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Fluid fasting before surgery: the ultimate example of medical sophistry?
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Department of Anaesthesia, Ninewells Hospital and Medical School, Dundee, UK.
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Without question, the American medical craft-the physicians, clinicians and healthcare organisations that comprise the American healthcare sector-provides immense value to patients and contributes expertise on matters relevant to the public's health. However, several conspicuous realities about healthcare in America should give the reader pause. Most problematic are the comparative measures of access to care, quality of care, life expectancy, racial health disparity and cost, all of which demonstrate how many Americans experience relatively lower value public health than other Western liberal democratic states.
View Article and Find Full Text PDFAbstinence in HIV prevention: science and sophistry.
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Of sophists and spin-doctors: industry-sponsored ghostwriting and the crisis of academic medicine.
Mens Sana Monogr
January 2010
Lecturer in Philosophy, California State University, Northridge, USA.
Ghostwriting for medical journals has become a major, but largely invisible, factor contributing to the problem of credibility in academic medicine. In this paper I argue that the pharmaceutical marketing objectives and use of medical communication firms in the production of ghostwritten articles constitute a new form of sophistry. After identifying three distinct types of medical ghostwriting, I survey the known cases of ghostwriting in the literature and explain the harm done to academic medicine and to patients.
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