Licensed to Kill: Psychiatry, Big Pharma and the State-Sanctioned Drug Cartel

13th November 2015

By Cortland Pfeffer (with Irwin Ozborne)

Guest Writers for Wake Up World

“I just think it is time we try something new,” said the doctor to his patient, “It’s called Abilify.”

“But I’ve been doing well,” the patient pleaded, “I have had no problems for over six months and I am feeling fine.”

“Well, you are on an involuntary (civil) commitment and I would hate to have to extend that 18 months,” said the doctor, “You understand that the court will always do what the doctor recommends, and I think that you are in need of a switch to Abilify.”

This is a conversation that I overheard when I first started working at a county hospital. I was new and trying to learn from these wonderful doctors that I believed were there to help people. This facility saw the “sickest” patients in the county, and I thought this would give me an incredible opportunity to learn. As this was one of the first conversations I heard, I was certainly learning… and slowly discovering that the label of “sick” is being placed on the wrong individual in this context.

Eventually, I worked my way up to a role that included auditing the psychiatrist’s records along with the responsibility of meeting with pharmaceutical representatives who were pushing their free medication samples. The only means of distributing free promotional samples is by the reps being able to talk directly to the psychiatrist along with a signature, and I was like a modern-day gatekeeper. The different reps would visit and provide a pitch as to why they should be able to take the king (psychiatrist) on a date – and unfortunately describing it as a “date” was far more literal than figurative.

The sales reps entertain psychiatrists with dinners at the finest restaurants in town and grant them access to luxury suites at sporting events in an effort to push their medications. But, they had to get by the guard (me) first. So they started to befriend me and offer similar gifts. They pulled out all the tricks in the book to try to gain access to psychiatrists, just like the Greeks trying to enter the city of Troy. In their finest efforts, the most beautiful women you have ever seen would show up as “sales reps” but they were really no more than a Trojan Horse posing as another false gift to gain access inside the gates. It really is only about one step away from prostitution, and I wouldn’t be surprised if in some cases these reps do take that ‘extra step’.

I had been officially introduced to the dark side of psychiatry, a field I had always believed was a “helping” industry. After battling my own lifelong struggles, I got into the field to help others only to find myself on the truly “sick” side of psychiatry – the side that is fueled by corruption, greed, back-scratching and dysfunction.

And this was just the tip of the iceberg!

Crossing a Line

I met a patient that I will call “Ronelle.” She was in the state hospital and preparing to be discharged after six months. She was assigned to my caseload for when she returns. Ronelle sent me a six-page letter describing herself and her situation. However, the doctor took this from me and informed me of her “delusional thinking patterns” and then coached me as to how to handle her care. He was still her psychiatrist and was ensuring I was aware of the extremity of her “sickness.” I was naïve, and had no reason to question this prominent psychiatrist.

Prior to my first encounter with Ronelle, it was already engrained in my mind that she was sick and delusional. While reviewing her medications, I noticed she was taking four different antipsychotics – one of which was 30mg of Abilify. There it is again, Abilify, the latest atypical antipsychotic. “I really do not need to be on all these medications,” she told me, “I really am not that sick.” Another delusion, I thought. So I blew her off, just as everyone had always done. I didn’t realize I was another cog in the psychiatric industrial machine.

As months went by, our talks were always the same and I was getting tired of hearing how she did not need her medications.

One night, while out on a date at a fancy restaurant – courtesy of the gift cards from the sales representatives – we headed upstairs to check out the view of the city and I recognized the same psychiatrist providing an educational talk to nurses and mental health workers about Abilify. He was sharing all the wonders of this drug and how more people need to be pushed towards this magical medication. As he took his seat, he was embraced and kissed by the same young Abilfy sales rep. I had to take a second-look as I was taken aback by the blatant corruption that sat before the entire crowd. Next day back at the office, I asked other sales reps about this encounter. They laughed and said, “Didn’t you know that? They are married.”

What!?

Shocked, upset, and in disbelief, I came to discover this prominent psychiatrist was pushing a medication on his colleagues that his wife was selling! Is this really about helping people? Or is it about expanding their personal portfolio?

Disease Mongering: The Selling of Sickness

After discovering this new information, I had to find out more about Abilify. Every single doctor I spoke with provided the same answer, “No, it doesnt really work.” One doctor even referred to it as “Vitamin A.” Abilify was introduced as a new atypical antipsychotic medication to treatschizophrenia but never gained the market-share they were expecting. So, a few years later, it was approved to treat bipolar disorder. Later, the FDA approved its use in conjunction with other medications to treat severe depression – which is when it soared to become the top-selling drug in America.[1]

So, following the failed experiment of treating schizophrenia, the pharmaceutical company simply changed the “purpose” of the drug to treat other indications – specifically depression and anxiety – which is what you will see it marketed for today. In fact, you will find it marketed for just about everything.

“In the 12 months ending August 2011, more than $453 million [US] was spent promoting antipsychotics through physician deals, direct-to-consumer advertising, and professional advertising. Abilify led with over $174 million, or 38% of the total market… Clearly, Abilify and Seroquel have performed well… in part because of the investments their marketers have made, both in promotion and acquiring expanded indications.” [2]

Yet, despite raking in more than seven billion dollars per year, both the USDI and FDA state the way Abilify works is “unknown.” This is a very common practice in the pharmaceutical industry. It works like this:

1. Create a new disorder (identify a new market)
2. Hire a firm to spread awareness (disease branding/marketing)
3. Convince the normal person they have this disorder (creating a need)
4. Use a new drug to treat that disorder (solution)
5. The patent for the drug is good for 7 years; apply monopoly prices
   • Once patent expires, repeat step one
   • Repackage the “new” drug under a different name
   • Repeat steps two through five

Patents for new drugs are applicable for 7 years. Once it runs out, it allows the generic brand companies to make the same drug at reduced prices. To avoid this, the large pharmaceutical companies simply adjust a molecule of the drug and repackage it, or alter the condition it is prescribed to treat, allowing for a new patent. This process has been repeated throughout the past few decades as the psychiatric industry has abandoned psychotherapy in favor of drug management.

Valium was the highest prescribed drug in the world in 1978 and earned the nickname “Momma’s little helper” as it was marketed to stressed out housewives; and also referred to as “Executive Excedrin” for the overworked businessman. This was the turning point of America becoming a choose-your-mood society. As far as the pharmaceutical industry is concerned, there is a pill for everything, and the goal is to find the right pill for each person.

The 1980s saw the next “breakthrough” — the drug Prozac was released to treat symptoms of depression. And of course, the diagnoses of depression skyrocketed as public campaigns (funded by pharmaceuticals) let us all know that we, or someone we know, may be struggling with depression. Then in 1999 came “news” of the latest epidemic – Social Anxiety Disorder (ie. shyness). A coalition was created to help those suffering from this “disorder” and those targeted were told that there was a drug to alleviate their symptoms – Paxil. What is generally unknown to the public however, is that these coalitions to ‘spread awareness’ are funded by pharmaceutical companies, and psychiatrists are paid to give speeches about the newly devised “illnesses” — which are always sold as a chemical imbalance — along with the accompanying medication.[3]

Although widely accepted in the psychiatric industry, the “chemical imbalance” theory has never been proved in humans. [4] Furthermore, it has not been demonstrated why common depression drugs do not alleviate depression almost immediately, since they create a maximum increase in serotonin and dopamine within two days. Today, psychiatry is finally retreating from its long-held position of “chemical imbalance” in the face of intense criticism of this baseless theory. For instance, Dr. Fred Baughman, board certified neurologist/child neurologist and author of the book The ADHD Fraud — How Psychiatry Makes “Patients” of Normal Children, has testified widely, including hearings at the US Food and Drug Administration (March 2006) and the Congress of Mexico (March 2006), that there is no proof that any psychiatric disorders have been scientifically validated.

The psychiatric establishment, of course, is slow to acknowledge these facts. As noted by retired psychologist Philip Hickey Ph.D in an article for Mad In America;

This falsehood was promoted vigorously by psychiatrists and by pharma, and tragically has been accepted as fact by two generations in western countries and increasingly in other parts of the world. [source]

What research does suggest, however, is not that a chemical imbalance causes mental illnesses (as the industry would have us believe) but rather that depressive states may in fact cause chemical changes to biogenic amine (or neurotransmitters) in the brain. [4] Therefore, treating mental and emotional disturbances with pharmaceuticals is simply aiming to address symptoms and not causes — a common failing of the conventional medical establishment. Explains Ronald Pies, M.D., Professor of Psychiatry and Lecturer on Bioethics & Humanities at SUNY Upstate Medical University (NY) and Clinical Professor of Psychiatry at Tufts University School of Medicine (Boston):

Unfortunately, the biogenic amine hypothesis got twisted into the “chemical imbalance theory” by some pharmaceutical marketers, and even by some misinformed doctors. And, yes, this marketing was sometimes aided by doctors who—even if with good intentions–didn’t take the time to give their patients a more holistic understanding of psychiatric illness. To be sure, those of us in academia should have done more to correct these beliefs and practices. [source]

The Legal Drug Cartels

Paxil was FDA approved in 1992, and to get approval status, the FDA appointed a board of psychiatrists – all of whom had financial ties with the pharmaceutical companies. In 2001, the infamous Paxil 329 study attempted to “prove” the effectiveness of their antidepressant in adolescents – another then-untapped market. Martin Keller ran this study on behalf of Glaxio Smith Kline and tested 100 children on the drug. There were 22 co-authors of this study, all ‘important’ psychiatrists, which concluded the effectiveness and safety of Paxil. The FDA granted their blessing to the faulty study and within a year, more than 55 million people were taking Paxil.[5][6]

However, what was omitted from this “study” was that seven of children on which Paxil was tested were hospitalized and another 11 experienced serious side effects. Keller admitted no fault and simply did not count those individuals in the results of the study, and labelled them as either “noncompliant” or noted that they had “dropped out.” In 2004 he settled out of court for $2.5 million dollars for his role in the fraudulent study, but in 2012 the US Department of Justice brought a civil case against Glaxio Smith Kline which resulted in the company being fined US$3 billion dollars! [7] In that same year, however, Paxil brought in US$11.6 billion in sales for Glaxo Smith Kline which, from a business perspective, still made the fraudulent Paxil study a valuable corporate exercise. You can read the guilty plea in the case US vs Glaxo Smith Kline here.

In the book, “Sociology of Health and Illness” by Peter Conrad he writes:

“Marketing diseases, and then selling drugs to treat those diseases, is now common in the “post-Prozac” era. Since the FDA approved the use of Paxil for SAD [Seasonal Affective Disorder] in 1999 and GAD [Generalized Anxiety Disorder] in 2001, GlaxoSmithKline has spent millions to raise the public visibility of SAD and GAD through sophisticated marketing campaigns. The advertisements mixed expert and patient voices, providing professional viability to the diagnoses and creating a perception that it could happen to anyone (Koerner 2002). The tag line was, “Imagine Being Allergic to People.” A later series of advertisements featured the ability of Paxil to help SAD sufferers brave dinner parties and public speaking occasions (Koerner 2002). Paxil Internet sites offer consumers self-tests to access the likelihood they have SAD and GAD (www.paxil.com). The campaign successfully defined these diagnostic categories as both common and abnormal, thus needing treatment.

Prevalence estimates vary widely, from 3 to 13 percent of the population, large enough to be a very profitable pharmaceutical market. The marketing campaign for Paxil has been extremely successful. Paxil is one of the three most widely recognized drugs, after Viagra and Claritin (Marino 2002), and is currently ranked the number six prescription drug, with 2001 U.S. sales approximately $2.1 billion and global sales of $2.7 billion. How much Paxil was prescribed for GAD or SAD is impossible to discern, but by now both Paxil and SAD are everyday terms. While there have been some concerns raised about Paxil recently (Marshall 2004), it is clear that GlaxoSmithKline’s campaign for Paxil increased the medicalization of anxiety, inferring that shyness and worrying may be medical problems, with Paxil as the proper treatment”. [page 484]

Then there was the Cymbalta clinical testing that resulted in five suicides, which somehow still managed to pass through the FDA approval process. 19 year old Traci Johnson had no history of depression, suicidal ideation, or any mental illness. Yet, after being involved in this clinical study she ended her life – one of five suicides resulting from the in clinical testing of Cymbalta. After her death, 20% of the volunteers withdrew from the study, and these ‘dropout’ numbers (again) were simply not accounted for in the final data analysis.[8] In 2013, Cymbalta delivered more than $5.1 billion in sales.

This unsavoury marriage between pharmaceutical companies and psychiatry goes back over 100 years. While it was highly publicised that Sigmund Freud touted the use of cocaine – both recreationally and therapeutically – what is not widely known is that his well publicized passion for this “magical drug” was actually the result of hefty payments he received from the newly-formed pharmaceutical companies, Merck and Park Davies, for his professional endorsement for their drugs. [9]

Drug Pushers in White Coats

The story I related earlier about the psychiatrist with the penchant for Abilify, is one of possibly hundreds of thousand of other examples of this sort of prescribing within this industry. Drug companies are profiting by more than US$80 billion each year as a result of ‘mental disease mongering’, as well as ludicrous mark-up pricing. These medications are incredibly cheap to manufacture – i.e. the cost to produce 100 Xanax pills is about $0.025 (yes that is 2.5 cents) yet they sell for $136 at the pharmacy – a 500,000% profit margin. [10]

With these kind of profits, the pharmaceutical companies are able to pay enormous settlement fees which hardly crack their bank account. In 2007, Abilify paid a $515 million settlement for illegally marketing their drug in nursing homes, despite knowing that it commonly caused death for patients with dementia.[11]

In April of 2015, Abilify’s patent expired for treating schizophrenia and bipolar disorder and generics can now be purchased at discounted prices. So, in turn, in May of 2015 its maker the Otsuka America Pharmaceutical, Inc. attempted to sue the FDA, claiming that the drug was now an orphan-drug in treating pediatric Tourette’s syndrome and thereby extending its exclusivity period.

So why do we keep prescribing people these medications?

Simply, it is because we have created a gravy train that is producing a lot of money for a lot of powerful people – drug companies, doctors, pharmacies, and investors. In creating a new disorder, it is marketed as a lifelong and incurable disease, creating a customer for life. The first problem for the drug companies in marketing their pharmaceutical “solutions” is if it kills a person; the second problem is if they actually cured someone – imagine the financial hit they would take. Their aim, therefore, is to create addictive drugs that don’t kill but also don’t cure.

Upon learning more about this dark side of psychiatry, I literally grew nauseous. I started to examine this psychiatrist’s charts to find that nearly every one of his patients was prescribed Abilify. In comparison, other providers prescribed Abilify only 4% of the time… compared to his rate of 75%. Then, of course, he is also married to the pharmacy representative for this company. For each prescription he writes, she gets paid a commission. She also gets paid for talking to doctors because of her free pass into the clinic. He also is funded by the same company to give speeches on this drug, and for signing off on peer-reviewed articles and studies on these drugs – again 100% funded by drug companies. They are making exuberant amounts of money by medicating people with a drug that in their own words “doesn’t really work.”

I was reeling over how it is possible that this level of corruption is happening right before our eyes. But the chief of psychiatry didn’t seem at all concerned — he was busy playing golf with the Risperdal sales representative! Upon hearing this, I was prompted to look into the Risperdal Consta injections that were administered at our facility, only to discover that more than half of our one-thousand patients were being given this drug — a procedure that runs a bill of more than $1,000 per injection. This has all been given the ‘green light’ by our “Chief of Psychiatry” — our facility’s ‘pillar of respectability’ who has been featured in studies in medical journals and other publications and studies for the past fifty years.

This kind of corruption is, unfortunately, not uncommon in the psychiatric/pharmaceutical industry. Peter C Gøtzsche, a physician, researcher and professor of Clinical Research Design and Analysis at the University of Copenhagen, has firsthand experience with the criminal workings of the pharmaceutical industry, which he exposed in his book “Deadly Medicines and Organized Crime: How Big Pharma Has Corrupted Healthcare.” Gøtzsche detailed the corruption behind exorbitant prices for branded drugs, and outlines that clinical drug trials are often fraudulent, with pharmaceutical companies selecting populations and comparison groups that will support the preferred outcome of the study, controlling and filtering data in-house, cherry picking the results to suit their marketing needs, and hiring professional writers to document their “findings”. He also claims it is not uncommon for academics who were not involved in studies to be paid to be listed as contributors, to give the study credibility despite its “shamelessly biased data.”

A number of other prominent scientists — including 2 former editors-in-chief of major scientific journals — have also publicly stated that up to half of published research is biased or simply untrue. Says Dr. Marcia Angell, physician and longtime editor-in-chief of the New England Medical Journal:

Licensed to Kill: Psychiatry, Big Pharma and the State-Sanctioned Drug Cartel

Paris shootings, explosions leave at least 39 dead

By Eric Randolph1 hour ago

Paris (AFP) - At least 39 people were killed in a series of simultaneous gun attacks across Paris on Friday, as well as explosions outside the national stadium where France was playing Germany in a football match.

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Police have said that at least 15 people were killed at the Bataclan concert hall in central Paris, only some 200 metres (yards) from the former offices of Charlie Hebdo which were attacked by jihadists in January.

Police said a hostage scenario was under way at the venue, which is in an area known for its busy nightlife.

Three people were killed near the Stade de France stadium in the north of the capital, police said, where the international football match was taking place.

An AFP journalist at the scene said two explosions were heard.

President Francois Hollande was evacuated from the stadium before the end of the match.

View gallery

Police and rescuers are seen outside a cafe-brasserie in the 10th arrondissement of the French capit …

Spectators flooded the pitch as news of the attacks spread. Organisers started evacuating the stadium by three doors.

Another attack was reported at a Cambodian restaurant called Petit Cambodge, not far from the Bataclan venue in northeast Paris.

Counter-terrorism prosecutors said they had opened a preliminary investigation.

The mayor of Paris, Anne Hidalgo, called for residents to stay at home.

"We heard gunfire, 30 seconds of fire, it was interminable, we thought it was fireworks," said Pierre Montfort, who lives near rue Bichat, where one of the attacks took place.

View gallery

People run after hearing what is believed to be explosions or gun shots near Place de la Republique …

The toll "will be much heavier" than the initial confirmed deaths, a security source said.

"My sister is in the Bataclan," said Camille, 25. "I phoned her. She said they opened fire. And then she hung up."

"Everyone was on the floor, no one moved," said one witness from the Petit Cambodge restaurant.

"A girl was carried by a young man in his arms. She appeared to be dead."

An AFP reporter outside the Bataclan said there were armed police and some 20 police wagons with their lights flashing around the scene.

Hollande travelled to the interior ministry to set up a crisis cell with other ministers.

"The president of the Republic, the prime minister, the interior minister are in a inter-ministerial crisis cell," the government said in a statement.

The president's office said an exceptional council of ministers would be called at midnight.

European Union chief Jean-Claude Juncker said he was "deeply shocked" by the attacks.

France has been on high alert since the jihadist attacks in January against Charlie Hebdo magazine and a Jewish supermarket that left 17 dead.

Several other attacks have been foiled through the year.

More than 500 French fighters are thought to be with IS in Syria and Iraq, according to official figures, while 250 have returned and some 750 expressed a desire to go there.

The government announced last week that it was restoring border checks as a security measure for UN climate talks that start in Paris at the end of this month.

Dozens dead in Paris; state of emergency declared

Multiple attacks leave at least 35 dead, and a hostage situation at a theater has ended, police say.
Borders closed

Supreme court to decide major abortion case for first time since 2007