BMJ  2003;326:1155-1156 (31 May), doi:10.1136/bmj.326.7400.1155

Editorial

No more free lunches

Patients will benefit from doctors and drug companies disentangling

The first 150 words of the full text of this article appear below.

Free pens and pizza lunches. Sponsored conferences and compromised medical education. Courtesy golf and unaffordable holidays. Thought leaders and ghost writers. These are the trappings of doctors and drug companies being entwined in an embrace of avarice and excess, an embrace that distorts medical information and patient care. An article in this theme issue of the BMJ identifies 16 ways in which doctors are entangled with the drug industry.1 You can probably identify more. The issue explores the extent of this relationship, its effects on research, its influence on prescribing, and the consequences for patients. Our central argument is that doctors, drug companies, and most importantly patients would all benefit from greater distance between doctors and drug companies.

It does of course take two to entangle, and we hope that nobody will see this theme issue as anti-drug company. Virtually all of the new drugs developed in the past 60 . . . [Full text of this article]

Kamran Abbasi, deputy editor

BMJ

Richard Smith, editor

BMJ


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Articles

Are international medical conferences an outdated luxury the planet can’t afford? No
James Owen Drife
BMJ 2008 336: 1467. [Extract] [Full Text] [PDF]

No more free lunches: It is time we all grew up
Simon Wessely
BMJ 2003 327: 341. [Extract] [Full Text] [PDF]

No more free lunches: How to dance with porcupines
Steven Rudolphy
BMJ 2003 327: 341. [Extract] [Full Text]

No more free lunches: Doctors and journals in the South cut off drug companies at their peril
Joseph Ana
BMJ 2003 327: 341-342. [Extract] [Full Text]

No more free lunches: The market has us all in its grip
K S Madhavan
BMJ 2003 327: 342. [Extract] [Full Text]

No more free lunches: Relationship between industry and research does not bear scrutiny
Rachel Myr
BMJ 2003 327: 342. [Extract] [Full Text]

No more free lunches: It is time to own up
Colin Fitzpatrick
BMJ 2003 327: 342. [Extract] [Full Text]

No more free lunches: Summary of rapid responses
Caroline White
BMJ 2003 327: 342-343. [Extract] [Full Text]

This article has been cited by other articles:

  • Gervas, J., Mansfield, P. R (2009). Physicians, the industry and population health. J. Epidemiol. Community Health 63: 773-774 [Full text]  
  • Coutts, G. (2009). Relationships with the drug industry: Collaboration to improve care. BMJ 338: b232-b232 [Full text]  
  • Smith, M. J. (2008). 'Public psychiatry': a neglected professional role?. Adv. Psychiatr. Treat. 14: 339-346 [Abstract] [Full text]  
  • Drife, J. O. (2008). Are international medical conferences an outdated luxury the planet can't afford? No. BMJ 336: 1467-1467 [Full text]  
  • Vassilas, C. A., Matthews, S. (2006). Pharmaceutical sponsorship of educational events: what can we learn from healthcare ethics?. Psychiatr. Bull. 30: 189-191 [Full text]  
  • Abbasi, K. (2004). Compulsory registration of clinical trials. BMJ 329: 637-638 [Full text]  
  • Rogers, W A (2004). Ethical issues in public health: a qualitative study of public health practice in Scotland. J. Epidemiol. Community Health 58: 446-450 [Abstract] [Full text]  
  • Fishman, J. R. (2004). Manufacturing Desire:: The Commodification of Female Sexual Dysfunction. Social Studies of Science 34: 187-218 [Abstract]  
  • Diaz, J. A., Stamp, M. J. (2004). Primer on Medical Professionalism. J. Am. Podiatr. Med. Assoc. 94: 206-209 [Abstract] [Full text]  
  • Bryan-Brown, C. W., Dracup, K. (2004). Evidence-Based Pandemonium. Am J Crit Care 13: 10-12 [Full text]  
  • Wessely, S. (2003). No more free lunches: It is time we all grew up. BMJ 327: 341-341 [Full text]  
  • Madhavan, K S (2003). No more free lunches: The market has us all in its grip. BMJ 327: 342-342 [Full text]  
  • Rudolphy, S. (2003). No more free lunches: How to dance with porcupines. BMJ 327: 341-341 [Full text]  
  • Ana, J. (2003). No more free lunches: Doctors and journals in the South cut off drug companies at their peril. BMJ 327: 341-342 [Full text]  
  • Myr, R. (2003). No more free lunches: Relationship between industry and research does not bear scrutiny. BMJ 327: 342-342 [Full text]  
  • Fitzpatrick, C. (2003). No more free lunches: It is time to own up. BMJ 327: 342-342 [Full text]  
  • Delamothe, T., Smith, R. (2003). Paying for bmj.com. BMJ 327: 241-242 [Full text]  

Rapid Responses:

Read all Rapid Responses

what is the alternative
Abdullah Shehab
bmj.com, 30 May 2003 [Full text]
Saying no to free lunch: not easy as it seems
G.N. Malavige
bmj.com, 30 May 2003 [Full text]
the effect of seeing drug reps & influencing subsequent prescribing
Bernard Choi
bmj.com, 30 May 2003 [Full text]
Why we need a charter
Dr Graeme T.R. Spencer
bmj.com, 30 May 2003 [Full text]
'But it's only a free pen...'
Lucy-Jane Davis
bmj.com, 30 May 2003 [Full text]
Physicians' links with pharmaceutical companies...
David N. Andrews
bmj.com, 30 May 2003 [Full text]
Doctors as the middlemen
Pitt O Lim
bmj.com, 30 May 2003 [Full text]
No More Free Lunches
John P Chapman
bmj.com, 30 May 2003 [Full text]
Horses for Courses
Medwyn Williams
bmj.com, 30 May 2003 [Full text]
This is just the beginning!
Wiel M Maessen
bmj.com, 30 May 2003 [Full text]
I have sinned, and yet....
stephen f hayes
bmj.com, 30 May 2003 [Full text]
Free Pizza - goes a long way
Andrew Robinson, et al.
bmj.com, 30 May 2003 [Full text]
Drug dependent health care is fundamentally wrong
Antony E Green, et al.
bmj.com, 30 May 2003 [Full text]
Drug Lunchesh
elias E Anikwe
bmj.com, 30 May 2003 [Full text]
Not just drugs...
Rachel Myr
bmj.com, 30 May 2003 [Full text]
The entanglement is greater than we think
Philipp A Conradi, et al.
bmj.com, 30 May 2003 [Full text]
Editors'bias
Olav Meirik
bmj.com, 30 May 2003 [Full text]
How apposite - No Free Lunch
Anne Foxley, et al.
bmj.com, 1 Jun 2003 [Full text]
Enough already
Simon Wessely
bmj.com, 1 Jun 2003 [Full text]
'Mea Culpa' : By Dr Joseph Obi
Joseph .C. Obi
bmj.com, 1 Jun 2003 [Full text]
Why are we afraid?
sudhir kaligotla
bmj.com, 1 Jun 2003 [Full text]
What's wrong with a free lunch
Simon A. Kaye
bmj.com, 1 Jun 2003 [Full text]
Why do we like the freebies?
Susan J MacCallum
bmj.com, 1 Jun 2003 [Full text]
People in Glass Houses...
James Hickman
bmj.com, 1 Jun 2003 [Full text]
Not Holier than Thou
Adam Moliver
bmj.com, 1 Jun 2003 [Full text]
Noble as it sounds, journals in West Africa cut off drug companies to their peril
Joseph Ana, et al.
bmj.com, 1 Jun 2003 [Full text]
No Free Lunch
Sarah E Gull
bmj.com, 1 Jun 2003 [Full text]
BMJ heal thyself...
Richard T Halvorsen
bmj.com, 1 Jun 2003 [Full text]
Sponsors or Spivs ?
Bernard C BOYD
bmj.com, 1 Jun 2003 [Full text]
an australian viewpoint
ian c arthur
bmj.com, 1 Jun 2003 [Full text]
Re: This is just the beginning!
Antony E Green
bmj.com, 1 Jun 2003 [Full text]
Relationship between the Drug Industry and Doctors
Umesh PRABHU
bmj.com, 1 Jun 2003 [Full text]
Free Lunch learning is better than lunch free learning!
Sidha Sambandan
bmj.com, 1 Jun 2003 [Full text]
Science and Money Changers
David Elpern
bmj.com, 1 Jun 2003 [Full text]
Spouse Scorn
Des Spence
bmj.com, 1 Jun 2003 [Full text]
A hungry student's view
Ruth H Armstrong
bmj.com, 1 Jun 2003 [Full text]
The bonfire of vanities
John Hopkins
bmj.com, 1 Jun 2003 [Full text]
Responses to Abbasi/Smith article
Dr Deepak Malhotra
bmj.com, 1 Jun 2003 [Full text]
Yes Its Possible!
Mohan Devegowda
bmj.com, 1 Jun 2003 [Full text]
Re: Re: This is just the beginning!
Wiel M Maessen
bmj.com, 1 Jun 2003 [Full text]
NO MORE FREE LUNCHES
Nigel Puttick
bmj.com, 2 Jun 2003 [Full text]
gullible greedy pigs
paul kerr
bmj.com, 2 Jun 2003 [Full text]
The Cloak of Service
Nasir R. Awan
bmj.com, 2 Jun 2003 [Full text]
Big pharm owns worldwide cessation policy
John R. Polito
bmj.com, 2 Jun 2003 [Full text]
Time to own up
Colin Fitzpatrick
bmj.com, 2 Jun 2003 [Full text]
Re: Enough already - Critical Psychiatry Network campaign
Duncan Double
bmj.com, 2 Jun 2003 [Full text]
Subliminal messages
Jeremy J Black
bmj.com, 2 Jun 2003 [Full text]
Doctors and the Drug Industry
Jeff D. Chapman
bmj.com, 2 Jun 2003 [Full text]
People in glass houses should be careful about stones
Andrew J Ashworth
bmj.com, 2 Jun 2003 [Full text]
Re: Relationship between the Drug Industry and Doctors
Rita Pal
bmj.com, 2 Jun 2003 [Full text]
Understand the business economic model and recognze the inevitable
Robert A Knuppel
bmj.com, 2 Jun 2003 [Full text]
Naivete
Martin D Talbot
bmj.com, 2 Jun 2003 [Full text]
Free journals or free conferences
David A Sulch
bmj.com, 2 Jun 2003 [Full text]
Medical Model
Gerard D Finnegan
bmj.com, 2 Jun 2003 [Full text]
More freedom
dr nayyar yaqoob
bmj.com, 3 Jun 2003 [Full text]
Who pays for lunch is not important when you are out with your real friends
michael a james
bmj.com, 3 Jun 2003 [Full text]
The Parasites Who Take a Free Ride on Our Taxes!
Carol A Teasdale
bmj.com, 3 Jun 2003 [Full text]
Conflict of interest: "Alzheimer disease seems to suffer more than most in this respect"
Alexei R. Koudinov
bmj.com, 4 Jun 2003 [Full text]
Free Lunch is never a free Lunch
Mohammed Mujtaba Ahmed
bmj.com, 4 Jun 2003 [Full text]
Free lunches - ok if they are a la carte
Angus M Ross
bmj.com, 4 Jun 2003 [Full text]
Ethics Committees are part of the problem, not the solution.
Linnie Price
bmj.com, 4 Jun 2003 [Full text]
..on a positive note..
Radhika R Hariharan
bmj.com, 4 Jun 2003 [Full text]
The hosts who never get a 'thank you'.
Gurli Bagnall
bmj.com, 4 Jun 2003 [Full text]
I ask why and how
Francesco Carelli
bmj.com, 4 Jun 2003 [Full text]
Evidence based sponsorship
Frank O Wells
bmj.com, 4 Jun 2003 [Full text]
In Who’s Interest?
June C Nicholls
bmj.com, 4 Jun 2003 [Full text]
Well Done BMJ and about time.
Dr. Terry D. Lynch
bmj.com, 4 Jun 2003 [Full text]
Nurses will be their next target
Liz Darlington
bmj.com, 5 Jun 2003 [Full text]
Entanglement with government and pharmaceutical companies.
Peter L Jenkins
bmj.com, 5 Jun 2003 [Full text]
A paper in search of emotional intelligence?
Marios Adamou, et al.
bmj.com, 5 Jun 2003 [Full text]
Do I smell sour grapes?
David M Lewis
bmj.com, 5 Jun 2003 [Full text]
The medical profession is losing our trust.
James J. Ebersold
bmj.com, 5 Jun 2003 [Full text]
Reform must also include:
June Brown
bmj.com, 5 Jun 2003 [Full text]
Mental Health Crisis
Adrienne G. Shoemaker
bmj.com, 5 Jun 2003 [Full text]
The real costs of free lunches
Catherine E Richards
bmj.com, 5 Jun 2003 [Full text]
No free lunches - no loss
Peter C Arnold
bmj.com, 5 Jun 2003 [Full text]
Solution: increase professional income by free market means
Richard G Fiddian-Green
bmj.com, 5 Jun 2003 [Full text]
Journals should avoid drug advertisments completely.
Frances E Fermer
bmj.com, 5 Jun 2003 [Full text]
Conflict of Interest
June C Nicholls
bmj.com, 5 Jun 2003 [Full text]
Free lunches exist - and the NHS needs them
Philip Rutledge, et al.
bmj.com, 5 Jun 2003 [Full text]
No more free lunches
Peter D O Davies
bmj.com, 5 Jun 2003 [Full text]
Medicine As Big Business
Stephen S. Engleman
bmj.com, 5 Jun 2003 [Full text]
Hippocratic Oath Revision
Fredrick E. Keller
bmj.com, 6 Jun 2003 [Full text]
Stop Bribing Doctors
Trish A. James
bmj.com, 6 Jun 2003 [Full text]
Doctors can stop the inappropriate relationship NOW
Debbie A Lawlor
bmj.com, 6 Jun 2003 [Full text]
Follow the money trail
Jacob W. Dijkstra
bmj.com, 6 Jun 2003 [Full text]
Reform overdue!
Arnie Welber
bmj.com, 6 Jun 2003 [Full text]
Actually in re: prescription freebies to doctors
Donna M Birkholz
bmj.com, 6 Jun 2003 [Full text]
The Problem is world wide
Ange Kenos
bmj.com, 7 Jun 2003 [Full text]
How to dance with porcupines
Steven Rudolphy
bmj.com, 7 Jun 2003 [Full text]
'Symptomatic relief medicine' is bad medicine
June C Nicholls
bmj.com, 7 Jun 2003 [Full text]
Current attitudes are unacceptable
Zvonko Rumboldt, et al.
bmj.com, 11 Jun 2003 [Full text]
One other point
James D Curran
bmj.com, 11 Jun 2003 [Full text]
a cynic's riposte for the holy joes
john i hickey
bmj.com, 11 Jun 2003 [Full text]
Medical Education needs drug sponsorship
Liz Spencer
bmj.com, 16 Jun 2003 [Full text]
A former drug rep's opinion.
Michael Wood
bmj.com, 17 Jun 2003 [Full text]
The grip of the market
K. S. Madhavan
bmj.com, 25 Jun 2003 [Full text]
NO FREE LUNCH
Mike L
bmj.com, 25 Jun 2003 [Full text]
Independent evidence-based information to promote rational pharmacotherapy.
Nina H. Bjarnason, et al.
bmj.com, 27 Jun 2003 [Full text]
Cancer treatment and unholy connections
Patricia A. Wootan, et al.
bmj.com, 11 Jul 2003 [Full text]
Doctors and Drug Companies
Moses Abe
bmj.com, 12 Mar 2004 [Full text]
what is the harm with it?
anshul avijit
bmj.com, 25 May 2004 [Full text]
Bullying of the companies
Carlos Cuello
bmj.com, 26 May 2004 [Full text]
NO FREE LUNCHES !! WHY NOT ?
S GADA
bmj.com, 17 Jun 2004 [Full text]
Declaration of Competing Interest: forced confession?
Anton E Joseph
bmj.com, 17 Aug 2004 [Full text]
Re: A hungry student's view
Wendy Lydall
bmj.com, 11 Apr 2006 [Full text]



Access jobs at BMJ Careers
Whats new online at Student 

BMJ