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What You're Missing in Our Subscriber-only CounterPunch Newsletter

JAMES WEBB: IF THE DEMOCRATS WANT A POPULIST,
IT'S HIM, FOR BETTER AND FOR WORSE

JoAnn Wypijewski on how Webb really talks on his home turf in Virginia and on the two faces of populism, dark and lite. The New Yorker helped sell the war in Iraq. Now see how it shills for the drug companies at home. Fred Gardner finds Malcolm Gladwell, at the bottom of the New Yorker's deep barrel. David Petraeus is the favorite general of Bush and the New York Times. Alexander Cockburn on how the salesman of surge sold himself. Remember contributions are tax-deductible. Click here to make a donation. If you find our site useful please: Subscribe Now

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Today's Stories

February 6, 2007

Diana Johnstone
Frenzy in France Over Iranian Threat


February 5, 2007

Dave Zirin
Super Bore: When Hawks Cry

Uri Avnery
The Fatal Kiss: Wars and Scandals

Ron Jacobs
The Looming War on Iran: It's Not About Democracy

Paul Craig Roberts
The Real Failed States

Newton Garver
Bush and the Old Hands: Decider vs. Negotiator

Bruce Anderson
The Genocidal Namesake of the Hastings School of Law

Saul Landau
The Golden Globes After a Mud Bath

Ralph Nader
The Good Fight of Molly Ivins

James T. Phillips
Road Outrageous: Tailgating and Iraq

Mike Whitney
Quarantine USA: Bird Flu Panic and Profiteering

Kenneth Rexroth
Clowns and Blood-Drinking Perverts: Imperial History According to Tacitus

Website of the Day
Richard Thompson's Anti-War Song: "'Dad's Gonna Kill Me"


February 3 /4, 2007

Alexander Cockburn
Who Can Stop the War?

Tao Ruspoli
CounterViews: a Conversation with Dr. Susan Block on Sex, Censorship and Liberation

Jeffrey St. Clair
The Thrill is Gone: the Withering of the American Environmental Movement

Patrick Cockburn
Iraqis on the Run

P. Sainath
They Take the Early Train

Sen. Russell Feingold
A Symbol of a Timid Congress

Diane Christian
Dying Well: Why Killing Saddam Backfired on Bush

Brian Cloughley
Space Missiles Away!: the Irony of Bush's Indignation

Diana Barahona
How to Turn a Priest into a Cannibal: US Reporting on the Coup in Haiti

Timothy J. Freeman
The Iraq War Hits Hawai'i: the Stryker Brigade and the Watada Case

Conn Hallinan
The Vishnu Strategy

John Ross
Felipe's First Fifty Days

Greg Moses
The Government Blinks: Freedom for the Ibrahim Family

Missy Beattie
No More Rebukes or Non-Binding Resolutions

Joshua Frank
Unsafe in Any Seas: Cruising with Ralph Nader?

Evelyn Pringle
"These Drugs are Poison to Some People"

Stephen Fleischman
Let's Hear It for Chuck Hagel!

Muhammad Idrees Ahmad
Iraq in Fragments

Poets' Basement
Holt, Engel, Ford and Saavedra

Website of the Day
Flamenco Dali


February 2, 2007

Chris Kutalik
The Meanest Industry

R. Gibson / E. W. Ross
Cutting the Schools-to-War Pipeline

Pam Martens
America's "Money Honey" as Corporate Matchmaker: Maria Bartiromo and the Co-Branding of CNBC and Citigroup

John Feffer
Picturing the President

Daryll E. Ray
Why the Family Farm is Good for Rural America

Ronald Bruce St. John
Apartheid By Any Other Name

Mitchel Cohen
Listen Gore: Some Inconvenient Truths About the Politics of Environmental Crisis

Website of the Day
The Real Issue is Empire


February 1, 2007

Diane Farsetta
An Army Thousands More: How PR Firms and Major Media Military Recruiters

Marjorie Cohn
Bush Targets Iran: Cruise Missile Diplomacy

Mark Scaramella
Our Founding War Profiteers

Ranni Amiri
Senator Prejudice: the Day Joe Biden Threatened to Kick My Ass

Christopher Ketcham
Die, TV!

Winston Warfield
Art Panic Hits Boston!

Corporate Crime Reporter
Jailing the Artists, Not the Executives: the Great Boston Art Panic, Turner Broadcasting and the AG Who Won't Pursue Corporate Crime

Thomas P. Healy
Adios Molly Ivins: Populist Journalism and Never Dull

Website of the Dau
The Ordeal of Gary Tyler

 

January 31, 2007

Patrick Cockburn
Waco of Iraq?: US "Victory" Cult Leader was a "Massacre"

Jean Bricmont
What is the Decisive "Clash" of Our Time?

Tao Ruspoli
CounterViews: a Conversation with Dr. Susan Block on Sex, Politics and Liberation

James T. Phillips
Flashbacks de Jour: Photographing War

William Johnson
Worker Reistance at Smithfield Foods

Tim Wilkinson
A Hawk in Drag: Dershowitz and the Iraq War

Evelyn Pringle
The Judge, the Reporter and the Secret Zyprexa Documents

Joshua Frank
What America Really Needs to Hear

Ramzy Baroud
Shameless in Gaza

Mickey Z.
Nader Still in the Crosshairs

Website of the Day
What's Goin' On?


January 30, 2007

Werther
Slapstick on Jenkins Hill: DC's Botoxed Golems

Kathy Kelly
Engagement with War

Uri Avnery
"If Arafat Were Alive"

Franklin Spinney
Embedded Without Blending: Humvees and Tactical Madness in Iraq

William S. Lind
The Real Game in Iraq

Pariah
An Iron Curtain is Descending--and Most Americans Don't Know

Mike Whitney
The Mother of All Bubbles

Rev. William E. Alberts
Hiding America's Surging Militarism Behind Children

Fran Shor
Shadow of a Resistance: Can the Anti-War Mvt. Dismantle the War Machine?

Anthony Arnove
The Logic of Withdrawal: There's Nothing Precipitous About It

Website of the Day
Our Boys in Iraq


January 29, 2007

Nurit Peled-Elhanan
"We Are All Victims of the Occupation"

Patrick Cockburn
Raid on the Soldiers of Heaven

JoAnn Wypijewski
The Demo in DC: Chirpy Slogans, Empty City

Ron Jacobs
Our Fire, Congress's Feet

Dave Lindorff
The Missing Word at the Anti-War Demo

Kevin Zeese
A Republican Peace Candidate?: Chuck Hagel's Challenge to America

Reza Fiyouzat
Iran, Bush and the Banging of the Ironsmiths

Pat Williams
Turnout and Same-Day Voting: Did It Sink Conrad Burns?

Website of the Day
Galloway's Indictment of Blair

 

January 27 / 28, 2007

Diana Johnstone
Do We Really Need an International Criminal Court?

Eliza Ernshire
Exiled from Palestine

Patrick Cockburn
Slaughter in Baghdad's Bird Market

David Rosen
Pay-to-Play: the Double Life of Prostitution in America

Greg Moses
Children Without a Country: Maryam Ibrahim Remains in a Texas Jail

Bernard Chazelle
Bush the Empire Slayer

Tao Ruspoli
CounterViews: a Video Interview with Jeffrey St. Clair, Part Two

Hermán Uribe
Murdering Journalists in Latin America

Ralph Nader
Democracy in Crisis

Paul Craig Roberts
Why Can't Americans See What's Coming?

Fred Gardner
The Suppression of Collective Joy: Barbara Ehrenreich at the Commonwealth Club

Brian Cloughley
Dying for Lies

James Abourezk
The High Cost of Congressional Trips to Israel

John V. Whitbeck
The Ethnic Cleansing of Palestine: Ilan Pappe and the Nakba Deniers

Seth Sandronsky
Peace-In Politics: Localizing the Anti-War Movement

Alan Cabal
Mayday from the Circus Tent

Pam Martens
America's Money Honey Does Davos

Website of the Weekend
Gil Scott-Heron: Winter in America


January 26, 2007

Charlotte Laws
Are You the Terrorist Next Door?: AETA and the New Green Scare

Mike Ely / Linda Flores
The Workers at Smithfield

Joe DeRaymond
Paying for Health Care and Not Getting It

Phil Donahue
Get Sarah Olson!

Zia Mian
The Three US Armies in Iraq: Grunts, Contractors and Laborers

Jeb Sprague
Haiti Struggles to Defend Justice

Evelyn Pringle
Eli Lilly, the Habitual Offender

Missy Beattie
Inside the Criminal Mind of George Bush: He Thinks; Therefore, It is So

Martha Rosenberg
Cloned Food: From Designer Hens to the Transgenic Omega-3 Pig

Website of the Day
Save Grand Canyon from Glen Canyon Dam!


January 25, 2007

Patrick Cockburn
What's Really Going on in Baghdad

John Ross
Mexico Under Calderon: Fake Left, Rule Right

Jeremy Scahill
Our Mercenaries: Blackwater, Inc and the Privatization of Bush's War Machine

Frida Berrigan
"Hearts Ruptured with Sadness:" Protesting Gitmo

Paul Craig Roberts
Bush's State of Deception

Jason Yossef Ben-Meir
Iraq Reconstruction Failure

Christopher Brauchli
Why Bush is Arming Fatah: When in Doubt, Start Another Civil War

Holger W. Henke
Cuba at the Crossroads?

Dave Lindorff
Falling Dominos and Failing Presidencies

Julia Landau
From Your Young Cousin

Website of the Day
The Mighty Edwards Sisters

 

January 24, 2007

Tao Ruspoli
CounterViews: a Filmed Interview with Jeffrey St. Clair

Paul Craig Roberts
The Empire Turns Its Guns on the Citizenry

Lt. Gen. William Odom
What Can be Done in Iraq?

Sharon Smith
Health Care Reform for the Insurance Industry

Brian M. Downing
Two Americas: the Grunts and the War Profiteers

Heather Gray
Surviving War

Ron Jacobs
SOTUS Quo

James Brooks
Out of Europe, Out of Time

Robert Day
Translating Snow

Website of the Day
Defend Sarah Olsen


January 23, 2007

Trish Schuh
Lebanon on the Brink of Civil War, Again

Robert Bryce
The Politics of Cheap Oil

Stephen Soldz
Aliens in an Alien Land

John Blair
King Coal's Latest Con Job: Clean Coal is Not Clean

Gloria La Riva
Miami: a Place of Refuge for Anti-Castro Terrorists

Joshua Frank
Turning Silence into Gold: Hillary and Israel Lobby

Patrick Cockburn
In Iraq, All Foreigners are Targets

Ralph Nader
Questions for Bush on Iraq

Dave Lindorff
Pelosi and Iraq: Blunder or Treason?

Uri Avnery
Israel and Apartheid

Website of the Day
Down By the River

 

January 22, 2007

Manuel Garcia, Jr.
China's New Chip in Space War Poker

Jen Marlowe
Trapped in Darfur: the Ordeal of Suleiman Jamous

George McGovern
War of the Belligerent Professors: Get Out of Iraq

Paul Craig Roberts
Only Impeachment Can Save Us from More War

Norman Solomon
The Pentagon vs. Press Freedom

Amira Hass
Life Under Prohibition in Palestine

Mike Whitney
A Fool's Errand in Baghdad

Ramzy Baroud
The Things We Take for Granted

John Walsh
Support Jimmy Carter in Boston!

Website of the Day
The Hagelian Dialectic

 

January 20/21 2007

Alexander Cockburn
First Bomb Carter; Then Nuke Iran!

Gail Dines
I Was Ambushed by Paula Zahn

Newton Garver
Evo Morales' First Year

Gilad Atzmon
100 Years of Jewish Solitude

Seth Sandronksy
New Push For Social Security "Reform"

Raphaelle Bail
Where Nicaraguans Go to Work

Jim Goodman
Round Up the Usual Experts: Make Them Live on a Dollar a Day

Larry Portis
Chouraki's Oh Jerusalem

Website of the Weekend
Press Poodles Play it Safe


January 19, 2007

Jonathan Cook
Jimmy Carter Doesn't Tell the Half of It

Glen Ford
Barack Obama: The Mania and the Mirage

Dave Lindorff
Bush Blinks on Illegal Spying--Don't let him off the hook

Larry Portis
Zionism in the Cinema: Part Two

Website of the Day
For Whistleblowers


January 18, 2007

William Peace
Protest From a Bad Cripple

Virginia Tilley
The Steady March to War on Iran: What It Would Take to Stop It

Michael Donnelly
The Real Reason I Can't Stand Obama

B.R. Gowani
Democracy: Everywhere and Nowhere

Larry Portis
Zionism in the Cinema: Part One

Jason Hribal
A Horse is Worth More than Riches

Website of the Day
Baghdad Clampdown


January 17, 2007

Franklin Spinney
Why Time is not on Bush's Side

John Ross
Oaxaca's Rising: Vibrant as the Paint on the Walls

Susan George
Can World Trade Ever Be Fair? Back to Keynes!

Paul Craig Roberts
Attacking Iran: What's In It For Bush

Joshua Frank
Obama and the Middle East

David Lindorff
Towards Oil at $200 a Barrel


January 16, 2007

Col. Sam Gardiner
Escalation Against Iran

Marjorie Cohn
Stimson's Outrageous Threat

Saul Landau
Gore Vidal in Havana: Part 2

Ron Jacobs
Welcome Back to 1965

Susan Block
From Snowjob to Blowjob

Ken Couesbouck
Year of the Pig

Website of the Day
Amazon's Hit on Jimmy Carter


January 15, 2007

Roger Morris
Another War the Voters Hoped to End

Paul Craig Roberts
Bush Must Go

Kathy Kelly
Umm Heyder's Story

William Blum
The Anti-Empire Report

Ralph Nader
The Class War's New Map

Saul Landau
Gore Vidal In Havana

January 12 / 14, 2007

Patrick Cockburn
"21,500 More Troops": Will America Ever Leave Iraq?

David Rosen
Bush's Domestic Sex Policy: the Teen Abstinence-Only Crusade

William S. Lind
Less Than Zero

Laith al-Saud
The Ironies of Bush and Iraq

Paul Craig Roberts
Surge and Mirrors: What Bush Really Said

John Ross
Celebrating the "Sum of the World" in Chiapas

George Ciccariello-Maher
The Case of Venezuela's RCTV: Not About Free Speech

Christopher Brauchli
How to Avoid an IRS Audit: Become a Millionaire!

Robert Buzzanco
Rogue State, Redux

Evelyn Pringle
The Secrets in Eli Lilly's Cabinet

Peter Rost, MD.
Promises, Promises: Playing Politics with Drug Reimportation

Mike Whitney
Baghdad Crackdown

Yifat Susskind
Beyond the Surge: Demanding an End to Bush's Wars

Saul Cohen
Latin America's Real Mr. Danger: Negroponte's Latest Gig

Missy Beattie
A Day of Action and Questions

Stephen Lendman
Holiday Hypocrisy

Website of the Weekend
Bruegel on Bush War Plan

 

January 11, 2007

Ismael Hossein-Zadeh
The Profits of Escalation

Paul Craig Roberts
Carter's Inconvenient Truths

Kathy Kelly
Refugee Dreams

Dave Lindorff
Blood for Face

Jeff Leys
The War Widens

Richard W. Behan
Barrels and Bodies

Col. Douglas MacGregor
Surging Right Into Al-Sadr's Hands

Website of the Day
An Explanation from Google

Speech of the Day
Is There Even One Politician Alive Who Could Give This Speech?


January 10, 2007

Peter Linebaugh
A Walk in Oaxaca

Robert Fantina
Punishing Deserters: Prosecution or Persecution?

Patrick Cockburn
Why Troop Escalation Won't Bring Peace to Iraq

Paul Craig Roberts
Distracting Congress: Troop Escalation and Iran

Col. Dan Smith
Why U.S. Policy is Failing

Ben Tripp
The Politics of Bad Karma

Evelyn Pringle
How the FDA Protects Big Pharma

Ron Jacobs
Coalition of the Lunatics: Trying to Create the Next World War

Mike Ferner
If Not Now, When?

Dave Zirin
Judgment of the Juiced: Why McGwire Wasn't Elected to the Hall of Fame

Website of the Day
Revolting Students!

Bootleg of the Day
Bob Dylan: Live at Scotia Bank Place


January 9, 2007

R. T. Naylor
The Somalian Labyrinth

Jonathan Cook
Israel's Purging of Palestinian Christians

Mike Ely and Linda Flores
The Smithfield Strikers: No Longer Hidden, No Longer Hiding

Joshua Frank
The Democrats and Iran: More Bellicose Than Bush

Norman Solomon
The Headless Horseman of the Apocalypse

Sen. Russell Feingold
An Open Letter to President Bush: So Now You Want to Snoop Through Our Mail?

Joe Allen
Justice for the Omaha Two: Black Power, Racism and COINTELPRO in the Heartland

James T. Phillips
"Lasciate Ogne Speranza, Voi Ch'Intrate": The Hell That is Iraq

Brian Concannon
Resolutions for Haiti

Leonard Peltier
When the Truth Doesn't Matter: 30 Years of FBI Harassment and Misconduct

Website of the Day
Kick Out the Jams, MFers!: Meet the New RRC

 

January 8, 2007

Werther
Why We Fight

Jeff Leys
The Occupation Project: a Campaign of Civil Disobedience to End Iraq War Funding

Paul Craig Roberts
Nuking Iran

Shulamit Aloni
Israeli Apartheid: Sorry, This Road is For Jews Only

Dave Lindorff
The Party of Invertebrates Reverts to Form

Sunsara Taylor
The Democrats' First Day: Same As It Ever Was

Seth Sandronsky
Syndicated Error: George Will and the Minimum Wage

Dr. Susan Block
Baghdad Cockfight Ends in Snuff Film

Website of the Day
Watch CounterPuncher Sunsara Taylor Take on Bill O'Reilly!


January 6 / 7, 2007

Alexander Cockburn
The War and the NYT

Franklin C. Spinney
Stalingrad on the Tigris

Paul Craig Roberts
The Urge to Surge

Ralph Nader
Democrats in the Spotlight

Walden Bello
Globalization in Retreat?

Marleen Martin
The Needle and the Damage Done: Tortured in the Death Chamber

Brian Cloughley
We Do What We Like: Return Our Rapist or Else ...

Uri Avnery
The Kiss of Death

Saul Landau
Fidel Castro in the Fields

Ron Jacobs
From Cointelpro to the Patriot Act: a Legacy of Torture

Joseph Nevins
Crimes Against Humanity from Ford to Saddam

William S. Lind
A State Restored? Somalia and 4GW

Gary Leupp
Attention John Conyers: Impeach the President!

Elisa Salasin
Bringing Life to Numbers

George Ciccariello-Maher Beyond Chavistas and Anti-Chavistas: Deepening the Bolivarian Revolution

Stefan Wray
Confronting Recruiters: the Story of the Bush Street Raiders

Michael Leonardi
Toward an International Moratorium: Italy's Crusade Against the Death Penalty

Richard Rhames
Reality TV: Triumph of the Thugs

Jeffrey St. Clair
Playlist: What I'm Listening to This Week

Barbara LaMorticella
Two Poems

Website of the Weekend
FBI Witch Hunts

Song of the Weekend
End Times: a Soundtrack


January 5, 2007

Jorge Mariscal
Growing the Military: Who Will Serve?

John Walsh
Clash of the Elites: Beltway Insiders vs. Neo-Cons!

Christopher Brauchli
The Great Relaxer: Bush and Federal Regulations

Travis Sharpe
No More New Nukes, Please

Tom Barry
Hawk for Hire: Roger Noriega's New Gig

Linda Schade / Kevin Zeese
Americans Voted for Peace: Has the New Congress Already Let Them Down?

Tiffany Ten Eyck
Workers' Centers and Unions: a New Alliance

Mahmoud El-Yousseph
A Challenge to Pelosi

Lucinda Marshall
3003 Funerals: "And They're Still Burying Ford!"

Website of the Day
Van the Man: Warm Love


January 4, 2007

Patrick Cockburn
The Martyrdom of Saddam Hussein

Winslow T. Wheeler
A Guide to Earmarks: Will the Democrats' Reforms Do Anything to Curb Pork Barrel Spending?

M. Shahid Alam
Has Regime Change Boomeranged?

Raed Jarrar
So This is Plan B? The US Attack on Saleh Al-Mutlaq's Headquarters

Bert Sacks
Can the US Legally Kill Iraqi Children?: a Challenge to the Supreme Court

Kathy Rentenbach
Report from Oaxaca

Stephen Fleischman
The Rain of Riches: Bonuses, Then and Now

George Bisharat
Carter's Truths

Peter Rost, MD
Hail the Hangman, Jail the Cameraman!

Evelyn Pringle
Can Eli Lilly be Held Criminally Liable for Zyprexa?

Website of the Day
Courage to Resist

 

January 3, 2007

Kathy Kelly
Wrapped Around a Bullet

Paul Craig Roberts
His Last Hurrah: Bush Cuts and Runs from Reason

William Johnson
No Worker is Illegal: SEIU Members Push Their Union to Change Its Policy on Immigration

Stan Cox
Under a Brown Cloud: Money vs. the Monsoon

Trita Parsi
A Lose-Lose Situation with Iran

Declan McKenna
Ireland's Slavish Hostility Toward Cuba

Joe Bageant
Dispatch from the Chinese Landfill

Nicola Nasser
Somalia: New Hotbed of Anti-Americanism

Missy Beattie
Dead Wrong

Website of the Day
Pharmed Out


January 2, 2007

Michael Watts
Oil Inferno

Amina Mire
Return of the Warlords: Death and Destruction for Somalis

James Brooks
Pushing the Wedge in Palestine

Alevtina Rea
The Tyrant is Dead! Long Live ... ?

Al Krebs
Global Food Security: a Call to Action

Peter Rost
Invitation to a Hanging: the Saddam Hussein Execution Video

Niranjan Ramakrishnan
A Deadly December

John Stanton
Appetites for Destruction

Website of the Day
Out Now: Petition

 

January 1, 2007

Patrick Cockburn
Iron Man, Tin God: the Meaning of Saddam Hussein

Uri Avnery
What Makes Sammy Run?

Joshua Frank
Eliot Spitzer's Constitutional Hang Up: Architect of New York's Patriot Act

 

 

 

 

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February 6, 2007

Even the Insurance Companies are Bailing

Eli Lilly's Toughest Sell: Innocence on Zyprexa?

By EVELYN PRINGLE

Eli Lilly is having trouble obtaining and retaining insurance coverage for Zyprexa litigation because apparently insurance companies are no longer willing to buy its wide eyed innocence routine when it comes to the company's fraudulent off-label marketing schemes.

In filings with the SEC, Lilly admits that it is having problems and that the company may end up having to pay its own Zyprexa costs, but blames it on the insurance industry stating: "We have experienced difficulties in obtaining product liability insurance due to a very restrictive insurance market and therefore will be largely self-insured for future product liability losses."

As for the insurance that Lilly does have to cover past and future Zyprexa lawsuits, the filing reports that carriers have raised defenses to their liability and are seeking to rescind the policies, and Lilly further warns that, "there is no assurance that we will be able to fully collect from our insurance carriers on past claims."

Some internal Lilly documents recently leaked to the press, that Lilly somehow managed to have sealed with a court order, reveal that Lilly hid the side effects of Zyprexa identified in its own clinical trials a decade ago and engaged in wide-ranging off-label marketing schemes to make a drug approved by the FDA only to treat adults with schizophrenia and bipoloar disorder into its top selling product bringing in a reported $30 billion thus far.

In light of these insurance problems, Lilly could be likened to a dog chasing its tail. While on one hand, it is being sued for illegally marketing Zyprexa off-label, if it stops the illegal conduct profits will plummet and it won,t have the money to pay the litigation costs.

However, Lilly has apparently decided to take the low road, because to date, settling with 26,500 Zyprexa cases out of court by paying out over $1.2 billion has done nothing to lower the off-label sales figures for Zyprexa. In fact, in 2006, sales of the drug increased 12%, according to SEC filings.

In 2003, the FDA ordered warning labels on all atypicals, of an increased risk of high blood sugar and diabetes and said blood sugar surges in some patients were associated with life-threatening medical conditions or death. In 2005, the FDA added the strongest warning available, a black box, stating that the drugs increased the risk of death in elderly patients with dementia. The warnings did nothing to slow off-label prescribing of Zyprexa.

It is still being freely prescribed for uses never approved or intended. On April 25, 2006, Bloomberg News reported that in 2005, nearly 7 children out of one thousand were taking an antipsychotic, and among senior citizens 65 and older, antipsychotic use was 21 per 1000. Per patient antipsychotic costs for children 19 and under have increased 196%, or nearly triple 2001's total, according to Bloomberg.

An assessment by Christoph Correll, Child and Adolescent Psychiatric Clinics of North America, January 2006, in USA Today, shows Zyprexa to be the worst of the atypicals for children and lists side effects of diabetes and weight gain with Zyprexa as "severe."

Zyprexa is not approve for any on-label indication for children but even if it was, schizophrenia is extremely rare in children at about 1 in 40,000 under the age of 18, according to the National Institute of Mental Health, and psychiatrists do not even agree on what criteria should be used to diagnose children with bipolar disorder.

Yet the rate of children treated with atypicals "is growing dramatically faster than the rate for adults," Robert Epstein, chief medical officer for Medco Health Solutions, pharmacy benefit managers, told USA Today.

Medco did an analysis of outpatient prescriptions for USA Today and found that, in a sampling of about 2.5 million of its 55 million insured members, the rate of children 19 and under with at least one atypical jumped 80% from 2001 to 2005. And that number only represents privately insured kids, and not those in foster care or covered by Medicaid.

In what outraged critics called an unethical and dangerous experiment conducted by Lilly on children, on May 1, 2006, the New York Times, reported that "psychiatric researchers have been experimenting with a bold and controversial treatment strategy: they are prescribing drugs to young people at risk for schizophrenia who have not yet developed the full-blown disorder."

The study, co-funded by Eli Lilly and the National Institute of Mental Health, and published in the May 2006, American Journal of Psychiatry, involved 60 patients, mostly adolescents, who supposedly scored high on a scale that assessed the risk for psychosis.

The scale rated the severity of over a dozen symptoms including categories such as grandiosity, suspiciousness, and bizarre thoughts. The researchers claimed that from 20% to 45% of the people who scored high would go on to develop full-blown psychosis, in which the symptoms would become extreme.

In the first year of what was scheduled to be a 2-year trial, five of the 31 patients on the drug developed full-blown psychosis, compared to 11 of the 29 who were on placebos. However, by the end of the first year, more than two-thirds of the patients had quit, making it impossible to interpret any differences between the 2 groups.

The only definite finding of the study was that patients taking the drug gained an average of 20 pounds, once again documenting a side effect that has been known for 15 years.

Experts say the rapid weight gain is the most worrisome side effect of Zyprexa because obesity leads to so many other serious health problems like diabetes, hypertension and heart disease.

Public health programs are throwing good money after bad paying for Zyprexa. A recent study published in the October 12, 2006, New England Journal of Medicine, funded by the National Institute of Mental Health, found atypical use with Alzheimer patients was no more effective than a placebo for most patients and put them at risk of serious side effects including confusion, sleepiness and Parkinson like symptoms.

According to the report, about a third of the roughly 2.5 million Medicare beneficiaries in nursing homes have taken atypicals, and their use accounts for an estimated $2 billion in annual sales, much of it paid by Medicare and Medicaid.

All that said, Lilly cannot claim to be unaware of the continued off-label sale of Zyprexa in the US, because it buys the detailed prescribing records for every doctor in the country and provides them to sales representatives so they can better direct the company,s promotion efforts.

Lilly knows exactly which doctors are prescribing Zyprexa, in what dose, and how often, on any given day of the year and that places Lilly in the best position to contact doctors to tell them to halt the off-label prescribing but that obviously has not happened.

Allowing Lilly to keep documents that were produced in litigation hidden even after the cases were settled has done nothing to curb the off-labeling prescribing of Zyprexa either.

And, the fact that a judge would even entertain Lilly's demands to place the recently released documents back under seal has resulted in outrage voiced by health care professionals all over the US. The pubic health crisis created by Lilly's off-label sale of Zyprexa for 10 years without warning about the health risks is no small matter.

On November 16, 2005, USA Today interviewed FDA scientist, Dr David Graham, the man famous for blowing the whistle on the mishandling of the Vioxx disaster, who estimates that there are 62,000 deaths each year from the off-label use of atypical drugs.

The allegations made by the plaintiffs in the underlying litigation are all verified in the leaked documents. For instance, the California law firm, Hersh and Hersh, represented plaintiffs in the first settlement, who alleged that Lilly "fraudulently withheld relevant information from potential users of Zyprexa."

The lawsuits also alleged a failure to warn doctors and patients that Zyprexa carried potentially lethal risks from weight gain and diabetes, and one of the leaked documents dated 6 years ago, written by a panel of diabetes doctors hired by Lilly to assess the diabetes risk, warned Lilly back then that "unless we come clean on this, it could get much more serious than we might anticipate."

According to Leonard Roy Frank, in "Zyprexa: A Prescription for Diabetes, Disease and Early Death, in the August 2005, edition of Street Spirit, if Lilly had issued the warnings, "there undoubtedly would have been fewer cases of diabetes and fewer deaths from taking Zyprexa."

"But truthfulness is not one of Eli Lilly's strong suits when profits are at stake," Mr Franks says.

"Telling the truth," he points out, "would undoubtedly have cut into sales for its blockbuster drug (the fifth best-selling prescription drug in the world), which, in 2004, produced revenues of $4.4 billion, almost a third of the company's total revenues and more than a third of its profits."

This is not the first time that the judge's Zyprexa protective order has been criticized. In 2005, the Swedish Academy of Pharmaceutical Sciences journal ran an article titled, "Lilly is hiding negative information about Zyprexa," featuring an interview with Dr Curt Furberg, Professor of Public Health Sciences, at Wake Forest University.

Dr Furberg said that he had seen secret documents on Zyprexa in his capacity as an expert witness and stated that the most hazardous effects of Zyprexa were hidden from prescribing physicians and the public.

The hidden Zyprexa evidence is said to be worse than that revealed on Vioxx and Dr Furber,s interview provides good insight into why Lilly would early on agree to pay a $690 million settlement to the first round of Zyprexa plaintiffs, which allowed the company to keep the damaging evidence buried.

According to Lilly, the company has produced approximately 11 million documents and the court has, without any stated reasons, allowed Lilly to designate all 11 million as confidential pursuant to Case Management Order 3, an August 9, 2004, protective order.

Attorneys involved in the case say Lilly was even permitted to designate reports and articles about Zyprexa that appeared in the media as confidential.

In mid-December 2006, Alaskan attorney, Jim Gottstein, obtained some of the sealed documents by issuing a subpoena for Dr David Egilman, another expert witness who evaluated the Zyprexa documents for a law firm in the underlying litigation, to appear for a deposition.

As soon as he received the documents, Mr Gottstein set out to publicize the information by immediately providing copies to journalists and authors including Dr Peter Breggin, Dr Grace Jackson, Dr David Cohen, Dr Stefan Kruszewski, Judy Chamberlin, Vera Sherav, Robert Whitaker, and Alex Berenson at the New York Times.

When articles began appearing in the Times, Lilly obtained an injunction that required Mr Gottstein to return the documents and identify everyone they were disclosed to.

After Lilly received the names, on December 29, 2006, the court issued a second temporary injunction to prohibit the dissemination of the documents by Terrie Gottstein, Jerry Winchester, Will Hall, Bruce Whittington, and Laura Ziegler.

The injunction also barred the disclosure of the information about Zyprexa by many of the most well-known experts on psychiatric drugs in the US, who are also journalists and authors, to include Dr Peter Breggin, Dr Grace Jackson, Dr David Cohen, Dr Stefan Kruszewski, Judy Chamberlin, Vera Sherav, and Robert Whitaker.

At Lilly's request, in early January, 2007, more names were added to the injunction including two websites belonging to the consumer protection and patient advocacy organization, the Alliance for Human Research Protection (AHRP), at www.ahrp.org and www.ahrp.blogspot.com, and the web site of the international patient advocacy organization, MindFreedom, at www.mindfreedom.org, and Eric Whalen and his web site at www.joysoup.net.

The name of New York Times reporter, Alex Berenson, the only journalist who actually quoted from the documents in the press was not included in any injunction. Lilly in fact never asked for an injunction against the Times, and Judge Jack Weinstein announced in one hearing that he was not going to issue an injunction against the Times.

However, for the others journalist, the litigation process has dragged out at snail's pace and Lilly has been successful in getting the court to bar them from discussing or writing about the public health risk created by the continued off-label prescribing of Zyprexa.

Attorney, Alan Milstein, representing Ms Sharav, the AHRP, and Dr Cohen, has filed a motion asking the judge to unseal the documents in question from the original protective order on the grounds that they should not have been designated confidential to begin with.

At a January 17, 2007, hearing Mr Milstein told Judge Weinstein that the documents are critically important to saving human lives, to prevent human suffering and "this Court should in no way assist Lilly in keeping them from the public."

The above statement by Mr Milstein is not an exaggeration. According to recently updated estimates by Allen Jones, a former Medicaid fraud investigator, in considering the $10 billion a year spent on atypicals in the US, the death rate would be close to one patient per $162,000 spent on Zyprexa, or nearly six deaths for every million.

Lilly is now seeking civil and criminal contempt charges against Mr Gottstein and Dr Egilman for their part in warning the public, which Mr Gottstein admits will hopefully have a negative impact on the sale of Zyprexa for unapproved uses.

Dr Egilman has recently notified Lilly that he will not be attending what could be seen as his own funeral in refusing to testify against himself at a deposition based on his right against self-incrimination under the Fifth Amendment of the US Constitution.

Several of the authors and journalists restrained by the injunction have obtained private attorneys to file briefs arguing against their inclusion based on rights guaranteed by the First Amendment and some have testified in person or by phone at court hearings.

Attorney, Fred von Lohmann, of the Electronic Frontier Foundation, filed a brief to object to the injunction on behalf of John Doe, referred to as a citizen-journalist who contributes to the Wiki web site and states: "The information that Doe desires to publish on the Wiki (including links to sites where the Lilly Documents can be obtained) plainly relate to a matter of overriding public concern."

Lilly apparently believes that showing that there has not been widespread viewing of the documents is important. However, after Lilly told the judge that they were not available on the internet and that a grassroots campaign to disseminate them had "fallen flat," Mr von Lohmann filed a brief saying Lilly "appears to have been incorrect," and supplied the court with affidavits by two persons who said they easily found and downloaded the files on the internet, and in one instance it only took 19 minutes.

Ted Chabasinski, the attorney for Robert Whitaker, Judi Chamberlin, and David Oaks, the Director of Mindfreedom, is calling for criminal charges against Lilly executives for illegally marketing Zyprexa for unapproved uses, with full knowledge that thousands of patients were being injured and killed. In his latest brief filed on Feb 1, 2007, Mr Chabasinski says the documents that Lilly claims should be kept secret show this:

"Certain executives of defendant corporation, motivated by greed, deliberately engaged in a course of action that they knew would cause, and did cause, the injury and death of thousands of people.

"Because of defendant executives' depraved disregard for human life, thousands upon thousands of innocent people were left with their bodies bloated, their health ruined, and their lives severely shortened or rapidly ended."

Mr Chabasinski is advising members of the public to contact state attorneys general to direct their attention to the Times articles and the existence of the secret Zyprexa files and a list of current state attorneys general is posted on the Mindfreedom web site.

Ms Sharav testified at a January 17, hearing that the public needs to be warned "because vulnerable people such as children and the elderly and disabled people are being targeted to take drugs that are doing them more harm than there is any evidence of benefit.

She freely expressed her views about Lilly which prompted Lilly's legal team to ask that her comments be stricken from the record but the request was denied. When asked what the secret documents showed with respect to the practices of Lilly, she stated:

"In my opinion, this is about the worst that I have seen. It borders on indifference to human life. Eli Lilly knew that Zyprexa causes hypoglycemia, diabetes, cardiovascular damage and they set about both to market it unlawfully for off label uses to primary care physicians and they even set about to teach these physicians who were not used to prescribing these kind of drugs to, they taught them to interpret adverse effects from their drug Prozac and the other antidepressants which induce mania.

"They taught them that if a patient presented with mania after having been on antidepressants, that that was an indication for prescribing Zyprexa for bipolar which is manic depression. That is absolutely outrageous and that is one of the reasons that I felt that this should involve the Attorney General.

"The sales of a drug that was approved for very limited indications, for schizophrenia and for bipolar," Mr Sharav stated. "Each one of these is about one to 2 percent of the population," she pointed out.

"But the reason the drug became a four and a half billion dollar seller in the United States," she testified, "is because they encouraged the prescription for children, for the elderly, for all sorts of reasons."

She said her organization had disseminated a video on U-Tube in which a "former Zyprexa salesman tells exactly what they were taught and how they were taught to defuse doctors's concerns who saw their patients as he put it blow up.

Ms Sharav testified that she asked Mr Gottstein for 2 copies of the documents because she wanted to deliver one to the New York State Attorney General.

Attorney, Richard Meadows, who represented some of the plaintiffs in cases settled out of court was called to testify and attorneys were able to establish that the information contained in the leaked documents is basically nothing new.

He admitted that the two central allegations in the underlying lawsuits was that Zyprexa was marketed off-label and that when Lilly sought FDA approval of the drug that Lilly had information that showed that there were dangers in regard to the drug.

Near the end of the hearing, Attorney Milstein argued that the foundation for the injunction was that the Lilly documents were trade secrets and "yet in all of the papers they filed, all they do is say, without any kind of support, that they are trade secrets.

He objected to the blanket court order for 11 million documents. "You heard the testimony of the plaintiffs' attorney, he told the judge, "who said to his knowledge, that virtually every document produced by Lilly in this case is marked confidential.

In one of the latest development in this bizarre legal battle, Judge Weinstein has issued a court order with the word "Invitation" asking Mr Berenson to appear in court, apparently to guarantee him a front row seat at his own hanging, by giving testimony on whether he participated in what the judge called a "conspiracy" with Dr Egilman and Mr Gottstein to violate the order that sealed the secret documents to begin with.

On the other side of the coin, if the documents remain sealed, Mr Franks warns that users of the drug, doctors, and the public are still almost totally in the dark about the clinical trials and what he calls, "Zyprexa's shameful history."

He says Zyprexa was approved based on the results of a six-week clinical trial that involved 2,500 subjects, and two-thirds of them did not even successfully complete it. "Among those who stuck it out," he reports, "22 percent of the Zyprexa subjects suffered a "serious" adverse effect, compared to 18 percent in the group taking Haldol."

Besides severe weight gain, Mr Franks says, other adverse effects included shaking, spasms, sedation, diabetic complications, rapid heartbeat, restlessness, constipation, seizures, liver problems, white blood cell disorders, and decreased blood pressure.

There were a total of 20 deaths, including 12 suicides, in the Zyprexa group. Information documenting these deaths was obtained from FDA files using the Freedom of Information Act, by one of the currently muzzled journalists, Robert Whitaker, who wrote that one in every 145 subjects who entered the trials for Zyprexa, and the other atypicals, died in his best selling book, "Mad in America: Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill."

According to Mr Frank, Lilly has another perverse reason for pushing Zyprexa. "It's a cruel irony," he says, "that while the company is filling its coffers by selling a drug that can cause diabetes, four of its top-selling drugs are treatments for diabetes."

"Eli Lilly gets the customer coming and going," he states.

Evelyn Pringle can be reached at: evelyn-pringle@sbcglobal.net




 

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