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Cracking down on conflicts of interest

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Emory University
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This was a watershed year for the practice of cozying up to doctors with everything from pens to exotic trips and fat consulting contracts. During 2008, not only did many academic institutions ban such gifts from pharma and medical device companies--down to the smallest pen in some cases--state legislators have taken aim at the practice, too.

Under pressure from Senator Charles Grassley (R-IA), Cleveland Clinic and University of Pennsylvania decided to list potential conflicts of interest online. And Emory University wished it had done something like that after it was revealed that psychiatry department chair Dr. Charles Nemeroff had failed to report nearly $1.6 million in consulting fees that he had earned over the last several years. Emory investigated the reports and ended up permanently removing Nemeroff's chairmanship, in addition to other punishments.

And the worry about conflicts of interest spread even further than clinics and universities: the FDA tightened its rules, and the NIH was criticized for its relative lack of oversight. Even the Psychiatric Times volunteered to disclose conflicts of interest within its editorial board!

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Should an Emory doctor become Surgeon General?
Incredibly, in the midst of all of this, a friend of Nemeroff is being considered! Sanjay Gupta appeared before the very same “conflicts of interest” committee, and his conflicts were supposedly allowed while a faculty member at Emory.
What gives?
The report this week that President-elect Obama is considering Dr. Sanjay Gupta, CNN’s chief medical correspondent, for the position of U.S. surgeon general is deeply troubling.
Among our concerns are these:
As a media figure, he has been disturbingly cozy with Big Pharma. He co-hosts Turner Private Networks’ monthly show “Accent Health,” which airs in doctors’ offices around the country and which serves as a major conduit for targeted ads from the drug companies. Another example: In 2003, despite mounting evidence to the contrary, he publicly downplayed concerns about the dangers of Vioxx. It was removed from the market a year later by its manufacturer, Merck.

We urge you to write to President-elect Obama and express your opposition to Gupta’s possible nomination, and to urge Obama to nominate a more acceptable candidate for this critically important post.
Sincerely yours,
Quentin D. Young, M.D.
National Coordinator

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