In 1980, Arnold Relman, then editor of the New England Journal of Medicine, gave us a dire warning. He saw what was coming and laid it out for all to see:
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by Arnold S. Relman, M.D.New England Journal of Medicine1980; 303:963-970.October 23, 1980
While he underestimated the involvement of the pharmaceutical industry, he was still dead on in general – that industry was poised to invade Medicine with a ferocity the rest of us couldn’t yet imagine. And this very problem played out in the editorial offices of his journal itself not very many years later resulting in the firing of Relman’s successor, Jerome Kassirer [see a narrative… and not so proud…]. For the last year, Relman‘s point has been the subject of a debate, largely in the pages of the New England Journal of Medicine. But this time, the editor, Jeffrey Drazen, has been on the other side. Here are the relevant articles, arranged by date, all available full-text on-line:
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by Jeffrey M. Drazen, M.D.New England Journal of Medicine 2015 372:1853-1854.May 7, 2015
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by Lisa Rosenbaum, M.D.New England Journal of Medicine 2015 372:1860-1864.May 7, 2015
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by Lisa Rosenbaum, M.D.New England Journal of Medicine 2015; 372:1959-1963.May 14, 2015
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by Lisa Rosenbaum, M.D.New England Journal of Medicine 2015; 372:2064-2068.May 21, 2015
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by Dan L. Longo, and Jeffrey M. DrazenNew England Journal of Medicine 2016 374:276-277.January 21, 2016
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by Darren B. Taichman, Joyce Backus, Christopher Baethge, Howard Bauchner, Peter W. de Leeuw, Jeffrey M. Drazen, John Fletcher, Frank A. Frizelle, Trish Groves, Abraham Haileamlak, Astrid James, Christine Laine, Larry Peiperl, Anja Pinborg, Peush Sahni, and Sinan WuJAMA. 2016 315[5]:467-468.February 2, 2016
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by Charles OrnsteinProPublica/Boston GlobeApril 5, 2016
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by Robert Steinbrook, Jerome P Kassirer, and Marcia AngellBritish Medical Journal 2015 350:h2942.June 2, 2016
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by Elizabeth Loder, Catherine Brizzell, and Fiona GodleeBritish Medical Journal 2015 350:h2957.June 2, 2016
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by Richard HortonLancet 2015 385:2238.June 5, 2015
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by Elizabeth Warren, J.D.New England Journal of Medicine 2016; 375:401-403.August 4, 2016
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by Harlan M. Krumholz, M.D., and Joanne Waldstreicher, M.D.New England Journal of Medicine 2016; 375:403-405.August 4, 2016
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New England Journal of Medicine 2016; 375:405-407.August 4, 2016
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New England Journal of Medicine 2016; 375:407-409.August 4, 2016
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by Ivan Oransky and Adam MarcusSTAT NewsAugust 10, 2016
I listed the primary sources for you to read for yourself because I have no neutrality in this matter. From my point of view, Jeffrey Drazen, presumably backed by the current powers that be at the New England Journal of Medicine, has shamed his journal and our profession. He’s used the time-honored medical journal of record to push his own corporate-friendly agenda. Let’s hope he and his like-minded associates find a way to move on quickly…
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