45. "RE: *this is the part that is unethical*" In response to In response to 41 Sun May-08-16 01:27 PM by akon
>I don't see it as a bad thing
i do. it presumes that lay persons are much better informed than medically trained personnel this is rarely, if ever the case instead what you have is patients presurring doctors to prescribe meds based on an advertisement where the side effects are very quickly run through its a form of advertising that is pretty much enethical given that the u.s has one of the most inefficient health systems drug costs play a huge role in driving up the cost of medical care without the benefits being greater than you would in more managed settings.
>HIV/AIDS clinical trials are different from oncology clinical >trials. >oncology clinical trials are very much 'real world' >situations >not saying you'll see the results in 100,000 'real' patients >that you saw in 1,500 CT patients but they the same drug and >same situations
no they are not the selection of patients is not based on an 'average' patient but on very restricted enrollment criteria this is true of all clinical trials (unless the trial is more of a pragmatic RCT <- these are much more expensive than regular RCTs and require a larger clinical sample. so typically drugs are released for public use based on safety and efficacy but also with the knowledge that the first few years of use will need careful follow up because we dont quite know how well they translate to the 'average' aptient who will most likely have other conditions and be taking other drugs as well.
and no, i dont think govt should be the one coming up with new drug discoveries the role the govt plays is one of regulation the u.s pharma market is not well regulated.
. http://perspectivesudans.blogspot.com/ i myself would never want to be god,or even like god.Because god got all these human beings on this planet and i most certainly would not want to be responsible for them, or even have the disgrace that i made them.