“Amidst all these changes, drug sales reps were an oasis that offered not only food and money but respect. Border checkpoints to enter this oasis, however, soon became strict. In the past, doctors could say they had prescribed a lot of a drug without actually doing so. By the 1990s, sales reps could check on a weekly basis whether these claims were true. Doctors who failed to follow through on expected prescriptions were cut off and reinstated only when they reformed. Free rides were over.”
― No More Tears: The Dark Secrets of Johnson & Johnson
― No More Tears: The Dark Secrets of Johnson & Johnson
“Social normalization of deviance means that people within the organization become so much accustomed to a deviant behavior that they don’t consider it as deviant, despite the fact that they far exceed their own rules for elementary safety,” Vaughan said in an interview. “But it is a complex process with some kind of organizational acceptance. The people outside see the situation as deviant whereas the people inside get accustomed to it and do not. The more they do it, the more they get accustomed.”
― No More Tears: The Dark Secrets of Johnson & Johnson
― No More Tears: The Dark Secrets of Johnson & Johnson
“Not one of the five is affiliated with a major academic medical center where their EPO prescriptions would likely garner scrutiny. But for these oncologists in small towns, small markets, and small cities, prescribing EPO brings considerable extra income, helping them fight against many of the trends in medicine that might otherwise lead them to flee to bigger cities or cost them their ability to fund second homes.”
― No More Tears: The Dark Secrets of Johnson & Johnson
― No More Tears: The Dark Secrets of Johnson & Johnson
“Every drug has risks" became an excuse to tolerate any risk whatsoever for the sake of not risking the chance of making as much money as possible.”
― No More Tears: The Dark Secrets of Johnson & Johnson
― No More Tears: The Dark Secrets of Johnson & Johnson
“Financially dependent on the drug industry after 1992, the FDA would never again launch such an investigation, never again visit the homes of top Big Pharma executives unannounced, and never again delay the approval of a new drug while an investigation continued. In fact, the agency repeatedly approved new uses for J & J drugs based on information given by the company, even in the midst of criminal investigations launched by federal prosecutors that involved allegations that the company was lying to the FDA. Getting tough on drugmakers is simply not part of the agency's mandate anymore.”
― No More Tears: The Dark Secrets of Johnson & Johnson
― No More Tears: The Dark Secrets of Johnson & Johnson
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