Monday, December 17, 2007

there is a moment right before you begin to write, but you feel it overcoming your modest desires, and when that moment comes it's like diving off

3 comments:

Eonbluekarma said...

epiphany!!!!

Eonbluekarma said...

While brands slowly transform the experience of campus life for undergraduates, another kind of takeover is under way at the institutional research level. All over the world, university campuses are offering their research facilities, and priceless academic credibility, for the brands to use as they please. And in North
America today, corporate research partnerships at universities are used for everything: designing new Nike skates, developing more efficient oil extraction techniques for Shell, assessing the Asian market's stability for Disney, testing the consumer demand for higher bandwidth for Bell or measuring the relative merits of a
brand-name drug compared with a generic one, to name just a few examples.

Dr. Betty Dong, a medical researcher at the University of California at San Francisco (UCSF), had the misfortune of taking on that last assignment -testing a brand-name drug with brand-name money. Dong was the director of a study sponsored by the British pharmaceutical company Boots (now called Knoll) and UCSF. The fate of that partnership does much to illuminate precisely how the mandate of universities as sites for public-interest research is often squarely at odds with the interests of branded fact-finding missions.

Dr. Dong's study compared the effectiveness of Boots' thyroid drug, Synthroid, with a generic competitor. The company hoped that the research would prove that its much higher priced drug was better or at least substantially different from the generic one — a claim that, if legitimized by a study from a respected university, would increase Synthroid sales. Instead, Dr. Dong found that the opposite was true. The two drugs were bio-equivalent, a fact that represented a potential saving of $365 million a year for the eight
million Americans who were taking the name-brand drug, and a potential loss to Boots of $600 million (the revenue from Synthroid). After the results were reviewed by her peers, Dr. Dong's findings were slated to be
published in the Journal of the American Medical Association on January 25, 1995. At the last minute, however, Boots successfully halted publication of the article, pointing to a clause in the partnership contract that gave the company veto rights over the publication of findings. The university, fearing a costly lawsuit, sided with the drug company and the article was yanked. After the whole ordeal was exposed in The Wall Street Journal, Boots backed off and the paper was finally published in April 1997, two years behind schedule. "The victim is obvious: the university," wrote Dorothy S. Zinberg, a faculty member at Harvard's Centre for Science and International Affairs. "Each infringement on its unwritten contract with society to avoid secrecy whenever possible and maintain its independence from government or corporate pressure
weakens its integrity."

In 1998, a similar case ripped through the University of Toronto and the affiliated Hospital for Sick Children— only this time, the researcher found that the drug being tested might actually be harmful to patients. Dr. Nancy Olivieri, a world-renowned scientist and expert on the blood disorder thalassemia, entered into a research contract with the drug-company giant Apotex. The company wanted Olivieri to test the
effectiveness of the drug deferi-prone on her young patients suffering from thalassemia major. When Olivieri found evidence that, in some cases, the drug might have life-threatening side effects, she wanted to warn the patients participating in the trial and to alert other doctors in her field. Apotex pulled the plug on the study and threatened to sue Olivieri if she went public, pointing to an overlooked clause in the research
contract that gave it the right to suppress findings for one year after the trials ended. Olivieri went ahead and published in The New England Journal of Medicine and, once again, the administration of both her university and her hospital failed to defend the sanctity of academic research conducted in the public interest. Adding further insult, in January 1999, they demoted Olivieri from her top-level research position at the hospital. (After a long and public battle, the doctor eventually got her job back.)

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