so they published one hundred articles on t.c.m. d.v.d.'s and on his phone most went below and all in one year and thirty journals they visited medical plenty of samples were had as i upon them it's doctors had to be taught about p.m.t. did it have behind us and the solution appeared the new molecule involved it gets exactly the same as prozac to move it gets identical it's just a different color have come to trend the price is quadruple to be a normal of course since women only take it five days a month. it's mind boggling film study of the follicle if you will ever. some of the pharmaceutical companies fell from a city to could be profitable no pudge you avoid all the striving and that he would see foresee a necessary to find

a new drug or health problem on into something made without caesar to use existing drugs. and in what end the health problem to match the drug. kemel system is reversed with up and see his own companies have a court volley of medications equal says usada leave that for some reason one aren't earning profits so it's good for the common we invent an illness or problem you want problem mrs sell the drugs it was you niggas with madge and you're an auto manufacturer. you're not in business to make wheels of a kid the usual you go for a few amputees see that their goal is to make attractive automobiles as. to maintain your position. on the biggest markets in every industries and especially pharmacy from as must solve the same problem. in other words the key goals riving the end of story is not health but important is helping patients and so the harm is

driven by potential profit in the markets where sales and prices can be maximum chance to see. the industry is always trying to expand the market. so it has an interest in expanding diagnostic criteria sickly obviously most people have normal blood pressure on the mountain there is a small minority presenting one hundred sixty or one hundred seventy with one hundred seventy millimeters of mercury and even smaller minority has a blood pressure of one hundred eighty don't even feel higher so the threshold chosen to define hypertension even one determines the number of patients or

customers and a sales. don't. feel leads many pharmaceutical firms wanted to encourage doctors to broaden the criteria to make a decent trade diagnosing a disease don't to do so that medication is prescribe for more people. people need to take one thousand adults with blood pressure over one hundred sixty over ninety pondering if you prescribe a medication to treat hypertension compound you know would just after four or five years it will have prevented a stroke you'll start ten or twenty people and that's good for those individuals everyone's happy for them to know what made you decide me but think of the order of math. well they're going to. be most of the people taking the medication somebody if he's a benefit his company did but they didn't do something. if the threshold for hypertension is lowered. or that could be even more people will be treated or no benefit is

being exposed to adverse side effects if i did lose sales i was active eating healthy i thought i was in great shape so i was surprised when my doctor told me i still had high cholesterol that really hit me and got me thinking about my health i knew i had to get my cholesterol under control i thought i was doing enough to lower my cholesterol but i needed more help what are you doing about yours in the extreme what they've been able to do is to persuade everybody that the cholesterol levels that you find in twenty five year olds are the norm this is what we all ought to be aiming at and based on this you find that the cholesterol. levels that are found in how the populations of france and germany mean that ninety five percent of germans and french are technically ill

from industries point of view this is wonderful it's a huge market they're in the business have been able to say to huge amounts of people that you should be on the staten group of drugs to lower your cholesterol levels and lower the risk that you will have a heart attack. a stroke when in actual fact we know that if you don't have the other risk factors if you haven't had a heart attack or stroke before and if you want to overweight and if you don't smoke taking this group of drugs just because you've got i marched in a raised. cholesterol level increases your risk of death and in the cholesterol guidelines the last major revision was in two thousand and one in the american cholesterol guidelines nine out of fourteen of the experts who were on the panel that set the standards had financial ties to the drug companies now this is very

important because the two thousand and one guidelines almost tripled the number of americans for whom staton therapy was recommended the number it went from thirteen million to thirty six million and most of the twenty three million people for whom status became recommended based on those guidelines did not yet have heart disease . one in five people in this high cholesterol millions need treatment to be cholesterol community would becomes known later to their critics as the cholesterol mafia are interested in pursuing not only the premise that lowering

cholesterol can be results in better cardiovascular outcomes but in really pushing forward a promotional message to the american population. on a sort of an individual consumer level on a specific patient level and on a provider based level these multiple tiers of health targeted promotional movie. cols to get the american population concerned about their cholesterol that the new your number campaign comes across as a as a way of getting all americans to identify with the number that one should have in one's consciousness a sense of what their cholesterol number is so doctors will measure their patients cholesterol and if and the patients will ask for their cholesterol to be measured and if the cholesterol aside the doctor will often say mr mrs jones your cholesterol is a little bit high why don't you come back in three months and in the between now

and then why don't you exercise more and eat a healthier diet and we'll see if your cholesterol goes down and then we won't have to treat you if your cholesterol goes down and more often than not cholesterol won't go down that much with these healthy lifestyle interventions and then the doctor will say well mr or mrs jones i'm sorry your cholesterol hasn't gone down so we'll give you a cholesterol lowering medication and then you won't have to worry about it but they've completely missed the boat because taking the action of exercising more and eating a healthier diet is going to decrease the risk of heart disease somewhere around sixty or eighty percent that's a normal slee effective therapeutic intervention. and when the doctor says well we'll give you a cholesterol lowering drug you want to worry about all that other stuff that's so hard to do the doctor is focusing on the wrong thing because the patient has done the successful intervention to change their lifestyle the doctor doesn't understand that the change in lifestyle may not lower cholesterol but it will certainly reduce

risk of heart disease bob dole courage something shared by countless americans. those are risk their lives. those who battle serious illness when i was diagnosed with prostate cancer i was primarily concerned with ready myself for the cancer but secondly i was concerned about possible post-operative side effects like correct this function. often called it the you know it's a little embarrassing to talk about edi but it's all in that incident of their partners bob dole lost the presidential election against clinton now clinton. not only was president but he probably also didn't need it but. he needed both the medication and the money you know presidential campaigns are expensive and so he became a spokes person for this i'm granted campaign and he really was associated with vadra with background. and this was very important because.

this thing of talking about it so you really needed somebody. very senior very well respected very conservative ok you can't have a hippie or an old rock star talk about you really want to penetrate you know middle america the more conservative people because there's more of them then than all the hippies. so this is this was perfect ok perfect person senator coming from the south war veteran very respected talking about e.d. it made a difference for many many people. we said well if bob dole has the courage to talk about it i can.

fly a transit route to vnukovo report your best way to the heart of mosco. that's obviously one of the rationale for the continuation of return they want to sell the american hard tech weaponry aircraft submarines missiles all the rest of it to the new countries new new markets expanding markets because most of these countries of course who are previously on circuit equipment. meters rationale is still a much more politico and city cheek than certainly economic the bug and between europeans who wants to go with the united states remain committed to their security and the united states who want to see

a gripping story we know that we are like you just i could jump in and ask you could if i could jump in and ask you i mean they want washington because they want the american taxpayer to pay for it because the united states pays the vast majority of the bill for nato so this is free riding that's what they want do you know that they don't want they're not the security of this is really an evolution is this they want someone else in times of austerity particularly now with the american taxpayer picking up the american defense industries would be more than happy to do it. i know that you know the prize is the only industry specifically mention in the constitution and. that's because a free and open process is critical to our democracy albums. in fact the single biggest threat facing our nation today is the corporate takeover of our government and our crass cynical we've been a hydrogen why

a handful of friends dash all corporations that will profit by destroying what our founding fathers once told us i'm john martin and on this show we reveal the big picture of what's actually going out in the world to go beyond identifying the problem for trucks rational debate and real discussion critical issues facing america five for ready to join the movement then walk a bit. even talk to. president scrambling for answers to go to jail. as if we don't want to leave him for spencer. was missing money like someone stole mr tooke sets the fuse in the trillion dollar amounts with the production of a drug like tones to vioxx and even more to have industry doing and able to persuade is that any variation from one hundred

percent rigidity the whole time is a dysfunction it's an illness and that it needs to be treated so where before we had a group of older men who had other physical conditions which meant that they couldn't perform from the sexual point of view who would have been extremely small market for drugs like viagra now we have young man in teen. who are being encouraged to think of things out to be perfect the whole time. they have an illness the pill is on to the problems of. the dead person if it's even. if you see the cause you shake your gums. or who. did.

the did you see the cause do the things. you see somebody on the. excuse me to the best. reason i just picked up the sunday newspaper about a week ago in the sports page there was a full page ad for cialis which is a product for a male erectile disfunction someone to buy a. and another form of monitoring to me is taking a drug that might have occasional use or even routine use like a drug for when a man wants to be intimate or have intercourse he thinks about taking his viger or his cialis makes sense but the ad had two things in it one it was a coupon and it said cut this out bring it to your doctor for a free trial of cialis so that caught my attention you could say ok you know

getting the consumer involved in thinking about their disorder and their symptoms a form of market expansion but it also said take cialis every day to be ready. so kind of preying on this sort of name. you never know when you're going to be ready for sex so you better have your system but very clever marketing it's become a maintenance medication.

that when the place you. had. a good example of the marketing of a diagnosis would be the depression diagnosis specifically major depression and then i had sixty's and seventy's anxiety was the big diagnosis everybody had some kind of and was i had a disorder and the drug class for treating anxiety disorders was ready to hand it was the benzodiazepines that is the drug class to the blues librium valley grown men some of the big drug users were once our. there are in fact called anxiolytics ok. and with drug companies marketing to minnesota has opinions but they market it was a variety so that physicians were encouraged in the one nine hundred sixty s. and seventy's to see anxiety when

a patient comes in and sits down and the patient's. been a little bit weepy and tired but is also nervous and anxious well if you've got anxiety disorder we're going to prescribe value ok and then what happened in the one nine hundred eighty s. was that the benzodiazepines librium medallion started to be associated with addictiveness and both the public and the physicians fled from them in panic thinking by god we don't want to put our patients on drugs that will addict them and this then created a huge opportunity for depression they enter the picture you know when you feel the weight of sadness you may feel exhausted hopeless and anxious whatever you do you feel lonely and don't enjoy the things you once loved things just don't feel like they used to these are some symptoms of depression a serious medical condition affecting over twenty million americans this led industry to persuade people that where they thought they were anxious before and

they weren't that behind. t m sighs he's they thought they had len illness they were depressed they had to miller's through there came was lowered serotonin levels and these pills were going to be like this woman's they were going to top to saratoga and levels up depression may be related to an imbalance of natural chemicals between nerve cells in the brain you just shouldn't have to feel this one more only your doctor can diagnose depression everybody can recognise symptoms and. depression is defined as five out of nine symptoms of a given list of nine symptoms for at least two weeks duration. those symptoms include sadness lack of pleasure things like fatigue insomnia loss of appetite lack of concentration on your usual tasks roles as well

as thinking about death. slowing down and mobility called the cycle motor retardation and a few other symptoms like that so as you can see just from that list a lot of people could meet that criterion could have symptoms of fatigue insomnia sadness not interested in their usual activities and so on for a period of two weeks after many many different stressors. now what's happened with these criteria is that they aren't only used in clinicians offices if they were only used in clinicians offices many clinicians would make the discrimination between a normal response to loss loss job loss love whatever betrayal. versus a true mental disorder at least someone but what's happened is these criteria have become so they are fighting the culture they are considered the definition of mental disorder officially person is emotional. the daintree.

pain. five out of nine criteria is a little arbitrary probably people who have less than five criteria might have a borderline or milder condition and in physicians' offices these checklists they use actually say if they have less than the five symptoms then they may qualify for subsidies romel or some threshold or minor depression goes under various names so you see how the you go down a pathway from these specific symptoms criteria it takes you down a pathway that leads to virtually any episode of sadness due to a loss of life as being potentially have followed your eyes and treated kind of what a magically with medication. exist in minute sixty two shows me you'll have to settle this. minute he keep it was opposite of.

me on t.v. but in the late one nine hundred ninety three selective serotonin reuptake inhibitor a group of drugs began to come off patent. and this left industry with a problem first of all they could have replaced the s.s. arise with a new group of of antidepressants if they had drugs that were better and yes that's right if they had drugs they were more effective than yes that's right they could have said to doctors well yes all these patients that you're treating for being depressed are depressed but we now have a better group of drugs to treat them with problem for industry was that they couldn't actually produce drugs that were better than the older drugs who were there before hand and it seemed to intercede to increase me to industry to be a better. better strategy to do what they had twenty four hundred which

was to convert patients who had been seen as being anxious over into cases of depression but now to convert them from cases of depression into cases of bi polar disorder i ponder disorder is challenging and can affect you john and family and friends for years and severe mood swings racing not unusually high energy and was extremely irritable when you had manic depressive the list you often had a mood which was high and meant that you had to go into hospital and you remained ill for months when you went depressed you had a mood that was extremely severe could lead to you maybe committing suicide lity being in hospital and were often ill for months from industries point of view changing over to bi polar disorder meant that they could begin to capture any of the normal variations of mood that we all have

a disorder is a sign thing it's many depression. in the nine helps you understand what's happening to you. but it doesn't make it any easier to deal with. this on. bipolar one disorder as it was termed was much the same kind of ellison's classic manic depressive illness was but industry have been able to pick up research that has been done at there which suggests that there's also by polar two disorder and bipolar three disorder and bipolar four disorder and bipolar spectrum disorder and what these refer to are pro aggressively milder and milder variations and they elicit that you ultimately get down to conditions where

if you or i have a mood going up and down during the course of the day if you and i monday morning here if you're feeling the way an office feel on a monday morning and that's low mood and later on during the afternoon and things have gone well you're going to be in much better form if you keep a mood diary as industry have encouraged people to do then you produce a curve at the diary and your and courage to to think and your doctors are also encouraged to think that curves like this which go from being low to high even during the course of a single day are in fact the early forms of bi polar disorder and of course doctor it's a good idea to treat the early forms of the a list before it becomes more

severe and treatable there's a tremendous pressure now because of the definitions of these disorders and because of the freeness of handing out medication. there's a tremendous pressure on people to function socially optimally at every single moment and if they do not if they are role impaired as the psychologists are saying then this suggests disorder and suggest they should immediately go in and get medication. it seems to me one could argue this point but it seems to me that the kind of world that we're constructing potentially here for our children and grandchildren to inhabit is one that does not allow the full freedom of human emotion.

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