Quotes by Marcia Angell - Page 1

I do think that we are an overmedicated society.
Marcia Angell / Physician
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We should be willing to spend the money in return for the innovation.
Marcia Angell / Physician
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Unlike the federal government, most states don't have the option of running a deficit.
Marcia Angell / Physician
Deficit
Federal Government
Option
Unlike
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Illness and death are not optional. Patients have a right to determine how they approach them.
Marcia Angell / Physician
Approach
Determine
Illness
Illness And Death
Optional
Patient
Patients
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Brand-name drugs have no competition, since the government grants them very long, exclusive marketing rights.
Marcia Angell / Physician
Government
Competition
Exclusive
Grants
Marketing
Names
Rights
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Alternative medicine plays into this exaggerated notion that you can prevent disease simply by doing the right thing.
Marcia Angell / Physician
Alternatives
Disease
Doing The Right Thing
Exaggerated
Medicine
Notion
Play
Right Thing
Alternative
The Right Thing Doing Right
Simply
Plays
Prevent
The Right Thing
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Obamacare is simply incapable of doing what it is supposed to do - provide nearly universal care at an affordable and sustainable cost.
Marcia Angell / Physician
Affordable
Cost
Incapable
Nearly
Sustainable
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The United States is the only advanced country that permits the pharmaceutical industry to charge exactly what the market will bear, whatever it wants.
Marcia Angell / Physician
Bears
Country
Pharmaceutical
Pharmaceutical Industry
United States
Advanced
Bear
Charge
Exactly What
Permits
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It's not just the right-wing crazies who oppose health reform. In addition, there are many sane Americans who worry about committing a trillion dollars to it.
Marcia Angell / Physician
Dollars
Health Reform
Right Wing
Sane
Addition
Committing
Crazies
Oppose
Trillion
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Why should anyone - the state, the medical profession, or anyone else - presume to tell someone else how much suffering they must endure as their life is ending?
Marcia Angell / Physician
Life Is
Medical Profession
Suffering
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The pharmaceutical industry isn't the only place where there's waste and inefficiency and profiteering. That happens in much of the rest of the health care industry.
Marcia Angell / Physician
Care
Health Care
Inefficiency
Pharmaceutical
Pharmaceutical Industry
Waste
Health Care Rest
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Japan has very long hospital stays. Ah, it's almost a rest cure. People in Japan who are hospitalized might lie around the hospital for a week or two just to take a rest.
Marcia Angell / Physician
Japan
Ah
Cure
Lie
Hospital
Stays
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In economic terms, health care is a highly successful industry - profitable, growing, and virtually recession-proof - but it's a massive burden on the rest of the economy.
Marcia Angell / Physician
Burden
Care
Growing
Health Care
Massive
Profitable
Successful
Health Care Rest
Virtually
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There is something so biologically implausible that your attitude is going to cure a disease. Theres a tremendous arrogance to imagine that your mind is all that powerful.
Marcia Angell / Physician
Attitude
Arrogance
Powerful
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There is something so biologically implausible that your attitude is going to cure a disease. There's a tremendous arrogance to imagine that your mind is all that powerful.
Marcia Angell / Physician
Attitude
Arrogance
Disease
Biologically
Tremendous
Cure
Implausible
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The use of psychoactive drugs - including both antidepressants and antipsychotics - has exploded...[yet] 'the tally of those who are disabled...increased nearly two and a half times.
Marcia Angell / Physician
Drug
Half Time
Two
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When death is imminent and dying patients find their suffering unbearable, then the physician's role should shift from healing to relieving suffering in accord with the patient's wishes.
Marcia Angell / Physician
Accord
Dying
Healing
Patient
Unbearable
Imminent
Physician
Relieving
Shift
Wishes
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Health care is a need; it's not a commodity, and it should be distributed according to need. If you're very sick, you should have a lot of it. If you're not sick, you shouldn't have a lot of it.
Marcia Angell / Physician
Commodity
Health Care
Needs
Should Have
Sick
According
Health Care Need
Distributed
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The pharmaceutical industry likes to depict itself as a research-based industry, as the source of innovative drugs. Nothing could be further from the truth. This is their incredible PR and their nerve.
Marcia Angell / Physician
Drug
Innovative
Likes
Nerves
Pharmaceutical
Pharmaceutical Industry
Depict
Further
Nerve
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Probably most dying patients, even when suffering greatly, would choose to live as long as possible. That courage and grace should be protected and honored, and we should put every effort into treating their symptoms.
Marcia Angell / Physician
Courage
Dying
Effort
Grace
Honored
Long
Protected
Symptoms
Greatly
Patients
Treating
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Drug companies say they need to charge ever-higher prices to cover their research costs, but they spend far less on research and development than they do on marketing and administration, and afterwards they actually keep more in profits.
Marcia Angell / Physician
Administration
Drug
Drug Companies
Marketing
Research And Development
Afterwards
Charge
Cover
Far Less
Prices
Profits
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For all of life's discontents, according to the pharmaceutical industry, there is a drug and you should take it. Then for the side effects of that drug, then there's another drug, and so on. So we're all taking more drugs, and more expensive drugs.
Marcia Angell / Physician
Effects
Expensive
Industry
Pharmaceutical
Pharmaceutical Industry
According
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Liberals are wrong to think that opposition to health reform is a rejection of big government. If health reform consisted of extending Medicare to everyone, people would be delighted. There are millions of 64-year-olds out there who can hardly wait to be 65.
Marcia Angell / Physician
Government
Big Government
Delighted
Extending
Health Reform
Millions
Rejection
Thinking
Years
Hardly
Liberals
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Few things a doctor does are more important than relieving pain. . . pain is soul destroying. No patient should have to endure intense pain unnecessarily. The quality of mercy is essential to the practice of medicine; here, of all places, it should not be strained.
Marcia Angell / Physician
Pain
Practice
Should Have
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Just look at herbal remedies. It's essentially a throwback. It's saying you go to a plant and you mush it up and you stick it in the jar and you sell it and you eat it and it's going to cure what ails you. And that's the kind of stuff that people believed in the early 19th century.
Marcia Angell / Physician
Plant
Throwback
Look People Go
Believed
Cure
Sell
Jar
Mush
Remedies
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You see that the people who are drawn to alternative medicine are often fairly healthy and they go to alternative medicine for what I call the 'symptoms of life.' Fatigue, joint pains, inability to concentrate, perhaps, the kinds of things that anyone over twenty-five gets at some point.
Marcia Angell / Physician
Fatigue
Healthy
Inability
Medicine
Pain
People
Symptoms
Twenty Five
Alternative
Fairly
Life People See
Drawn
Gets
Joint
Pains
Perhaps
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There's a certain libertarian right-wing view that there should be no FDA, that people can decide for themselves whether medicines are safe and effective. That's nonsense. Most people don't have the expertise or the resources to mount a proper study to find out whether a treatment is safe or effective.
Marcia Angell / Physician
Expertise
Fda
Libertarian
Nonsense
Resources
Right Wing
Treatment
Effective
Medicines
Mount
Proper
Proper Study
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A review of seventy-four clinical trials of antidepressants, for example, found that thirty-seven of thirty-eight positive studies [that praised the drugs] were published. But of the thirty-six negative studies, thirty-three were either not published or published in a form that conveyed a positive outcome.
Marcia Angell / Physician
Drug
Eight
Negative
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Pharmaceutical companies have too much influence over the education of physicians in this country. They have too much control over the evaluation of their own products, and that's a conflict of interest. I think the industry needs to be regulated, but I've never suggested taking it out of the market altogether.
Marcia Angell / Physician
Conflict
Country
Thinking
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It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine.
Marcia Angell / Physician
Believe
Editors
Two
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I think doctors are really suffering now. They're suffering in the sense that they feel torn between serving their patients in the best way they can and dealing with all of requirements of the insurance companies and the HMOs and the hassles and the paper work and the increasing pressures to do less and less for their patients.
Marcia Angell / Physician
Best Way
Doctors
Hassle
Insurance Companies
Paper
Requirements
Serving
Torn
Dealing
Increasing
Insurance
Patients
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Over the past two decades the pharmaceutical industry has moved very far from its original high purpose of discovering and producing useful new drugs. Now primarily a marketing machine to sell drugs of dubious benefit, this industry uses its wealth and power to co-opt every institution that might stand in its way, including the US Congress, the FDA, academic medical centers, and the medical profession itself.
Marcia Angell / Physician
Fda
Past
Two
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It is time for the scientific community to stop giving alternative medicine a free ride There cannot be two kinds of medicine — conventional and alternative. There is only medicine that has been adequately tested and medicine that has not, medicine that works and medicine that may or may not work. Once a treatment has been tested rigorously, it no longer matters whether it was considered alternative at the outset. If it is found to be reasonably safe and effective, it will be accepted.
Marcia Angell / Physician
Giving
Medicine
Two
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Consider the clinicaltrials by which drugs are tested in human subjects.5 Before a new drug can enter the market, its manufacturer must sponsor clinicaltrials to show the Food and Drug Administration that the drug is safe and effective, usually as compared with a placebo or dummy pill. The results of all the trials (there may be many) are submitted to the FDA, and if one or two trials are positive—that is, they show effectiveness without serious risk—the drug is usually approved, even if all the other trials are negative.
Marcia Angell / Physician
Effectiveness
Fda
Two
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