X Monograph (Contd.): Index (Contd. II)

(Index Contd.)

Mass destruction due to external calamities 16

Medicine

as a Corporate Enterprise 20, 34-37, 49

as a Patient Welfare Centered Profession 20, 37-40, 49

as a Patient Welfare Centered Professional Enterprise 20, 41-47, 49-50

naïve to believe that it will capture disease 16

64 Mens Sana Monographs, III,4-5, Nov. 2005-Feb. 2006

Medicine as a corporate enterprise 34-37

apportion part of its funds from profits accrued for socially relevant causes 34

basic difference 35

four main hitches 35-36

fourth hitch was how to tackle forces of marketplace 36

ethical practices were to be followed, but those of a business, not of a profession 34

infrastructure, paramedical staff and treating doctors credentials and practices would be spruced up 35

one hitch was massive cost escalation 35

patients should be clients research advanced according to what earned more profits 34

run as an industry 34

second hitch was neglect of disease conditions afflicting socially disadvantaged 36

third hitch was to curb questionable business practices of less scrupulous 36

Medicine As A Corporate Enterprise, Patient Welfare Centered Profession, Or Patient Welfare Centered Professional Enterprise? v, vii, ix, xi, 19-51

Where is Medicine Heading? Pointers and Directions from Recent Law Suits Against Industry v, vii, ix, xi, 19-51

Medicine as a Patient Wefare Centered Profession 37-40

clear distinction between business of medicine, which industry followed, and profession of medicine, which medical practitioner/researcher should 38

compulsions of academia/practice and industry essentially different 39

cut down on pampering of medics 37

doctor and other paraphernalia were means to ensure patient welfare 39

doctor did not vie with, or envy, the businessman who could throw money around 38

doctors to rein in avarice 39

fallout of law suits spoke in the momentum of medical advance 39

genuine research to be forwarded 37

massive movement to set priorities right 40

medical man, and academic researcher, to reign in avarice 37

medicine to assume the role it was originally envisaged to play 40

medicine to dedicate itself to disease amelioration 40

medicine to dedicate itself wholly and solely to patient welfare 40

number of lawsuits against industry indicated patient would not be taken for a ride 39

patient the boss, his welfare the mantra 39

patients to rein in their methods of intimidating both patients and doctors 40

patient welfare to become paramount 38

profit margins wholesome but not awesome 37

profits needed to forward the onward march of patients’ welfare 39

research to be guided by need of the populace, not the fancy thing at present 38

stilted growth of medical research towards what benefited sponsors 39

wanted stringent procedures so compromised researcher, or industry major, could not manipulate results 38

whole mass of research and practices remained conveniently neglected 39

Medicine as a Patient Welfare Centered Professional Enterprise 41-47

blind patient welfare and a lame profit would also spell chaos 44

catalyst necessarily had to be ethical conduct by all parties concerned 46

if blind decided to chart course and determine destination, would spell disaster 44

Mens Sana Monographs, III,4-5, Nov. 2005-Feb. 2006 65

if lame profit welfare wanted to complete the journey on its own, would take great amount of time, may falter and fall 44

healthy proportion was patient welfare with profits, in that order 43

lame patient welfare complemented by essentially blind profit 45

Lame patient welfare ride on, and direct, blind profit, and both reach destination 44

medicine an enterprise wherein the profits accrue from its practice 47

only justified reason whole enterprise of medicine and appendages could exist was patient welfare 41

patients, clinician/researcher, infrastructure reactants, patient welfare, profits and knowledge, products 42

patient welfare as the center around which everything revolves 46

patient welfare became eyes, profit became legs, and complement each other 44

patient welfare, essentially, lame 44

patient welfare necessary, but not sufficient enough criterion 41

profession of medicine should accept and allow for private enterprise 47

profit, essentially, blind 44

Profit, without patient welfare, blind. Patient welfare, without profit, lame. 43

success important, can become enduring only if based on strong foundation of values 41

two way correspondence 45

You can’t enjoy the fruits of success if you have to argue with your own conscience (Premji, 2004) 41

we must believe that sound business also involved an abiding commitment to values 41

whoever decided to sanction anything and everything in the name of profit? 41

why could ethics not play a role in business? 41

Mens Sana Annual 2004, 54

Mens Sana Editorial Board iii,

Welcome to Mens Sana Editorial Board iv

Mens Sana Monographs iii, iv, viii, xi, 11

Mental Health in India 1950 – 2000 2

Merck 19

has forecast a fall in share earnings 25

Vioxx catastrophe is likely to result in a US $ 10-15 billion litigation bill 25

‘Me too’ drugs 23, 33, 48

hype over 20

Monograph release, thanks i

MSM Poems 53

Parliament 53

Silences 53

Mudgal, S.G., Obituary 54

Musings 13

Junkets and Trinkets 13

Naïve to believe that medicine will capture disease 16

Narendra N.Wig iii, iv, xiii, ix, 1,3-6, 7-10, 52

National Academy of Medical Science 1

Neurontin, Pfizer paid US $ 430 million to settle claims against offlabel use of 24

No option but to pamper Docs 13

Obituary

A.Venkoba Rao 55

S.G. Mudgal 56-57

Ominous portents: Law suits against industry 23

What did they indicate? 30-31

Origin of disease, stemming, not attractive proposition 17

Patient population has not reduced 15

Patient Welfare Centered Profession,

Medicine as a 20, 37-40

66 Mens Sana Monographs, III,4-5, Nov. 2005-Feb. 2006

Patient Welfare Centered Professional Enterprise, Medicine as a 20, 41-48

Patient welfare, without profit, is lame 20

profit, without patient welfare, is blind 20

Pandya, Sunil iii, iv

Patient patient 23

Patron Members 53

Paxil, GlaxoSmithKline agreed to pay US $ 2.5 million for charges over 24

Permissive morality and AIDS epidemic 16

Peterson M., (2003), 24, 50r

PGIMER, Chandigarh., Prof Wig

Professor Emeritus as 1,

Pharma majors millions of dollars as compensation 24-25

Pharma Industry big, a lame duck 28

busy hijacking medicine and its research agenda 25

enough of portraying also-rans as champions 29

enough of suppressing adverse effects 29

financial condition of many pharmaceutical majors not buoyant 25-26

go for the real champions 29

Indian 31-32 no longer commands respect 25

sit down and do some soul searching 29

US market growth—half of global pharma sales occur in the USA— slowed, thanks largely to fewer blockbuster drug launches 25

Pfizer 19

paid US $ 430 million to settle claims against off-label use Neurontin 24

sued at present by consumer groups over its cholesterol-lowering drug, Lipitor 24

Pioneer, Conscientious Researcher, and a Multi-faceted Personality 3-6

Write-up on Dr.Wig by A.K. Kala 3-6

Placebo effect, and patients 22

Poems, MSM 53

Parliament 53

Silences 53

Pondimin, an anti-obesity drug, US $ 1 billion verdict against it 25

Porphyria, Acute Intermittent 5

Prasads by the sponsors 21

Preface ix

Preventive and Social Medicine 17

Preventive Medicine, Complementary

Medicine and Religious Spirituality and Practices for disease prevention 18

Premji 41, 50r

Professional indemnity insurance premium would soar 31

Price deflation, increased R and D spending and litigation costs 19, 20, 27-28

Professional approach, ethics and values given by Prof Wig 10

Professional or Business Ethics in Medicine 20

Profit, without patient welfare, is blind 20

patient welfare, without profit, is lame 20

Profit, without patient welfare, blind.

Patient welfare, without profit, lame. 43

Prof. N.N. Wig Unit in Lahore 2

Questions that this monograph raises 51