awe·some!…

Posted on Sunday 14 June 2015

    re·form  [ri-‘fôrm]
    verb

    1. make changes in something [typically a social, political, or economic institution or practice] in order to improve it.
In this case, my preferred definition is more literal: re·form = to form again
U scientists will have to choose: Research or consulting fees.
Star Tribune
By Maura Lerner
June 12, 2015

For the first time, University of Minnesota scientists will be barred from accepting consulting fees from companies that sponsor their research, under a new ethics plan endorsed Friday by the Board of Regents. President Eric Kaler says the new rule, which is designed to guard against conflicts of interest, is one of the strictest in the country among academic research centers.

The regents unanimously endorsed the 75-page plan, which recommends a series of changes to tighten safeguards for patients who volunteer in university research trials. The plan was commissioned in the wake of widespread criticism of research practices at the U’s psychiatry department and its handling of a 2004 drug study during which a 27-year-old patient, Dan Markingson, committed suicide. Dr. William Tremaine of the Mayo Clinic, who led the task force that drafted the plan, said that one of the goals is to ensure that vulnerable patients like Markingson, who had schizophrenia, “know what they’re getting into” and aren’t coerced into studies.

“That’s been a huge concern at the university over the last 11 years,” Tremaine said Thursday, as he briefed the regents on the proposals. The plan calls for beefing up scrutiny of research involving patients, and paying experts to serve on oversight panels.  It also takes a harder line on potential conflicts of interest. In the past, U scientists were permitted to do research for drug companies while serving as their paid consultants at the same time. Under the new plan, they’ll have to choose one or the other, Tremaine said. “That’s going to be threatening to some individuals,” he noted. “It’s your choice. If you want the payments, then don’t do the research.”

Dr. Charles Schulz, who stepped down as chairman in April after a series of scathing reports about his department, was one of the psychiatrists involved in the Markingson case. He said he thought the changes were “very appropriate.” Schulz acknowledged that he had received consulting fees in the past while conducting industry-sponsored research. At the time, he said, it was permitted as long as the payments were disclosed; but he said he understands the university’s move to change the rules. “That’s not an unreasonable plan for the university,” he said. “I think it’s going to be a very good plan.”

Schulz said he will retire at the end of the year.
We can only watch what’s happening at the University of Minnesota with something akin to awe. Carl Elliot and his associates have taken the phrase, "Sunlight is said to be the best of disinfectants," to new heights:
Supreme Court Justice Louis Brandeis’ article in the December 20, 1913 edition of Harper’s Weekly is often cited for his maxim, “Sunlight is said to be the best of disinfectants.” The article, entitled What Publicity Can Do, was one of a series of articles he compiled into a book he published; Other People’s Money and How the Bankers Use It. Brandeis asserted that transparency was a necessary reform to check the power of large banks. His theories served as the foundation for the establishment of the Federal Trade Commission…
Whether by design or instinct, Carl Elliot et al have followed the playbook of Louis Brandeis to the letter. Brandeis was a lawyer who called attention to broader social issues by taking on exemplar individual cases and keeping them in the sunlight, ultimately leading to his quarter century tenure as a Supreme Court Justice. In much the same way, the tragedy of Dan Markingson’s death has been the specific focus for the bioethicists at the University of Minnesota, but it’s leading to palpable changes which will be widely influential in the lives of many others to come.

Awe·some!
  1.  
    Bernard Carroll
    June 14, 2015 | 4:47 PM
     

    Let us hope this development brings some measure of closure to Mary Weiss, Dan Markingson’s mother.

  2.  
    Tom
    June 14, 2015 | 10:10 PM
     

    Amen.

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