{"id":21079,"date":"2012-03-14T21:15:39","date_gmt":"2012-03-15T02:15:39","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=21079"},"modified":"2012-03-14T23:21:58","modified_gmt":"2012-03-15T04:21:58","slug":"would-like-to-think-we-are","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2012\/03\/14\/would-like-to-think-we-are\/","title":{"rendered":"would like to think we are&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\"><u><strong><font color=\"#200020\">J&amp;J Said to Face Demand to Lift Risperdal Settlement Offer by $800 Million<\/font><\/strong><\/u><br \/>               <strong><font color=\"#000099\">Bloomberg<\/font><\/strong><br \/>               By Margaret Cronin Fisk, Jef Feeley and David Voreacos<br \/>               March 12, 2012<\/div>\n<p>              <\/p>\n<div align=\"justify\"><sup>Johnson &amp; Johnson faces a U.S. government demand to raise its offer by $800 million from an initial proposal to settle a federal civil investigation into marketing of the antipsychotic Risperdal, according to three people familiar with the matter. The Justice Department is demanding that J&amp;J pay about $1.8 billion to resolve the civil claims by the U.S. and some states, the people said. The company raised its offer to settle the civil investigation to $1.3 billion by March 8, and negotiations on a final amount are continuing, one person said. The U.S. government has been  investigating Risperdal sales practices since 2004, including  allegations the company marketed the drug for unapproved uses, Johnson  &amp;Johnson has said in Securities and Exchange Commission filings. The  company said it has been in negotiations with the U.S. to settle the  investigation. The demand came after the Justice Department and states decided that a $1 billion settlement that had been negotiated by the U.S. Attorney&rsquo;s Office in Philadelphia in late December wasn&rsquo;t adequate, according to the people, who weren&rsquo;t authorized to speak on the matter. <\/p>\n<p>                <strong><font color=\"#800000\">A $158 million settlement between J&amp;J and the Texas attorney general during a trial over Risperdal marketing in that state increased the demands by other states and the Justice Department, one of the people said. Several states wanted more money because of the Texas agreement, the person said.<\/font><\/strong> The U.S. government has been investigating Risperdal sales practices since 2004, including allegations the company marketed the drug for unapproved uses, J&amp;J has said in Securities and Exchange Commission <span class=\"web_ticker\">filings<\/span>. The company said it has been in negotiations with the U.S. to settle the investigation&#8230;<\/p>\n<p>                The number of states that will join the final agreement remains in flux, one person said. Each state can decide whether to join the federal government&rsquo;s settlement or pursue its own case. <strong><font color=\"#800000\">&ldquo;Considering how much money the State of Texas got, it makes sense for the DOJ to push back for a significantly higher number,&rdquo; said Patrick Burns of the advocacy group Taxpayers Against Fraud.<\/font><\/strong> &ldquo;Washington can do the math.&rdquo; The Wall Street Journal reported March 9 the Justice Department had rejected the $1 billion settlement negotiated by the U.S. Attorney&rsquo;s Office in Philadelphia, citing unidentified sources&#8230;<\/p>\n<p>                  J&amp;J and Janssen have been sued by 12 states, including Texas, South Carolina and Louisiana, over Risperdal marketing. The attorneys general of the other states &ldquo;have indicated a potential interest in pursuing similar litigation against&rdquo; Janssen, J&amp;J said in its quarterly SEC filing in November. J&amp;J settled the claims by Texas for $158 million during trial in January. A jury in Louisiana, weighing claims that the company downplayed the drug&rsquo;s risks, awarded that state $257.7 million in 2010. A South Carolina judge last year ordered J&amp;J to pay $327 million over Risperdal sold in the state. Risperdal is a member of a class of drugs, known as atypical antipsychotics, that includes Indianapolis-based <span class=\"web_ticker\">Eli Lilly &amp; Co. <\/span>Zyprexa and London-based AstraZeneca. <\/p>\n<p>                Lilly, AstraZeneca and two other J&amp;J competitors making these drugs have paid $2.7 billion to resolve government marketing claims, particularly that the companies pushed the drugs for unapproved uses. Lilly paid more than $1.7 billion to resolve state and federal investigations over Zyprexa and AstraZeneca has paid almost $590 million. <span class=\"web_ticker\">Pfizer Inc. <\/span>paid $301 million for its drug Geodon. <\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">I think we&#8217;re so used to this that it doesn&#8217;t occur to us what a big deal it really is, or at least should be. Looking back, the SSRI manufacturers got the ball rolling in the 1990s by using the medical literature as an advertising platform at a level unknown to me in the medical past [and unknown to me when it occurred]. While TMAP is probably the most macabre version, by that time it was business as usual with ghost-written articles and paid KOLs flying from place to place teaching primary care physicians to practice symptomatic treatment of mental illness [badly] using algorithmic psychopharmacology. The algorithms were simple, in the face of psychiatric illness prescribe this or that favored drug [that we make]. By the 2000s, the practice was rampant, as it remains to this day.<\/div>\n<p align=\"justify\">The cascade of suits against J&amp;J were beyond well deserved. <em>I pulled out the references from the <a href=\"http:\/\/1boringoldman.com\/index.php\/2012\/01\/26\/the-trial\/\" target=\"_blank\"><u>Texas Trial transcripts<\/u><\/a> for this next part<\/em>:        <\/p>\n<table align=\"center\" width=\"100%\" cellspacing=\"0\" cellpadding=\"0\" border=\"0\">\n<tr>\n<td align=\"center\" colspan=\"4\">                                    <strong><font color=\"#200020\">STATE OF TEXAS and ALLEN JONES v. JANSSEN et al<br \/>              <\/font><\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"center\" valign=\"top\" colspan=\"2\"><strong><font color=\"#200020\">DATE<\/font><\/strong><\/td>\n<td align=\"center\" width=\"80\" valign=\"top\"><strong><font color=\"#200020\">WITNESS<\/font><\/strong><\/td>\n<td align=\"center\" valign=\"top\"><strong><font color=\"#200020\">DESCRIPTION<\/font><\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\">\n<hr size=\"1\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"center\" colspan=\"4\">              <a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/texas-transcripts\/2012-01-17%20State%20v.%20Janssen%20Vol%206.pdf\"><u><strong><font color=\"#200020\">State v. Janssen Vol 6<\/font><\/strong><\/u><\/a><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" valign=\"top\"><strong><font color=\"#200020\"><sup>01\/17\/2012<\/sup><\/font><\/strong><\/td>\n<td width=\"8\"><sup>&nbsp;<\/sup><\/td>\n<td align=\"justify\" valign=\"top\"><strong><font color=\"#200020\"><sup><a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/texas-transcripts\/2012-01-17%20State%20v.%20Janssen%20Vol%206.pdf#page=11\"><u><strong><font color=\"#660033\">Tiffany Moake<\/font><\/strong><\/u><\/a><\/sup><\/font><\/strong><\/td>\n<td align=\"justify\" valign=\"top\"><sup>Ms. Moake was a Sales Rep for Janssen from 2002-2004 in the San Antionio area.<br \/>                  <\/sup><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" valign=\"top\"><strong><font color=\"#200020\"><sup>01\/17\/2012<\/sup><\/font><\/strong><\/td>\n<td width=\"8\"><sup>&nbsp;<\/sup><\/td>\n<td align=\"justify\" valign=\"top\"><strong><font color=\"#200020\"><sup><a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/texas-transcripts\/2012-01-17%20State%20v.%20Janssen%20Vol%206.pdf#page=53\"><u><strong><font color=\"#660033\">Shane Scott<\/font><\/strong><\/u><\/a><\/sup><\/font><\/strong><\/td>\n<td align=\"justify\" valign=\"top\"><sup>Mr. Scott was a Janssen employee and was Ms. Moake&#8217;s District Sales Manager.<br \/>                  <\/sup><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" valign=\"top\"><sup>01\/17\/2012<\/sup><\/td>\n<td width=\"8\"><sup>&nbsp;<\/sup><\/td>\n<td align=\"justify\" valign=\"top\"><sup><a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/texas-transcripts\/2012-01-17%20State%20v.%20Janssen%20Vol%206.pdf#page=75\"><u>Bruce Perry<\/u><\/a><\/sup><\/td>\n<td align=\"justify\" valign=\"top\"><sup>Dr. Perry was an expert witness for the Plaintiffs &#8211; a Child Psychiatrist with Baylor Medical School.<\/sup>                  <\/td>\n<\/tr>\n<tr>\n<td align=\"right\" valign=\"top\"><strong><font color=\"#200020\"><sup>01\/17\/2012<\/sup><\/font><\/strong><\/td>\n<td width=\"8\"><sup>&nbsp;<\/sup><\/td>\n<td align=\"justify\" valign=\"top\"><strong><font color=\"#200020\"><sup><a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/texas-transcripts\/2012-01-17%20State%20v.%20Janssen%20Vol%206.pdf#page=207\"><u><strong><font color=\"#660033\">Tone Jones<\/font><\/strong><\/u><\/a><\/sup><\/font><\/strong><\/td>\n<td align=\"justify\" valign=\"top\"><sup>Mr. Jones was Janssen&#8217;s District Sales Manager for the Houston area.<br \/>                  <\/sup><\/td>\n<\/tr>\n<tr>\n<td align=\"center\" colspan=\"4\">              <a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/texas-transcripts\/2012-01-18%20State%20v.%20Janssen%20Vol%207-1.pdf\"><u><strong><font color=\"#200020\">State v. Janssen Vol 7<\/font><\/strong><\/u><\/a><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" valign=\"top\"><strong><font color=\"#200020\"><sup>01\/18\/2012<\/sup><\/font><\/strong><\/td>\n<td width=\"8\"><sup>&nbsp;<\/sup><\/td>\n<td align=\"justify\" valign=\"top\"><strong><font color=\"#200020\"><sup><a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/texas-transcripts\/2012-01-18%20State%20v.%20Janssen%20Vol%207-1.pdf#page=5\"><u><strong><font color=\"#660033\">Tone Jones<\/font><\/strong><\/u><\/a><\/sup><\/font><\/strong><\/td>\n<td align=\"justify\" valign=\"top\"><sup>[continued]<\/sup><\/td>\n<\/tr>\n<\/table>\n<p>  <\/p>\n<div align=\"justify\">In the <strong><font color=\"#200020\">Allen Jones v. Janssen<\/font><\/strong> Trial, we&#8217;d heard some pretty dramatic stuff in week one. It was a long weekend [MLK Day], so the trial reconvened on Tuesday. Up first was a videotaped deposition of Tiffany Moake, a young woman who had obviously been a gung-ho sales rep whose enthusiasm came back to haunt her, or at least haunt Janssen. As did her manager, who was forced to admit that the damning things she had said and done were the company&#8217;s actual party line. At the end of Tuesday [the sleepy part of a trial day], another District Manager&#8217;s videotaped deposition was on the docket &#8211; Ton\u00c3\u00a9 Jones. I didn&#8217;t know it at the time, but he had been quite a football star who had taken a job with Janssen when he didn&#8217;t [quite] make the NFL draft. Unlike Tiffany and Shane, he was undefensive and gave us a picture of Janssen&#8217;s real sales strategy. Just one example &#8211; why Janssen marketed off-label to child psychiatrists:<\/div>\n<ul>\n<div align=\"justify\">Q. You testified earlier that &#8211; I believe you said it was about 1 percent of the population who had been diagnosed with schizophrenia at any given time. Is that &#8211; did I understand you correctly?<br \/>   A. Correct.<br \/>   Q. Now, if one were seeking to expand the market for Risperdal, if its only use is in patients with schizophrenia &#8211; schizophrenia as a diagnosis, whether higher functioning or lower functioning, it&#8217;s still 1 percent, true?<\/div>\n<div align=\"justify\">A. True.<br \/>   Q. If all you&#8217;re talking about is getting a bigger chunk of the 1 percent, would you think that would constitute the fastest growing market for this drug?<br \/>   A. Can&#8217;t be a $2 billion product and 1 percent marketing.<\/div>\n<\/ul>\n<div align=\"justify\">Quietly said but dead on the point. I had the feeling that Ton\u00c3\u00a9 had met the Buddha somewhere along the road and had realized that he had been a part of something pretty bad. And although he was not going to throw Janssen under the bus, he wasn&#8217;t going to lie for them either, or be defensive like Ms. Moake or Mr. Scott. I actually felt sorry for Ton\u00c3\u00a9 having to look at what he&#8217;d been a part of, and see it clearly. <strong><font color=\"#200020\">It was just about money<\/font><\/strong>, with no real regard for the patients being treated. That evening, J&amp;J&#8217;s lawyers settled the case. People thought it was because of Dr. Glenmullen&#8217;s expert testimony which followed that afternoon [which really was plenty damning]. But I think if I&#8217;d been a juror with any intuition at all, Ton\u00c3\u00a9 Jones would&#8217;ve sealed the deal for me.  <\/div>\n<p align=\"justify\">Of course it was another Jones, Allen Jones, whose intrinsic morality got this whole thing into the public domain in the first place &#8211; that and his capacity to continue swimming against the current for a decade. I actually felt sorry for many of the witnesses. They weren&#8217;t a bunch of fiends. They were just doing their jobs without stepping back a few steps and taking a hard look at the big picture they were part of. They were selling drugs to sick people that those patients didn&#8217;t need, and that made some of them sicker. They were &#8216;detailing&#8217; doctors that their drugs were benign &#8211; the drugs were not benign. They were &#8216;detailing&#8217; doctors that the drugs had an indication and an efficacy they didn&#8217;t have. <\/p>\n<div align=\"justify\">Part of the tragedy of these stories is that people were just doing their jobs and not stepping back just a few steps. There are thousands of people in this country who could do what Allen Jones did, or who could take the look I think Ton\u00c3\u00a9 took when forced to see beyond the paycheck and company loyalty. They&#8217;re the people we all would like to think we are. I hope there are some more of them who have what it takes to come forward. They would be helping a lot of people and helping a lot of doctors be the doctors they would like they think they are&#8230; <\/div>\n","protected":false},"excerpt":{"rendered":"<p>J&amp;J Said to Face Demand to Lift Risperdal Settlement Offer by $800 Million Bloomberg By Margaret Cronin Fisk, Jef Feeley and David Voreacos March 12, 2012 Johnson &amp; Johnson faces a U.S. government demand to raise its offer by $800 million from an initial proposal to settle a federal civil investigation into marketing of the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-21079","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/21079","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=21079"}],"version-history":[{"count":26,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/21079\/revisions"}],"predecessor-version":[{"id":21169,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/21079\/revisions\/21169"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=21079"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=21079"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=21079"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}