Showing posts with label selective serotonin reuptake inhibitors (SSRIs). Show all posts
Showing posts with label selective serotonin reuptake inhibitors (SSRIs). Show all posts

Thursday, April 18, 2013

Depression Chemical Imbalance Doesn’t Exist

Depression Chemical Imbalance Doesn’t Exist, Experts Say
by Elizabeth Renter
04/18/2013

What if you went to a crime ridden street corner, suffering from depression, and were told that a certain drug could change how you felt about things? What if you went to your doctor and were told the same thing? While the corner drug dealer and your physician might have different drugs in mind, they are essentially offering a similar solution—putting you in a “drug-induced” state to minimize your negative symptoms. Doctors, the media, and society say there is a chemical imbalance which causes depression, but a depression chemical imbalance doesn’t exist, experts say.

Dr. Joanna Moncrieff, a mental health expert from the department of mental health services at University College in London is taking a quite non-politically-correct approach in characterizing anti-depressants and other mental health drugs as just another dependency.

She says that although doctors, the media, and society in general has latched on to the idea that depression and anxiety, for example, are just evidence of a “chemical imbalance” in the brain, there is no hard evidence to support this.
“Scientific research has not detected any reliable abnormalities of the serotonin system in people who are depressed.”

While many people are convinced this is indeed their problem and therefore are okay with being offered a drug to solve the “problem”, she says the problem is that we are minimizing the seriousness of taking drugs to solve a “mental disorder.”

It is frequently overlooked that drugs used in psychiatry are psychoactive drugs, like alcohol and cannabis. Psychoactive drugs make people feel different; they put people into an altered mental and physical state. They affect everyone, regardless of whether they have a mental disorder or not. Therefore, an alternative way of understanding how psychiatric drugs affect people is to look at the psychoactive effects they produce

She says that these drugs, like anti-depressants, often produce symptoms of other, illegal drugs. The difference—these are prescribed by medical professionals and marketed to the masses in a more acceptable way.

In decades past, there was a stigma associated with mental health drugs. While it’s debatable whether this stigma was justified, there’s little doubt that it did make people think twice about taking medication for depression.

Now, however, we are convinced that these drugs are correcting a defect in the brain. The drugs are correcting an “imbalance.” But the problem is, that imbalance has never been proven.

Sure, you can argue that your medication makes you feel better, but wouldn’t other psychoactive drugs make you feel better too?

Dr. Moncrieff isn’t suggesting that people take cheaper illegal drugs, since they may have similar effects, but instead wants people to really get real about their anti-depression or anti-anxiety medications– what are they really doing to themselves when they rise each morning and pop the same pill, occasionally having to up their dosage because their body has developed a tolerance.

And with the number of Americans on antidepressant medication estimated to be 1 in 10, perhaps a critical look at this drug trade is warranted.

Sunday, December 23, 2012

Are Drug-Pushing Shrinks Manufacturing a Generation of Spree-Shooters?

Another Killer on Anti-Depressants
by JOE GIAMBRONE


Well, you probably don’t want to look at more than 60 different documented school shooters and stabbers who were on antidepressant drugs when they attacked innocent children in suicidal, violent outbursts. Not if your mind is already made up that “it’s the guns” and that yet another “gun control” law will suddenly fix things. It won’t. Nor will the congressional testimony of Dr. Peter Breggin on the dangers of SSRIs and the proven links to suicide and violent ideation interest you, as long as there is one factor, and one solution, and this sort of information doesn’t fit into your preconception.

If this latest psycho-killer boy, Adam Lanza, had stolen a car and run over 26 people, would the most glaring problem be not enough car regulations?

Or if he had chosen to run around with a chainsaw instead, would the call now be for more chainsaw control? Or would the focus have turned to just banning the Texas Chainsaw Massacre films?

Why do they do it?

More than a little evidence suggests that antidepressant medications, prescribed by psychiatrists – who have a vested stake in the public perception of this issue – are a contributing factor in the majority of such spree massacres. The drug corporations, which produce these medications and which pay for massive advertising campaigns on TV, in newspapers, on the radio and in magazines, certainly want their friendly press outlets to come up with a different culprit. However, the lengthy list of warnings, right on the labels of these drugs, is an indication that the links are real, not very well understood, and potentially catastrophic.

Even Time Magazine reported on links between prescription drugs and violence:
Desvenlafaxine (Pristiq) … 7.9 times more likely to be associated with violence than other drugs. 
Venlafaxine (Effexor) … 8.3 times…

Fluvoxamine (Luvox) … 8.4 times…

Triazolam (Halcion) … 8.7 times…

Atomoxetine (Strattera) … 9 times…

Mefoquine (Lariam) … 9.5 times…

Amphetamines: (Various) … 9.6 times…

Paroxetine (Paxil) … 10.3 times…

Fluoxetine (Prozac) … 10.9 times…

Varenicline (Chantix) … 18 times… (Time)

As Dr. Breggin calls it on his website:
Antidepressants cause emotional anesthesia and numbing or sometimes euphoria, providing a fleeting, artificial relief from emotional suffering. … In the long run, all psychiatric drugs tend to disrupt the normal processes of feeling and thinking, rendering the individual less able to deal effectively with personal problems and with life’s challenges. They worsen the individual’s overall mental condition and produce potentially irreversible harm to the brain.”
Breggin provided expert testimony and dire warnings to a congressional committee and cautioned against dispensing antidepressants to military personnel out of a very real fear of resulting violence by well-armed troops.
Even the FDA has had to impose stronger warnings on these “medicines” over the years, in response to the real world data. The 2007 update to the “Black Box” warnings, which are mandatory and included with all antidepressants says:
Clinical Worsening and Suicide Risk: Patients, their families, and their caregivers should be encouraged to be alert to the emergence of anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia (psychomotor restlessness), hypomania, mania, other unusual changes in behavior, worsening of depression, and suicidal ideation, especially early during antidepressant treatment and when the dose is adjusted up or down. Families and caregivers of patients should be advised to look for the emergence of such symptoms on a day-to-day basis, since changes may be abrupt. … Symptoms such as these may be associated with an increased risk for suicidal thinking and behavior and indicate a need for very close monitoring and possibly changes in the medication.” (FDA, emphasis added)
The United States abandoned its mentally ill citizens back in the 1980s. Now they live under bridges. I see them with their tent city near my favorite Chinese restaurant. The great shining city on the hill doesn’t give a damn who’s living outdoors now. The stigma about mental illness has worked its way through the rest of society, but not in the obvious way.

People don’t reject “treatment” as long as it’s a pill you can take, a brain fix-all. This convenience culture idea of the quick fix is what has lived on, and now psychiatric “treatment” consists primarily of trying various drugs on patients, having them report the way the drugs affected them, and then trying other drugs. Repeat ad infinitum. This guinea pig approach to psychiatry is what I have witnessed for many years, and with a variety of different psychiatrists. They no longer seek out the underlying traumas of patients, as in the old quaint days. It is all about the drugs today, and nothing else is even discussed.

Psychiatrists are corporate America’s drug pushers.

Banning Guns For Citizens?

Now I’m going to get a lot of hostile responses for bucking the knee-jerk hysteria about banning assault rifles that’s going around. It seems to me like this issue was custom-tailored to distract the nation from the “fiscal cliff” backroom betrayals currently gutting your Social Security and Medicare inside the centers of power. There are numerous massacres, unfortunately. The media volume generated by this particular one is like a tsunami and changes the top story away from the machinations of the White House and Congress, where their long-planned deal-making could potentially kill many, many more people than the occasional shooting spree. They actually do kill many, many more children in Afghanistan, Pakistan, Yemen and elsewhere… but that’s a different article.

I see no problem clamping down on high-capacity assault rifles. But I don’t for a second believe that’s going to change anything. What exactly can you do with an assault rifle, that you can’t do with a thousand other different kinds of guns? Reloading isn’t really that time-consuming or difficult. Multiple weapons are easy to obtain, especially if one is motivated enough and doesn’t care if they make it out alive. So how does that solve the problem?

Similarly, the “background checks” don’t catch spree shooters who don’t have criminal records and just one day snap. There’s nothing to check, and future-crime has not been wiped out yet.

Ah, the nuclear option – ban all the guns. That’s next.

There’s an interesting idea. With 300,000,000 guns in America, it should be no problem to just collect them all. Criminals would be first to line up at the weapon depository and rape scan center. Once the criminals are disarmed, things will go smoothly.

Some suggest that the population doesn’t need to be armed, as an armed rebellion against a tyrannical regime is futile. That’s a selective reading of history (and of the Bill of Rights), but even granted it was true, weapons are useful for self-defense from whomever. They can be indispensable in times of chaos or collapse. We do retain the right to defend ourselves, but apparently a lot of liberal/left types would make that technically impossible, by forcibly disarming everyone who complies.

Oh, no doubt, you could be re-armed by enlisting in some civilian human-drone force, as Obama first proposed back in 2008. Selective service in some organized policing force or military unit in order to graduate from high school was a wet dream proposal of the current president’s. There explains the “450 million rounds of 40 caliber” hollow-point ammunition that the Department of Homeland Security just ordered. Perhaps forced teenage DHS police labor can replace professional local police forces, which can be laid off in order to enact even more budget cuts around the nation. There’s a great idea.

But guns are here to stay. They aren’t going anywhere. America is an “armed madhouse” as Greg Palast phrased it, so perhaps it’s time to take a closer look at the “mad” part of the equation.

Saturday, December 15, 2012

Depressing Statistics about Anti-Depressants


List of School Shootings Linked To Antidepressants

As of October 2015 the links in this story are dead. sorry.



     
List of school shootings linked to SSRI use.

WhatDrugDate        WhereAdditional
School ShootingProzac WITHDRAWAL2008-02-15Illinois** 6 Dead: 15 Wounded: Perpetrator Was in Withdrawal from Med & Acting Erratically
School ShootingProzac Antidepressant2005-03-24Minnesota**10 Dead: 7 Wounded: Dosage Increased One Week before Rampage
School ShootingPaxil [Seroxat] Antidepressant2001-03-10Pennsylvania**14 Year Old GIRL Shoots & Wounds Classmate at Catholic School
School ShootingZoloft Antidepressant & ADHD Med2011-07-11Alabama**14 Year Old Kills Fellow Middle School Student
School ShootingZoloft Antidepressant1995-10-12South Carolina**15 Year Old Shoots Two Teachers, Killing One: Then Kills Himself
School ShootingMed For Depression2009-03-13Germany**16 Dead Including Shooter: Antidepressant Use: Shooter in Treatment For Depression
School Hostage SituationMed For Depression2010-12-15France**17 Year Old with Sword Holds 20 Children & Teacher Hostage
School Shooting PlotMed For Depression WITHDRAWAL2008-08-28Texas**18 Year Old Plots a Columbine School Attack
School ShootingAnafranil Antidepressant1988-05-20Illinois**29 Year Old WOMAN Kills One Child: Wounds Five: Kills Self
School ShootingLuvox/Zoloft Antidepressants1999-04-20Colorado**COLUMBINE: 15 Dead: 24 Wounded
School StabbingsAntidepressants2001-06-09Japan**Eight Dead: 15 Wounded: Assailant Had Taken 10 Times his Normal Dose of Depression Med
School ShootingProzac Antidepressant WITHDRAWAL1998-05-21Oregon**Four Dead: Twenty Injured
School StabbingMed For Depression2011-10-25Washington**Girl, 15, Stabs Two Girls in School Restroom: 1 Is In Critical Condition
School ShootingAntidepressant2006-09-30Colorado**Man Assaults Girls: Kills One & Self
School Machete AttackMed for Depression2001-09-26Pennsylvania**Man Attacks 11 Children & 3 Teachers at Elementary School
School Shooting RelatedLuvox1993-07-23Florida**Man Commits Murder During Clinical Trial for Luvox: Same Drug as in COLUMBINE: Never Reported
School Hostage SituationCymbalta Antidepressant WITHDRAWAL2009-11-09New York**Man With Gun Inside School Holds Principal Hostage
School ShootingAntidepressants1992-09-20Texas**Man, Angry Over Daughter's Report Card, Shoots 14 Rounds inside Elementary School
School ShootingSSRI2010-02-19Finland**On Sept. 23, 2008 a Finnish Student Shot & Killed 9 Students Before Killing Himself
School Shooting ThreatMed for Depression*2004-10-19New Jersey**Over-Medicated Teen Brings Loaded Handguns to School
School ShootingAntidepressant?2007-04-18Virginia**Possible SSRI Use: 33 Dead at Virginia Tech
School ShootingAntidepressant?2002-01-17Virginia**Possible SSRI Withdrawal Mania: 3 Dead at Law School
School Incident/BizarreZoloft*2010-08-22Australia**School Counselor Exhibits Bizarre Behavior: Became Manic On Zoloft
School/AssaultAntidepressant2009-11-04California**School Custodian Assaults Student & Principal: Had Manic Reaction From Depression Med
School ShootingProzac Antidepressant1992-01-30Michigan**School Teacher Shoots & Kills His Superintendent at School
School Shooting ThreatsCelexa Antidepressant2010-01-25Virginia**Senior in High School Theatens to Kill 4 Classmates: Facebook Involved: Bail Denied
School Violence/MurderAntidepressants*1998-05-04New York**Sheriff's Deputy Shoots his Wife in an Elementary School
School Knifing/MurderMeds For Depression & ADHD2010-04-28Massachusetts**Sixteen Year Old Kills 15 Year Old in High School Bathroom in Sept. 2009
School StabbingWellbutrin2006-12-04Indiana**Stabbing by 17 Year Old At High School: Charged with Attempted Murder
School ThreatAntidepressants2007-04-23Mississippi**Student Arrested for Making School Threat Over Internet
School SuspensionLexapro Antidepressant2007-07-28Arkansas**Student Has 11 Incidents with Police During his 16 Months on Lexapro
School ShootingAntidepressant WITHDRAWAL2007-11-07Finland**Student Kills 8: Wounds 10: Kills Self: High School in Finland
School ShootingPaxil [Seroxat] Antidepressant2004-02-09New York**Student Shoots Teacher in Leg at School
School ThreatProzac Antidepressant2008-01-25Washington**Student Takes Loaded Shotgun & 3 Rifles to School Parking Lot: Plans Suicide
School Shooting PlotMed For Depression1998-12-01Wisconsin**Teen Accused of Plotting to Gun Down Students at School
School/AssaultZoloft Antidepressant2006-02-15Tennessee**Teen Attacks Teacher at School
School Shooting ThreatAntidepressant1999-04-16Idaho**Teen Fires Gun in School
School Hostage SituationPaxil & Effexor Antidepressants2001-04-15Washington**Teen Holds Classmates Hostage with a Gun
School Hostage SituationAntidepressant WITHDRAWAL2006-11-28North Carolina**Teen Holds Teacher & Student Hostage with Gun
School Knife AttackMed for Depression2006-12-06Indiana**Teen Knife Attacks Fellow Student
School Massacre PlotProzac Withdrawal2011-02-23Virginia**Teen Sentenced to 12 Years in Prison For Columbine Style Plot
School ShootingCelexa & Effexor Antidepressants2001-04-19California**Teen Shoots at Classmates in School
School ShootingCelexa Antidepressant2006-08-30North Carolina**Teen Shoots at Two Students: Kills his Father: Celexa Found Among his Personal Effects
School ShootingMeds For Depression & ADHD2011-03-18South Carolina**Teen Shoots School Official: Pipe Bombs Found in Backpack
School Shooting ThreatAntidepressant2003-05-31Michigan**Teen Threatens School Shooting: Charge is Terrorism
School Stand-OffZoloft Antidepressant1998-04-13Idaho**Teen [14 Years Old] in School Holds Police At Bay: Fires Shots
School ShootingAntidepressant WITHDRAWAL2007-10-12Ohio**Teen [14 Years Old] School Shooter Possibly on Antidepressants or In Withdrawal
School ThreatAntidepressants2008-03-20Indiana**Teen [16 Years Old] Brings Gun to School: There Is a Lockdown
School Suicide/LockdownMed For Depression2008-02-20Idaho**Teen [16 Years Old] Kills Self at High School: Lockdown by Police
School ThreatsProzac Antidepressant1999-10-19Florida**Teen [16 Years Old] Threatens Classmates With Knife & Fake Explosives
School StabbingMed For Depression2008-02-29Texas**Teen [17 Year Old GIRL] Stabs Friend & Principal at High School
School Hostage SituationProzac/ Paxil Antidepressants2001-01-18California**Teen [17 Years Old] Takes Girl Hostage at School: He is Killed by Police
School Knife AttackTreatment For Depression & Strattera2009-03-10Belgium**Three Dead in School Day Care: Two Children & a Caregiver: Happened Jan 23, 2009
School Shooting PlotAntidepressants2009-09-22England**Two English School Boys Plot to Blow Up High School
School Arson IncidentsPaxil2002-04-12Michigan**Unusual Personality Change on Paxil Caused 15 Year Old to Set Fires inside High School
School Bomb ThreatMed For Depression2009-06-29Australia**Vexed Father Makes Bomb Threat Against Elementary School
School ViolenceAntidepressant2005-11-19Arizona**Violent 8 Year Old GIRL Handcuffed by Police at School
School ViolenceCelexa Antidepressant2002-01-23Florida**Violent 8 Year-Old Boy Arrested At School
School Threat/LockdownLexapro*2008-04-18California**Violent High School Student Shot to Death on Campus by Police
School / Child EndangermentAntidepressants2008-02-27Canada**Wacky School Bus Driver Goes Berserk: Also Involved Painkillers
School ViolencePaxil2004-10-23Washington DC**Young Boy, 10 Year Old, Has Violent Incidents at School
School ThreatWellbutrin Antidepressant2007-04-24Tennessee**Young Boy, 12, Threatens to Shoot Others at School
School Hostage SituationMed for Depression2006-03-09France**Young Ex-Teacher Holds 21 Students Hostage
School Shooting/SuicideCelexa2002-10-07Texas**Young Girl [13 Years Old] Kills Self at School With a Gun
School Hostage SituationPaxil2001-10-12North Carolina**Young Man Holds Three People Hostage in Duke University President's Office
School Murder AttemptMed For Depression1995-03-04California**Young Woman Deliberately Hits 3 Kids with Her Car at Elementary School: Laughed During Attack



**   
Indicates a school shooting or school incident.
*Indicates a legal case won using SSRI defense.
--Indicates an important journal article.
-Indicates a highly publicized case.
numAn age < 25 covered by FDA black box for suicide.

Friday, November 2, 2012

Warning: Anti-Depressants Causing Birth Defects, Miscarriages

Friday, November 2, 2012
Lisa Garber | Activist Post

Pharmaceutical companies regularly embellish the benefits and downplay the dangers of anti-depressants, and all medications for that matter—but this time, their profits could be inadvertently endangering and even killing unborn infants. Senior doctors know it and are finally raising their voices.

Tufts University School of Medicine’s Dr. Adam Urato decries the practice of prescribing SSRIs to pregnant women. “Study after study shows increased rates of newborn complications in those babies who were exposed to SSRIs in-utero,” he says. These complications include greater risk of autism, lung and bowel diseases, and more.

Doctors Failing to Properly Warn of Risks

Selective serotonin reuptake inhibitors (SSRIs) are the most common form of anti-depressants, many of which are prescribed to pregnant mothers by “general practitioners, not psychiatrists,” according to Dr. Alice Domar of Harvard Medical School. “You come in and you say I’m not feeling very well, I’m feeling lethargic so the physician writes a prescription.”

Urato says that although not proven, the outcomes of over 40 studies linking SSRIs to the endangerment of an unborn child are troubling enough to warrant further research. Family doctors must also properly caution pregnant women about the risks involved in taking SSRIs during pregnancy. (Many doctors prescribe them anyway because, if the SSRI works to improve the mother’s mood, it would lead to “a better pregnancy result.”)

Urato says “there really is not a shred of evidence” supporting the benefits of anti-depressants for pregnant women.

Big Pharma Just Wants to Get Paid

Urato unapologetically points to Big Pharma. “It is a fact that these antidepressants have been very lucrative for the pharmaceutical industry…. It stands to reason to me that the drug makers would rather that the risks of these agents in pregnancy not receive widespread attention as that would be a reason for many women to not take the drugs in the first place or to stop taking them—both of which are not good for sales of the product.”

Downplaying the risks of drugs is hardly a new game for Big Pharma. In the name of profit, GlaxoSmithKline paid celebrity doctors—like Dr. Drew—to push and make off-label claims of drugs. It’s also been found that 70 percent of advisors to the newest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) have financial ties to pharmaceutical companies.

Not even the government is immune to funding. Although the Food and Drug Administration admits that antidepressants can worsen depression and increase risk of suicide, the public and private sectors alike push ineffective and harmful antidepressants on patients. This will likely continue despite an increasing number of studies linking SSRIs to pulmonary hypertension and cardiovascular malformations in newborns.

Be wary of taking medication during pregnancy, especially anti-depressants. “If you add up all the potential risks,” Domar says, “a lot of people would say they are unacceptable.”

Additional Sources:
The Telegraph
PubMed

Tuesday, April 10, 2012

Corporate Greed or Healthy Babies?

by ROBERT WEISSMAN
Fact Number One: Exclusive breastfeeding for at least six months is best for infants and new mothers.

Fact Number Two: Hospital giveaways of infant formula samples to new mothers reduce the amount and length of breastfeeding.

Given these two facts, why would hospitals serve as marketing agents for infant formula companies by giving away free samples of infant formula? Why do the formula companies — Nestle, Abbott and Mead Johnson — think they can get away with practices that undermine public health?

The first of these two questions is more mystifying. There is unanimity among health professionals on the key importance of breastfeeding. Many hospitals that encourage breastfeeding by new mothers simultaneously subvert their own health messaging by giving away formula samples, as well as discount coupons and other formula advertising.

If hospitals started out with the simple proposition that they shouldn’t be marketing commercial products, the infant formula giveaway problem wouldn’t exist. In the absence of a commercial-free hospital culture, hospitals take on a duty to be very self-conscious about the ways that they market or tout commercial products. When it comes to infant formula, most are failing to fulfill this duty.

The good news is that hospitals can be persuaded to do better. A Centers for Disease Control study finds that in 2009, 34.9 percent of hospitals had stopped distributing infant formula samples, up from 27.4 percent in 2007. The change follows advocacy campaigns from groups like the Boston-based Ban the Bags campaign and a stronger push for breastfeeding support from national public health agencies.

Now a new initiative by Public Citizen and more than 100 health and consumer organizations aims to up the pressure. The groups have sent letters to 2600 hospitals urging them to end giveaways, and more advocacy will follow. There’s just no excuse for hospitals to market infant formula.

Despite recent gains, American society is not sufficiently supportive of breastfeeding, and the everyday realities of many new mothers’ lives make exclusive breastfeeding very challenging. Giveaways of free samples directly undercut hospital efforts to support breastfeeding and sends exactly the wrong message to new mothers.

Mitzi Rose, a new mother from Rochester, New York, explains the issue perfectly: “By the time I had my second child, I was adamantly determined to breastfeed. I was not influenced to purchase formula by the bags, but I do see how the presence of a “sample” of formula can be appealing to an exhausted and discouraged new mom. I could understand how a mother could feel driven to try it as just another way to appease a baby. The act of a hospital handing a new mom a sample of formula is the same as the hospital telling the mom that she can’t breastfeed exclusively, or that she shouldn’t breastfeed exclusively. The choice of formula, if it is necessary, should be made in consultation with a baby’s pediatrician, not determined by a contract with a formula company.”

One possible explanation for the persistence of hospital formula giveaways is the power of “free.” But the samples aren’t really free. Not only do they undermine a healthier means of nourishing infants — breastfeeding — they end up costing new parents in strictly monetary terms. Using formula is expensive. Samples are costly even for formula-feeding parents.

Mothers who receive a particular brand in the hospital are likely to stick with it, costing them up to $700 extra per year as against cheaper alternative brands.

Now as to that second question — why do the infant formula makers think it’s OK to pursue unhealthy practices? — the answer is more straightforward: They are looking for profits, and they’ll do what they can get away with.

This is an industry with a record of employing horribly aggressive and deceptive marketing practices in poor countries — where breastfeeding is even more important than rich countries, because formula may be mixed with contaminated water, and because the economic costs of formula can overwhelm family budgets (or where mothers may use nutritionally inadequate amounts of powder, because they can’t afford enough). The infant formula companies still violate the terms of the World Health Organization’s formula marketing guidelines, but abuses are less severe than they once were, thanks to global campaigning by groups like the International Baby Food Action Network.

The World Health Organization guidelines plainly forbid giveaways of infant formula, but the companies have taken the view that the rules don’t apply in rich countries.

So, a last question: Are we going to let the formula makers get away with dangerous marketing practices that harm babies?

Saturday, October 29, 2011

400% Rise in Anti-Depressant Pill Use: Americans Are Disempowered

By Bruce E. Levine, AlterNet
Posted on October 26, 2011
The U.S. Centers for Disease Control and Prevention (CDC) recently reported that antidepressant use in the United States has increased nearly 400 percent in the last two decades, making antidepressants the most frequently used class of medications by Americans ages 18-44. Among Americans 12 years and older, 11 percent were taking antidepressants by 2005-2008 (the most recently reported study period), and 23 percent of women ages 40–59 years were taking them.

Why has U.S. antidepressant use skyrocketed? Are the symptoms of what is commonly called depressionhelplessness, hopelessness, and immobilizationalways evidence of a medical condition? Or is it time to repoliticize a great deal of our despair, and reconsider the old-fashioned antidepressant of political activism?

Common Explanations for Soaring Antidepressant Use
Nowhere in the CDC report is there any explanation for the 400 percent increase of antidepressant use from 1988 to 2008, however, there are several common explanations offered by mental health professionals and journalists.  

Money is a large factor. It has become more lucrative for psychiatrists and other physicians to prescribe medication than to provide talk therapy. This was detailed in the New York Times March 2011 investigative report Talk Doesn’t Pay, So Psychiatry Turns Instead to Drug Therapy which reported, “A 2005 government survey found that just 11 percent of psychiatrists provided talk therapy to all patients.” Actually, most antidepressant prescriptions are written by physicians other than psychiatrists and, according to the recent CDC report, among Americans taking one antidepressant, less than one-third of them  have seen a mental health professional in the past year.  

Antidepressant use has also skyrocketed because of the increased practice of prescribing antidepressants for many conditions other than severe depression, and prescribing them for longer periods of time. Among the 2005-2008 antidepressant user group (no data offered on earlier study periods), only 33.9 percent had severe symptoms of depression; 28.4 percent of antidepressant users had moderate symptoms; and 19.2 percent had mild symptoms; while 7.6 percent had no depression symptoms. And, according to the CDC report, more than 60 percent of Americans who are taking antidepressants have taken them for 2 years or longer, with 14 percent having taken them for 10 years or more. 

According to antidepressant manufacturers, the increase in antidepressant use has been caused by their creation of more effective antidepressants, including the so-called selective serotonin reuptake inhibitors (SSRIs) such as Prozac, Paxil, and Zoloft which came on the market in the late 1980s and early 1990s. However, by the late 1990s, psychiatry textbooks had already rejected the idea of increased effectiveness of SSRIs (for example, Robert Julien’s A Primer of Drug Action (1998) states, “The newer antidepressants [SSRIs] are not necessarily more effective than the older TCAs [tricyclics] ).”  

Rather than SSRIs’ greater effectiveness, it was their greater publicity that stimulated public acceptance. One publicity coup commenced in 1997 when U.S. government agencies changed the rules for broadcast advertising, no longer requiring full information about side effects (which had previously made it problematic for drug companies to run a thirty-second spot). TV advertising dramatically increased patient requests for antidepressants from their physicians. A study reported in 2005 by the Journal of the American Medical Association, “Influence of Patients’ Requests for Direct-to-Consumer Advertised Antidepressants,” concluded, “Patients’ requests have a profound effect on physician prescribing.” 

A Neglected Explanation: The Depoliticizing of Despair
A largely neglected explanation for the huge growth of antidepressant use is that Americans have increasingly been socialized to equate all states of demoralization and immobilizing despair with a medical condition, and to seek medical treatment rather than political remedies. 

Depression is highly associated with a variety of overwhelming pains, including physical pain, relationship pain (such as a dissatisfying marriage and social isolation), trauma—and financial pains.  

Financial pains include unemployment, poverty, and debt. In 2007 the U.S. Substance Abuse & Mental Health Services Administration reported depression in 12.7 percent of unemployed people compared to 7 percent of employed people. And the Urban Institute in 1996 reported that Americans on public assistance have at least three times higher rate of depression than those not on public assistance. A person who has suffered mental illness is three times more likely to be in debt than someone who is not in debt, according to Richard Wakerall, director of the U.K. mental health organization Mind in Plymouth. 

Recently, I had a chance encounter at Cincinnati’s Findlay Market with five young adults who reported large student-loan debt and who appeared mildly depressed about it. I happened to be in a charged-up mood, having just participated in an Occupy Cincy march, and I told them that the entire U.S. $1 trillion student-loan debt could be forgiven if the U.S. government paid it off rather than funding the damn military-industrial complex, which costs us over $1 trillion a year if you include everything. They started to smile and look more energized, and three of them seemed interested in the Occupy Cincy movement. If America’s millions of depressed student-loan debtors could politicize their despair and take it to the mall in Washington D.C., we could dwarf the crowds in Tahrir Square. 

Can Activism Be an Antidepressant?
Almost as soon as I entered Freedom Plaza in Washington D.C. on October 6, I experienced a wave of pleasant feelings and energy. My wife, Bon, and I showed up about 10am on the first day of “October 2011” (“Occupy Freedom Plaza”) in Washington D.C. after driving there from Cincinnati. In sharp contrast to the blank and depressed faces that I had just seen on the D.C. Metro and on the D.C. streets, we were now surrounded by a thousand or so people who were smiling, laughing, engaged in political discussions, and eagerly awaiting the day’s events. I chatted with two of the organizers, David Swanson and Margaret Flowers, and found their hope and energy a supreme antidote to cynicism. The opposite of depression is vitality, and so by just stepping into Freedom Plaza, I had received a strong antidepressant.  

Then came the day’s major march. Depression is much about feeling hopeless, alienated, isolated, and powerless, and this march was an antidote to all those feelings. For a couple of hours, we felt some real power. We marched on the streets— not the sidewalks—and traffic was blocked by police, who for those moments in time actually were the People’s servants. We marched past the White House and the Treasury, paused at the U.S. Chamber of Commerce to “drop off some job resumes” and for some short speeches, then up and over to K Street, with many cars honking approval and some non-marchers on the sidewalks raising their fists and shouting encouragement. Then back to the Plaza, and a couple of hours later a General Assembly. 

The General Assembly was attended by about 500 people who experienced, some for the first time, a non-hierarchical, anti-authoritarian, respectful democracy where the issues of the day were discussed. No one was rude  and all seemed jovially patient. We hadn’t planned to stay more than that day, but leaving the Plaza late that evening, we had an urge to return. 

The next morning, I found my pace quicken as I headed from the Metro station back to Freedom Plaza, as I was excited to return to this piece of “federal property” that had begun to feel like a “People’s Oasis.” We had succeeded, at least for the time being, in taking back a small piece of the United States and restoring it to some kind of sanity and humanity. A section of the Plaza was filled with sleeping bags, backpacks and cardboard shelters, and our food, media, and first-aid tents still stood.  

We decided to prolong our visit and stay for the afternoon march to the Martin Luther King Memorial. At this march, there were the chants that are common to all Occupy marches: “We are the 99 percent.” “The banks got bailed out, we got sold out.” “Hey, hey, ho, ho, corporate greed has got to go.” “Show me what democracy looks like. This is what democracy looks like.” On this march, we paused at the International Trade Center (in the Ronald Reagan Building), where there were about 75 demonstrators protesting the tar sands pipeline. As some of our marchers had earlier participated in their protest, the pipeline protesters returned the favor by joining our march. We shouted our appreciation and our morale kicked up another notch. 

Leaving Freedom Plaza at the end of my short stint there, I thought that even a little dose of democracy, especially when it has not been experienced, is the best damn antidepressant that many people will ever experience. And even if the cynics are right and the movement dies from cold weather or gets large enough for the corporatocracy to bring out their tanks and crush it, something still will have been won. Everybody who participated will remember that their demoralization and despair was “cured,” at least for a time, not by a pill or any other consumer product but by their own political actions. 

Wednesday, February 9, 2011

How Small, Mostly Conservative Towns Have Found the Trick to Defeating Corporations

By Tara Lohan, AlterNet
Posted on February 4, 2011

California's treasurer just announced that the state may need to begin issuing IOUs if the governor and legislature can't close the budget gap. And California's not the only place that's hurting. The Great Recession, hit not only businesses and individuals, but governments as well. The National Conference of State Legislatures estimated that 31 states are facing a combined shortfall for fiscal year 2011 of nearly $60 billion.

So, what's being done? "Cities and states across the nation are selling and leasing everything from airports to zoos -- a fire sale that could help plug budget holes now but worsen their financial woes over the long run," the Wall Street Journal reports. "California is looking to shed state office buildings. Milwaukee has proposed selling its water supply; in Chicago and New Haven, Conn., its parking meters. In Louisiana and Georgia, airports are up for grabs."

If this seems shocking, it shouldn't. For the past 30 years, there has been a deliberate effort to deregulate industry and to choke off federal support for public services and public spaces, paving the way for greater corporate control. The push to privatize is nothing new, it's just that our economic crisis is the latest opportunity. This fire sale is ignited during times of crisis -- what Naomi Klein referred to in The Shock Doctrine as "disaster capitalism," courtesy of Milton Friedman and his Chicago school disciples. "For more than three decades, Friedman and his powerful followers had been perfecting this very strategy," she wrote, "waiting for a major crisis, then selling off pieces of the state to private players while citizens were still reeling from the shock, then quickly making the 'reforms' permanent."

The goal is the same as it's been for decades: "The elimination of the public sphere, total liberation for corporations and skeletal social spending," writes Klein. One of the places where this strategy can be most detrimental is the corporate takeover of public water sources and infrastructure, which is elemental to our survival.

But there's a glimmer of good news. Across the country, small, disparate groups of people are wising up and taking action to combat corporate control by using a new strategy. And these citizens are winning. One of the first rallying calls has been against the privatization of public water infrastructure and attempts by corporate water bottlers to pilfer spring water, as well. Communities are welcoming "Democracy Schools," run by the Community Environmental Legal Defense Fund, into their towns, in an attempt to better understand the laws that protect corporations and the ways to defeat them.

It's too early yet to call these small revolutions a movement, but something is afoot, mostly in America's rural towns, and if it continues to grow it may very well prove transformative.

Water For Sale

Falling on hard times, Coatesville, Penn. decided to sell off its drinking water and wastewater infrastructure in 2001 and invest the money in a trust fund to be used for city services. But privatization hasn't been the economic boon the city was hoping for. After even tougher economic times hit Coatesville, the trust has already been drained by two-thirds and residents have seen their water and sewer rates jump 85 percent since American Water, the larger water corporation in the country, took the helm. Last year the company even proposed a 229-percent rate hike for sewer services, forcing the city to cobble together money for legal fees to fight back.

The story of Coatesville is a wake-up call of sorts. Most of us don't think too much about where our water comes from, and it's usually one of our least expensive monthly bills. And right now, the vast majority of us (80 percent) get our water from a public utility. But this figure has multinational water corporations drooling -- the U.S. is a huge market that could be exploited if Americans can be persuaded (or tricked) into giving up control of their most important resource.

For decades private companies, mostly multinational corporations, have made inroads in the U.S. (and they've had great success elsewhere in the world). But their progress hasn't been major and an inspection of municipalities that have gone from public to private shows that consumers usually end up seeing higher rates and crappier services. And while those facts don't seem like they're changing anytime soon, more and more communities are contemplating privatization, thanks to disaster capitalism.

In a new report, "Trends in Water Privatization," Food and Water Watch found that from 1991 to 2010, private companies bought or leased about 144 public water systems -- an average of about seven deals a year. But since the economic collapse, things are changing. As of October 2010, at least 39 communities were considering whether they should sell or lease their water infrastructure. And the reasons for privatization are changing. Corporations used to swoop in to try and "rescue" communities when they couldn't afford expensive upgrades, but now, even cities with well-functioning, in-the-black water systems are looking to sell or lease them in hopes that privatization will bring an influx of cash to pay for other programs.

Sadly, that's not usually how it pans out. "It's always the same false claim: Private is more efficient than public. The public unions are impossible to work with, they'll say, and we have a corporation that can save us dollars," Jack E. Lohman, author of Politicians: Owned and Operated by Corporate America, wrote in the Capital Times. "Rarely is that true, especially after they add all of the exorbitant salaries, bonuses, shareholder profits, marketing and political bribes that must be passed on to the taxpayer. These costs usually far exceed government waste, unless offset by egregiously low salaries that further harm the economy."

Any sane financial adviser would know that selling off a recurring revenue stream for a one-time boost to the budget doesn't make sense in the long run. After looking at the 10 largest sales and concessions of public water systems, Food and Water Watch found that rates went up an average of 15 percent a year in the 12 years following a privatization deal.

Not only it does it end up being an economic loss for residents and their governments, but it is a huge abdication of power. Water is the lifeblood of our communities. By turning this over to corporations, whose first responsibility is to shareholders, how can we guarantee safe and affordable drinking water for everyone? Should corporations, whose short-sighted drive for profit brought our economy to its knees, really be trusted with our most vital resource?

Communities Revolt

From big cities like Atlanta, Georgia to small towns such as Felton, Calif., communities have fought back to regain public control after water privatization deals went sour. But it's not just drinking water infrastructure that has towns concerned -- water bottling companies, run by multinationals like Nestle, have also been targeting rural communities' spring and well water.

In the small town of McCloud, Calif., a former logging town in the shadow of Mount Shasta, Nestle quietly signed a 100-year deal to bottle 200 million gallons of spring water a year and unlimited amounts of groundwater without any public input and without an environmental impact statement. Concerned community members joined together to fight back, and six years later they succeeded in sending Nestle packing. While residents may have been successful in McCloud, their battle was resource- and time-intensive. Across the country, similar fights were also going on, as small towns worried about depletion and degradation of their water resources fought back against bottling companies, but only sometimes emerged victorious.

Thomas Linzey knows of an easier way to do things. Instead of trying to beat out corporations by fighting the regulatory system, Linzey has helped people to see a different path forward. A founder of the Community Environmental Legal Defense Fund, Linzey and his colleagues help "communities to draft and adopt legally binding laws in which they asserted their right to self-govern," according to the organization's Web site.

"We think today's contemporary activism is the wrong frame, and in addition it is aimed at the wrong thing," Linzey said. "Most of it's federal and state activism. We think those things are pretty much dead. The only place where there is a window to operate is at the local level and then that can be used to up-end the state and federal to build a new system of law, which I think our communities are recognizing is needed."

Essentially, Linzey believes, the last 40 years of environmental activism hasn't accomplished very much, and by fighting within the regulatory system, we've been barking up the wrong tree.

His colleague Gail Darrell, an organizer in New England, explains, "Under the regulatory structure you're not allowed to say no to anything permitted by the state -- water withdrawals, sewage sludge, biomass plants, toxic waste dumps, landfills -- all of that is regulated and permitted by state agencies and they issue permits to industry guided by their regulatory statues that allow them to cause harm to the environment within in certain limits. But that structure doesn't allow a municipality to say no to any of those practices. Your feet are cut off at the beginning. When an industry goes to the regulatory agency and gets an application, once that application is administratively complete that permit must be issued by right."

Combine this regulatory bias with corporate rights being ingrained in our Constitution (yes, long before Citizens United) and the tables are stacked against ordinary folks. "Corporations have the same rights as people -- the first, fourth, fifth and fourteenth amendments," said Linzey. "They also have rights derived from the Commerce Clause of the Constitution that allows them to sue communities to overturn laws dealing with commerce." Before Citizens United there were 80-100 years of cases ingraining corporate rights, he said.

To even the playing field a bit, CELDF has helped around 120 communities pass binding ordinances that give them the ability to say no to corporate control. Ordinances they've helped to draft have given towns the right to eliminate corporate personhood -- to say no to water bottling companies drilling for water in their towns, for instance -- and to assert the rights of nature.

"Any citizen can stand in the shoes of that river or other piece of nature and advocate for it -- we don't have to own that piece of property" said Darrell. "And if there is a gas spill that happens from a tanker crossing the bridge and it dumps into our river, we can use our rights of nature language to force that corporation to recover the damages and those are paid to the town to restore the river."

Most of this work has been successful in small, rural towns. The organization has its roots in Pennsylvania, working first with communities that wanted to ban corporate factory farms and then with towns that didn't want sewage sludge being dumped where they lived. Later the work branched out to help communities fighting water bottlers, like Nestle, and most recently with towns concerned about the natural gas drilling process of hydraulic fracturing, or "fracking." The towns where they've been successful, Linzey says, are not liberal enclaves by any stretch; in fact, it's been just the opposite because it started out as a rights issue -- a conservative Republican issue.

"The hardest places to work are the liberal progressive communities because they think we have a democracy and they are intent on working within the existing structure to try to find a remedy rather than tossing it and working on something from scratch," said Linzey. "What's been fascinating to me is when you have south and north-central Pennsylvania towns passing binding local ordinances that refuse to endow corporations with constitutional rights in their communities. But in the liberal progressive bastion of Berkeley, they were passing non-binding resolutions urging Congress to do something about it. I think that difference in approach has become clear to me over the last decade. Here are rural conservatives passing things saying we won't let our rights be taken away and are using a local law as a municipal, collective civil disobedience tool to actually push up against the state to say 'fuck you.' Whereas in Berkeley people get in a huff and do some hand-wringing and pass a resolution which begs and pleads Congress to do something about corporate rights, which is never going to happen, at least in the next 20-30 years."

While most of CELDF's work has been in small towns, this fall the city of Pittsburgh became the largest municipality they've worked with to ban corporate personhood, establish the rights of nature and tell gas drillers interested in fracking to get out of town.

This big victory comes on the heels of many smaller wins that have gone under the radar.

Darrell lives in the town of Barnstead, New Hampshire. After spending years watching a neighboring town try to prevent a bottling company from extracting water in their community (it's going on nine years now), folks in Barnstead got together to find a different solution. They ended up working with CELDF, attending the organization's Democracy School, and passing an ordinance that protects them from bottling companies and corporate control and also establishes the rights of nature. Soon, other nearby towns followed suit.

The idea is pretty simple, but it's also radical. "We're the first folks to talk about really the need to rewrite the Constitution itself, to create a new constitutional structure and most folks aren't touching that," said Linzey. "You can't talk about it in polite company. People talk about amendments, we think the thing is archaic in many ways other than the Bill of Rights. We need a new constitutional structure that recognizes community local self-governance as well as the rights of nature. We can't get there with the document we have which was written in the 1780s. The question is, will enough people come together across the country to actually rise up to demand a new structure?"

Linzey and Darrell both believe the answer is a long way down the road -- perhaps 20 or 30 years. "We need a complete revolt of sorts from the local level," said Linzey, adding that communities in Pennsylvania and New England were already teaming up to try to influence change at higher levels. "I think all that is positive but it is too early, I don't think it's a movement at all, it's just disparate people in disparate places trying to grapple with what this structure delivered to them and figure out what they need to do to fix it."

As the campaign of disaster capitalism marches on, we may begin to see a groundswell of communities rising up to reclaim the rights of people against the advances of corporations. In many places it may spring from a desire to protect what is most critical -- such as water -- but it always, Linzey says, "takes real imminent harm -- that's the only thing powerful enough to get people to rip off the blinders."

Wednesday, January 26, 2011

Ask Not for Whom the Drug Tolls

Wendy McElroy - January 25, 2011
The Freeman

“Fifty years ago, it made sense to assert that mental illnesses are not diseases, but it makes no sense to say so today. Debate about what counts as mental illness has been replaced by legislation about the medicalization and demedicalization of behavior. Old diseases such as homosexuality and hysteria disappear. New diseases such as gambling and smoking appear.” So writes the iconoclastic psychiatrist Thomas Szasz.

Almost 50 years ago Szasz published The Myth of Mental Illness. It changed the political framework in which mental illness was addressed by laying the foundation for a concept Szasz developed through a series of books, including The Manufacture of Madness (1970). That concept was “the Therapeutic State”—a collaboration between psychiatry and the State through which “undesirable” actions, thoughts, and behavior patterns were suppressed. Thus Szasz not only disputed the moral and scientific basis of psychiatry but also argued that modern medicine was an engine of social control, with pharmaceuticals as primary tools.

A new slate of drugs now addresses a wide range of so-called disorders, or dysfunctions, that former generations considered environmental problems or lifestyle choices: from obesity to attention deficit, from erectile dysfunction to social anxiety (shyness), from menopause to alcoholism. Indeed, laziness is now being discussed as “a neuro-developmental dysfunction” for which drugs are being developed. The current Therapeutic State may be best analyzed as a collaboration between modern medicine, the pharmaceutical industry, and the State.

The debate stirred by Szasz has muted. The medical establishment and mainstream media are now advocates of the Therapeutic State. Similar advocates dominate universities, studies, prestigious committees, FDA hearings, and governmental bodies. Since writing The Myth, Szasz himself has noted that “the formerly sharp distinctions between medical hospitals and mental hospitals, voluntary and involuntary mental patients, and private and public psychiatry have blurred into nonexistence. Virtually all medical and mental health care is now the responsibility of and is regulated by the federal government, and its cost paid, in full or in part, by the federal government.” Problems of everyday life have been medicalized, and people are viewed as having little or no ability to “cure” conditions such as alcoholism or drug abuse through willpower or change of habit. The focus Szasz tried to foster on the individual’s responsibility for his or her own dysfunctions has eroded.

Happily, a backlash against the medicalization of everyday life is occurring. Alas, it is being fought on the wrong ground.

In this regard, a fascinating book has just been published. Sex, Lies, and Pharmaceuticals: How Drug Companies Plan to Profit from Female Sexual Dysfunction by Ray Moynihan and Barbara Mintzes is a work of investigative journalism that explores the close financial relationship between the medical experts who define and develop the “science” behind new dysfunctions and the $500-plus billion pharmaceutical industry that profits from treating them. For example, Moynihan examines the makeup of experts on committees that define dysfunctions for the extremely influential Diagnostic and Statistical Manual of Mental Disorders (DSM); it is from the DSM that “social anxiety disorder” derives. (Revealingly, homosexuality was only delisted as a disorder in 1970.) Moynihan observes, “The DSM has been criticised for the closeness between the expert committees who write the definition of diseases and the pharmaceutical companies that sell the drugs prescribed to treat them. One study that looked closely at the affiliations of the men and women on those committees found that more than half of them had ties to drug companies. On the committees revising mood disorders, including depression, the figure was closer to 100 per cent.”

In short, he constructs a strong case for endemic bias within the medical establishment in favor of drug companies and the creation of disease.

Another sign of backlash is the emergence of grassroots rebellions against specific “diseases,” such as the currently emerging “female sexual dysfunction,” and against the use of drugs, such as Ritalin, to “cure” attention deficit disorder in children.

A reopening of debate on medicalizing everyday life is to be applauded. But, unlike Szasz, the new critics, such as Moynihan, do not take aim at the Therapeutic State; instead they focus on the therapeutic industry—that is, the flow of money between the medical establishment and the pharmaceutical companies. The culpability of the government in the creation of disease is either marginalized or denied.

Other pharmaceutical dissidents tend to view the State as the solution, not part of the problem. For example, feminist activist Leonore Tiefer works through the World Health Organization to impose new legislation that promotes such “rights” (or entitlements) as “the right to comprehensive sexuality education” and “the right to sexual health care, which should be available for prevention and treatment of all sexual concerns, problems, and disorders.”

It is possible that critics like Moynihan and Tiefer will accomplish some good. Perhaps they will be able to reduce the widespread prescription of the powerful Ritalin to grade-school children. But without understanding the essential role played by the State in the medicalization of everyday life, critics can never strike at the root of the problem. Indeed, they may well worsen matters by shifting blame and giving more authority to the very agency most responsible for the creation of disease.

The Need for a New Focus

The focus of the reemerging debate needs to shift onto Szaszian grounds, onto an analysis of the Therapeutic State, in at least four ways.

First, it must be clear that government defines the framework for all medical practices within North America. Second, the protection offered to pharmaceutical companies should be analyzed as legal privilege. Third, the relatively new and influential “private-public partnerships”—a marriage between the corporate sector and government institutions—should be examined and exposed. And, fourth, the role government plays in “marketing” drugs through institutions like the public school system and social services must be examined.

Government framework. There is no genuine competition allowed in the practice of medicine or the administration of drugs. Both of these vital functions of society are monopolies that the government assigns to those who meet State requirements and abide by State rules. Thus the American Medical Association (AMA) is able to exert monopoly control of medical care, such as hospitalization, and has a long history of persecuting competitors such as midwives.

But licensing is only the most obvious way in which the State and AMA define medical care. There are many other labyrinthine ways in which the medical establishment partners with authority. In reporting on the AMA’s support of Obamacare, for example, the Wall Street Journal explained last year, “The organization wants to protect a monopoly that the federal government has created for it—a medical coding system administered by the AMA that every health-care professional and hospital must use if they wish to get paid for the services they provide. This monopoly generates income of $70 million to $100 million annually for the AMA. That makes the AMA less an association looking out for doctors and more a special-interest group beholden to Congress and the White House.”

FDA Approved

Legal privilege. All prescription drugs must be approved by the FDA; but, again, the monopoly privilege of being the sole legal drug dealers in society is only the most obvious one granted the pharmaceutical industry and hardly captures the extent of partnership. Moynihan chronicles a less obvious privilege in writing about “one of the biggest healthcare frauds in U.S. history. Pfizer was accused of illegally promoting an anti-arthritis drug for unapproved uses and, so, creating a health risk to users. Pfizer admitted to limited guilt and paid a criminal fine of $1.2 Billion and civil penalties of $1B.” Despite the hefty financial hit, not one executive was held personally responsible; no retribution was sought. The sentencing judge, federal District Court Judge Douglas Woodlock (Massachusetts) commented in his concluding remarks, “This is a case in which no human being, apparently, is going to be held responsible for substantial criminal activity by a corporation.” He notes that Pfizer absorbed the financial hit as a “cost of doing business” and still returned record profits.


Private-public partnerships (PPP). A PPP is a collaboration between government and the private sector in which a venture is funded (in part or in full) by tax dollars and operated through the private sector, or else the private sector raises capital under contract with the government to provide services. Although PPPs are most often associated with infrastructure projects, such as the repair of roads or building of bridges, this sort of ersatz capitalism is rampant within medical research and drug promotion. According to a 2001 study, “hundreds of millions of dollars” have been invested in the United States to promote partnerships around health issues, creating “thousands of alliances, coalitions, consortia and other health partnerships.” That trend has only increased in the ensuing years. Tax-funded research is commonly funneled through nominally private organizations or researchers. Conferences, studies, reports, and such are conducted at taxpayer expense. Arguably, such funding constitutes the greatest barrier to alternative, independent research.

Uncle Sam the Pusherman

Government peddling of pharmaceuticals. It is not merely that private for-profit organizations have used tax dollars to climb aboard the public health bandwagon. The government uses its agencies to create a market base. Just one example is the role of the public schools as a “pusher” of Ritalin—a form of speed more potent than cocaine—to millions of school-age children. Overwhelmingly, it is prescribed to boys who are “unruly” in class. A 2001 report stated, “If Huckleberry Finn and Tom Sawyer were in a school in Massachusetts today, they’d be drugged with Ritalin, according to many psychiatrists and other experts.” As a recent September Huffington Post headline asked, “Do 2.5 Million Children Really Need Ritalin?” Dr. Sanford Newmark continued, “What is going on here? Have millions of our children become so hyperactive and unable to focus that they are incapable of succeeding at school or dealing with the demands of normal life? Or are we creating an illness where there is none, calling normal variations in temperament and personality a ‘disease’ that requires the intervention of long term, and extremely profitable, pharmaceutical medication?”

Monopoly, legal privileges, the rise of PPPs, the use of tax dollars to create disease and eliminate competition, the peddling of pharmaceuticals through government agencies—these issues must be prominent in any productive discussion of the medicalization of everyday life. If the discussion focuses on corporate greed, then the Therapeutic State will have merely entered a new phase.