a common public-relations technique.
This is a more elaborate version of the same technique. The endorser is an authoritative (supposed) independent. In allowing the ghostwritten article
to be attributed to him, he is understood to assume any legal or reputational risks involved.
Those risks are considerable. If the drug or treatment is found to be ineffective or dangerous, the endorser's professional reputation is badly
compromised (and he certainly won't be receiving any more ghostwritten articles to authorize). If he is found to have endorsed the product in the
absence of sufficient clinical information of whose provenance he is certain, that is the end of his career. And if he is found to be on the take as
well, then not only is his career shot but the company whose products he is pushing is also in serious trouble.
The threat of such consequences and the pressure they exert on behalf of careful oversight and scrutiny of claims is thought by many to be an adequate
safeguard against abuses. Clearly this is not always the case.
I agree that it's a shabby and deceptive way of doing things, but saying 'it's all lies' is perhaps going a bit too far. This is not, strictly
speaking, any different from the use of speechwriters by politicians or corporate CEOs, something the public accepts without demur.
The world of affairs is more complicated and a great deal cloudier than most ordinary citizens, even relatively well-educated and -informed ones, are
wont to imagine. I don't believe this will ever change; indeed, it takes constant vigilance
pro bono publico to ensure that abuses are kept to
a minimum. But demonizing the rich and powerful helps no-one, for doing so begs the vital question we should all ask: what would
I do in the
same situation? The answer, for all but ideologues, fools and the insane, is all too often 'the same as you'.
* * *
I may as well declare my own 'interest': I spent twenty-odd years working in advertising and a few in public relations; I even once taught a course
in the latter. I believe my own behaviour in these wicked trades was always honest and conscientious, though it may be that I was naive at times. At
any rate, I know something about the business. I've never done PR for a pharmaceutical company, though I have worked for a presidential commission on
health reform in my own country. This was mainly about promoting policy decisions concerning state medical provision that had already been made. I
have also made a miniscule contribution to helping groups of HIV-positive activists in Asia avoid cultural stigmatization and gain greater visibility
for their efforts to change the WTO patent rules as applied to antiviral drugs, rules these groups oppose because they price the drugs beyond the
reach of patients in poor countries.
As you will divine from that rigmarole, I am not American and have never taken Big Pharma's dollar. And no-one fees or rewards me in any way for
posting on ATS--apart, that is, from the odd flag or star and the occasional spatter of applause from a moderator.