Hacker News new | ask | show | jobs
by stef25 1100 days ago
> I worked in pharma for a few years on clinical trial systems

Same here. What did you see that didn't make you lose trust?

What I saw if anything was the rigorous work required to get a drug on the market. FDA inspections were feared because if you've made mistakes in your trial everything risks going to the trash.

> to only take anything they produce if it’s an extreme emergency

How high would you toddler's fever or painful your tooth ache have to be for it to be an extreme emergency, before you administer some paracetamol? What about anxiety? What about illnesses your ageing parents may have? There's a very large gap between comfort and near-death.

1 comments

Lying was absolutely commonplace about anything, software validation testing included. Our company 'managed' their relationships with the FDA so we didn't have to fear them, so bribery basically. When I worked there, it was less than a decade since all the rules regarding bribing doctors had changed, so there was still a lot of that going on. All expenses paid trip to Hawaii for doctors and PI's for a week to optionally attend your 2 hour talk on a new drug, that kind of thing. Golf was a big carrot that was used. This was in an area that was a pharma co. hub geographically, so most people had worked at the other companies and all knew each other as well the the FDA people and this helped to grease the wheels. Our company did most of their trials in India, where it's apparently legal to do things to humans with drugs and therapies you can't get away with in the states, so we really leaned into that. Might not have been legal, but it's what was happening anyway.

I don't force my own preferences on my family. I'd not go to a doctor complaining of pain again - they're in over-correction mode over killing so many people with opiates that you can't get help with that for the time being. I'd never personally take any of the medication peddled for anxiety - too many of those meds don't have long term studies or the AE's were swept under the rug for approval.