The Risks of Prescription DrugsDonald Light Few people realize that prescription drugs have become a leading cause of death, disease, and disability. Adverse reactions to widely used drugs, such as psychotropics and birth control pills, as well as biologicals, result in FDA warnings against adverse reactions. The Risks of Prescription Drugs describes how most drugs approved by the FDA are under-tested for adverse drug reactions, yet offer few new benefits. Drugs cause more than 2.2 million hospitalizations and 110,000 hospital-based deaths a year. Serious drug reactions at home or in nursing homes would significantly raise the total. Women, older people, and people with disabilities are least used in clinical trials and most affected. Health policy experts Donald Light, Howard Brody, Peter Conrad, Allan Horwitz, and Cheryl Stults describe how current regulations reward drug companies to expand clinical risks and create new diseases so millions of patients are exposed to unnecessary risks, especially women and the elderly. They reward developing marginally better drugs rather than discovering breakthrough, life-saving drugs. The Risks of Prescription Drugs tackles critical questions about the pharmaceutical industry and the privatization of risk. To what extent does the FDA protect the public from serious side effects and disasters? What is the effect of giving the private sector and markets a greater role and reducing public oversight? This volume considers whether current rules and incentives put patients' health at greater risk, the effect of the expansion of disease categories, the industry's justification of high U.S. prices, and the underlying shifts in the burden of risk borne by individuals in the world of pharmaceuticals. Chapters cover risks of statins for high cholesterol, SSRI drugs for depression and anxiety, and hormone replacement therapy for menopause. A final chapter outlines six changes to make drugs safer and more effective. Suitable for courses on health and aging, gender, disability, and minority studies, this book identifies the Risk Proliferation Syndrome that maximizes the number of people exposed to these risks. Additional Columbia / SSRC books on the privatization of risk and its implications for Americans: Bailouts: Public Money, Private ProfitEdited by Robert E. Wright Disaster and the Politics of InterventionEdited by Andrew Lakoff Health at Risk: America's Ailing Health System-and How to Heal ItEdited by Jacob S. Hacker Laid Off, Laid Low: Political and Economic Consequences of Employment InsecurityEdited by Katherine S. Newman Pensions, Social Security, and the Privatization of RiskEdited by Mitchell A. Orenstein |
Contents
chapter one Bearing the Risks of Prescription Drugs | 1 |
chapter | 40 |
chapter three | 70 |
chapter four Pharmaceuticals and the Medicalization of Social Life | 92 |
chapter five | 116 |
epilogue | 140 |
List of Contributors | 166 |
Other editions - View all
Common terms and phrases
adverse advertising American American Medical antidepressant approved become benefits better called cancer cause changes Chapter cholesterol claims clinical comparative concern considered continued costs created dangerous death depression developing disease disorder doctors drug companies drugs estrogen evidence example existing figure findings funding harm Health heart increased independent Institute interest Journal July leading less lower major marketing Medical Association Medicine menopause mental health million off-label offer Office ofthe patients pharmaceutical companies pharmaceutical industry physicians prescribe prescription Prescription Drug Press prevent problems professional promote protect published rates reactions received recent recommended reduce regulation reported response risk safety scientific serious sexual side effects social statins studies symptoms taking testing therapy tion toxic treat treatment trials United University Vioxx warning women York