now you could japanese psychiatric community had the view. that depression was a was a rare. disorder in japan and they didn't diagnose it often and what pharma did was it lobbied the japanese government in moralizing rhetoric to say that they were mistreating japanese patients and then they sponsored. campaign to try and reduce the reduce the feelings of shame that a japanese person might have if they felt sad or they felt they felt depressed they felt something not right and they might otherwise stay home and not go to the doctor so the anti stigma campaign was there to help normalize mental illness and there were. there were interviews with with celebrities

and t.v. personalities and there were articles sponsored and placed in the newspapers to try and similarly arise people with the idea of depression even the very word depression in japan on silvio was a word that stood for major depression and so they they built an ad campaign a slogan that would make it feel more comfortable for people because of people heard that word depression would subiaco it meant it then something in a hospital something someone very sick and so they came up with a slogan. which means a cold of the heart or a cold of the soul that terminology meant several things first of all catching a cold is quite common you're not one of those crazies that has to be locked up

it's a cold many people have it if so many people have it then it can't be all that bad . secondly while japanese are big consumers of ability and stuff and that meant to them cold that's treatable. can be treated with a product and finally the soul. is sort of very very pretty and. really resonated very well with the japanese. it connected with how they felt. and so that really changed significantly the perception and created this concept of moloch depression. that physicians know started treating that big government started acknowledging because the japanese government didn't want to know that japanese were depressed so for

those very few the japanese government realized that. there was something that was an obstacle to the productivity of japanese workers and so that all of a sudden made sense now to treat depression when you get cut out of that ring this very good many died. that you don't need and. i don't mean i knew we had to guess and i want to. know it's a nice. story and i. presume that you know it almost one important aspect was when. when the court when the imperial court acknowledged that the. the princess actually was suffering from depression and was being treated for depression what better celebrity can you get

other other than the emperor himself i mean this is fantastic and this is how it all begins the drug industry here let me do that for you let me run this let me run this program for you let me do this and the stigma campaign for you let me lobby the japanese government for you let me run these clinical trials for you let me get the word out and the japanese psychiatry is especially the ones who are then in the employ of the industry they believe that they're doing it they're doing the right thing only at a certain point their interests diverged because from a commercial standpoint and this is. this is natural to all businesses from a commercial standpoint they don't want to stop until every every person every last man woman and child is taking their drug is using their product whereas the psychiatrist obviously they want to get off the train before that but once the

faucet is turned on it's extremely difficult to stop. people you've got to realize at least marketing to doctors is intense newbie a salesman call ten times a week spend precious time listening to the same argument assess in a medical journal. are just a vehicle for the same message that came in shoes then. cers of medicine at the best universities the comp go around giving lectures in medical schools had looked up to. all the tackler success of some treatment they all mocked up to detroit where you know you're a fee of course hard to resist this document

if we look on it you can see that it has key players in the us anti psychotic marketplace regulators payers social network will. dispensers providers manufacturers and all of these are surrounded so in patients you have friends coworkers religion advocacy groups and then regulators have legislators media and so on and every actor is to be studied how can they influence the forward motion of the dr and the key the main key is in the science how can they how can they produce the science that will convince all of these people along the way that this is the best treatment the only treatment in fact so with eighty five percent of our clinical trials commercially funded and now ninety

seven percent of the most influential clinical trials commercially funded what we find is that the odds are more than five times greater that commercially funded trials will conclude that the sponsors drug is the treatment of choice compared to non-commercially funded trials of exactly the same drugs so you see those are pretty good odds and you know we tend to think of scientific studies as being objective and not being subject to bias but what we find when we look at the. the way the system is structured the companies sponsored the trials to help to sell their drugs the companies own the data the same way that the coca-cola company owns the recipe for coke whereas you have been particularly successful is been to get control of to co-opt doctors who have no that is to industry at

all who have never been paid a cent by industry who think that they're quite hostile to industry doctors who say well we go by the evidence we want to see the evidence and we will make up our minds based on what the evidence shows nothing because we've been paid by industry not because we've been brought to meetings we will make up our minds based on the evidence the key problem for all of us is increasingly compared with the nine hundred sixty s. industry now controls the evidence industry runs the clinical trials all of them when i was a fellow between one thousand nine hundred eighty two we would spend hours and hours dissecting clinical trials and looking for statistical problems and outcome measures that didn't measure that didn't reflect what the study had been

designed to do and we saw plenty of problems but i can't remember a single time that we saw a problem that we assumed had to do with a commercial bias and of course science is imperfect it's always imperfect but though we didn't see that in our professors had no relationship with the drug companies it was unheard of for a professor to have a relationship with a dark drug company it was just a nonsensical thought. now we see that. articles have problems all the time and if you could put on truth goggles and you watch the prestigious press professors coming down the hospital. corridor in their white coats they look like formula one drivers and instead of saying pennzoil mobil gas it would say merck and pfizer and then german genzyme because they're getting sponsored by all the professors a financial relationship. still.

a sponge it off to. the delimiters. what the internet does that patients allows you know every day people to go to the web and to feel empowered by getting all the medical information they could possibly ever want right they could get access directly to medical journals if they want they can go to any number of websites where data is presented where information is presented about diseases they could consult with their friends they can consult online on bulletin boards of other people suffering from these diseases and get lots of information and there's the idea that not only is it does it feel empowering but it's actually a requirement for being a good patient right being a good patient requires that you know all of this information before you even go to the doctor and that you've done your own research and that you are you're

approaching your approaching your doctor not from not to just listen to his authority but that you'll be in negotiation with him to create to come up with your own treatment plan but there's of course a catch here is that the internet in particular is. it is able to hide where the information comes from. and russia agrees being gay is not criminalised there absolutely no punishment for being gay in russia the only thing that these laws for is. information fair verbal information on traditional sexual behavior what are you going to legislate against couples to sway you know who. you know a trade partner is or is it only a certain type. legally able to you know. propaganda you know it's so clear.

we speak your language. news programs and documentaries in spanish what matters to you. a little tune into bang goes to these stories. you hear. the spanish. visit. i think that in all of these areas where you have the rise of what is called white there were shadows faction with left wing. my friend. to be aware of how widespread is this. having spent the last forty years and in academic lunatic asylum i assure you that it is total in many many quarters of

american life. that i was in academia for a while i found it in a straight jacket as well a dime's so i'm going to jump in london yeah i mean i think spending time in the lunatic asylums is kind of affected. you know thinking a little bit the point is that the. values have changed cultural values have changed need to become much more tolerant much more open much more liberal and even in the united states. i have an example for you of you know i just saw my doctor and found out. i've had . three years. does any good for mankind my back hurts every morning creaky it can put more where ye may takes me an hour to loosen up if that showering isn't enough . the moment i watch the world cup on t.v.

you my saw a commercial with frank lebeau we musician no money said i might have spondylitis it was old. and it can be traded i'll buy so when i'm home what do i do. while i look it up on the internet when i found the f.a.a. they don't is because i went to the site they suggest it was miss rehab is considered because the name is easy to recall so it's happened do me. good to. know this clear title to top when it's not on a truck you can taste it not to mention. i keep watching the film human but if you know because he's talking about back.

then he's describing all these symptoms so accurately defense song places they like being tired and sore at night we each need to get him at dawn in the morning and you must create the deal we need to i'm creaky left i have the same symptoms when you are first so i click there's a doctor said all of this so she did. know it but picked the decepticons shot to get up walk walk. this is your just. six. you could. just say so he sure sounds trustworthy. but i'm surprised to see this man a prominent medical professor. standing in front of the pfizer locos. lisa logos are strategically located. because one of my friends is

a marketing specialist. marketing mix bigots if they live he told me those are key places. around a talking head in the middle. so maybe it's no accident to see if you know the picture is composed that way. the dr tell me. to sum it up one hundred fifty thousand people reported every year young people the signs are easy to ignore. the symptoms are so common. that this professor calls it young people's back. he may be scarce me he says this back ache may disable me though it may become a serious disability up. scares me but he reassures me ok maybe it's not very common. it can be very painful but it can be treated and the

treatment is fully covered by you. getting your regime. issue we should all this. particular why should gas. unfortunately the drug has adverse side effects you dog it's long term effects are still unknown. but there's good reason to think it affects the cardiovascular system. and may also be. factor in cancer exclusion between the forgot to mention treatment cost one thousand eight hundred euros. now. they have are almost capsis this watching the pharmaceutical industry how they lobby how de market medicine how do you try to

influence the public the doctors the government the media etc and we want to reduce the influence so we have more rational use medicine to get over it all straight out with fake disease to show how the pharmaceutical companies said this is a we're in this kind of paying to market medicines we approached market research agency we said we are working for a pick pharmaceutical company who's coming up with a new truck against flatulence and we want to do market research and see how big this problem is. a not a few canadian those have lost from been attacked from day cements i have to. ask who the company of mr. favor save the present have to face the clock to also come to.

make a had cessna saved the post and if not more it's better to have charts from a store something that i've had problems as i'm to help to level a maybe same company i call me now that i take the time. so we made this folder or the nice lady with balloons we thought it fits well with it because flattens with the air and looks nice. it's the same way pharmaceutical companies do it because they are using happy patients because the problem is solved. we went to dr us and asked if we could put this leaflet in the waiting rooms and they greed. they thought it was a great campaign and they didn't ask who was behind this campaign and all of it was from a pharmaceutical company or a patient's organization they didn't care or the they liked the flyers so we could

just sprout the leaflet with the poster in the waiting rooms. and also we had a fair dio's or of people suffering from federal and for example we used my daughter as a fake patient who get called names by classmates and the teacher is telling her that no good to far is in the classroom and so on poli and well but now the doctor has gave. just a simple pill and. it's over. and we approached some t.v. programs. a soap opera us but also informed of programs and we

asked them if it's possible to have attention for flatulence yes it was. for her. one show oprah a very popular program in the netherlands good times bad times we had to pay fifty thousand euros and one of the. well maybe a person. in the soap would discuss with with his wife that he has really a problem with flatlands and she would advise him to go to the doctor and in the waiting room well they would fill him in the ways for the doctor and there would be our post office of the flatlands campaign.

the polypill was announced in a special issue of the british medical journal in two thousand and three. in the preface by the editor suggested that this was the single most important article the b.m.j. had ever and possibly would ever publish and this is impressive given that the polypill at that time was an entirely theoretical intervention and the authors of this article suggested that rather than systematically screening the population for blood pressure for cholesterol for diabetes and for a number of other preventive concerns that might require pharmaceutical intervention why not simply give the entire population over a certain age a pill that contains interventions designed to treat all of these things at the same time and so the polling till and it's theoretical form contained a thighs i direct contained

a beta blocker. it contained a. an ace inhibitor. and i think folic acid and aspirin and the idea was that one could model each of these interventions carried with it a possible risk of side effect each conferred a possible benefit of prevention and by modeling those risks against each other the the the authors suggested that one could achieve a reduction in cardiovascular mortality i about eighty eight percent. by it simply administering these pills to the entire population over the age of i think fifty and for what seems like quite an orwellian intervention the poly pill generated immediate enthusiasm hundreds of people wrote in to the to the b.m.j.

website suggesting that if a polypill existed they would take it immediately others suggested will why just one poly pill why not make a poly pill for men that contained a prostate medication nepali pill for women that contained to mock safin to reduce their risk of breast cancer don't live so you're on board for a lifetime of treatment exist also you know what it's wallowing it doesn't pills a day back to prevent real diseases or illnesses. you have a one percent chance of getting. the q what's going on here i mean how much has that become you know they've just lost any sense of what's a reasonable risk you know to take and what isn't. if you want to use her french element into all this is of course the famous quote from. now about

the art of medicine. you know it's great to have to give a drug and it's treated illness but it's an even greater rock to know when not to treat it and that's the doctor we've lost it's the author we've lost because the marcus doesn't understand not. enough seats in students' minds to. the policeman two minutes. it's going to problems that it seems to. be quite stunning for me to confuse one system.

coming up with. the feel better since. solow so called. rights. of. pain for the young girls cammo for the future hunter. her son between two and three hundred million guns united states so you can act like they're not here and keep kids away from them with. the plaza sound is a large you know i mean this teaches them a lot of for us both ability to simply come to faith through the eyes of children if we can't do it for our children for our future what is the country will for.

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with mike's cause or for a no holds barred look at the global financial headlines kaiser report. good luck. was able to build a most sophisticated. fortunately doesn't sound anything. to teach me the creation of why you should care about. this is why you should care only. six.

but. you know that you know the price is the only industry specifically mentioned in the constitution and. that's because a free and open process is critical to our democracy but there's. in fact the single biggest threat facing our nation today is the corporate takeover of our government and our crusted like we've been a hydrogen why a handful of trans national corporations that will profit by destroying what our founding fathers one still just my job market and on this show we reveal the big picture of what's actually going on in the world we go beyond identifying the problem try rational debate and a real discussion of critical issues facing america have done it over you know ready to join the movement and walk a little bit to. russia

wins its thirteenth gold as a country breaks away from the pack of the top of the rankings setting the record for medals at a winter olympics. in. ukraine moves close to a split the opposition dominated parliament appoints its own acting ministers and president while the southeast refuses to bantu its will and the hat of state is no word to be found. in his fingerprints all over their current chaos they handle it appears that putin has started feeling ukraine. a russian rather it takes center stage in western coverage of events in ukraine despite the fact it's the e.u. and the us politicians who are the most frequent visitors to keep the protests. and the spade.