home / subscribe / donate / books / t-shirts / search / links / feedback / events / faq


CounterPunchers! We Mean It!
Please Read This, Then Act

All last week, assuming that you are among the tens of thousands of people around the world who check in at this  CounterPunch site every day or two, we’ve been featuring our annual appeal for donations and saying that without the necessary $75,00 to be raised in these weeks, we’ll have to cut back drastically on what we do and what all you site readers who don’t subscribe to our newsletter, get every day for free.

We are completely serious about this. Either we meet our fundraising goal of $75,000 over the next two weeks or we'll be forced to drastically curtail the operation of our website. And frankly, as you can judge from the donation gauge,  many of you have been rather too prudent in keeping your hands in your pockets.

We know you’re out there. Our website receives millions of hits and nearly 100,000 readers each day.  Why? Because CounterPunch doesn’t play the politics of make-believe. Barack Obama came into office preaching hope and promising change. Change has yet to arrive. From the bailouts for bankers to the wars in Iraq and Afghanistan, from warrantless wiretaps to a fatally compromised health care plan, from jobless millions here to rendition flights around the world, this new administration governs a lot like the old. In spite of this, many progressive outlets have gone soft on Obama. We haven't. That's why so many of you make us your homepage

When we ask, we mean it. Please, use our secure server make a tax-deductible donation to CounterPunch today or purchase a subscription and a gift sub for someone or one of our award winning books (or a crate of books!) as holiday presents. (We won't call you to shake you down or sell your name to any lists--even Dick Cheney's.)

To contribute by phone you can call Becky or Deva toll free at: 1-800-840-3683

Onward,
Alexander, Jeffrey, Becky, Alya, Deva, Kimberly and Marc
CounterPunch
PO Box 228, Petrolia, CA 95558

Today's Stories

November 4, 2009

Stan Cox
The Inflated Promise of Natural Gas

Robert Weissman
The Medicare-for-All Moment

Susan Galleymore
Of Veterans and Volunteers

November 3, 2009

Patrick Cockburn
The Delegitimization of Karzai

Mike Whitney
Why the Crisis Isn't Going Away

Franklin C. Spinney
Katrina and the Paralysis of Fear

Laura Carlsen
The Little Coup That Couldn't

Serge Halimi
Don't Blame the Internet

John Stanton
Social Decay in America

Sophia Weeks
A Guatemalan Lament

Dave Lindorff
Country Joe, Kenny Rogers and Obama

November 2, 2009

Steven Higgs
Autism Spikes, Toxins Suspected

Ishmael Reed
White in America: Behind the Scenes at CNN

David Macaray
UAW Members Vote Down Ford; and the Media Attacked the Union

Bouthaina Shaaban
Settler Colonialism: Return to the Middle Ages

David Michael Green
Coming to Get You

David Swanson
The Two Percent Robustness

Ellen Brown
Cutting Wall Street Out

Adam Federman
Trading the Watershed to Trash the Catskills

James McEnteer
Doppleganger Politics: Star Wars, Clone Wars

Stephen Fleischman
Foot in the Door: Capitalism and Health Care

Website of the Day
Secret California Park Giveaway

October 30 - Nov. 1, 2009

Alexander Cockburn
The Long Gaze of the State

Jeffrey St. Clair /
Joshua Frank

Facing Down the Machine: Mike Roselle Draws a Line

Carl Ginsburg
Living in the Shadow of Yankee Stadium

Mike Whitney
Obama Goes Wobbly Over More Stimulus

Joe Bageant
The Iron Cheer of Empire

Gareth Porter
Security By Warlords: the CIA's Afghan Payroll

Saul Landau
The Cuban Embargo

Anthony DiMaggio
Conspiracy, Inc.: Wild Tales From the Reactionary Right

Dave Lindorff
Happy Talk Amid the Wreckage: Stocks Up, Jobs Down

Rannie Amiri
The Spooks of Beirut

Niranjan Ramakrishnan
An Afghan Travelogue

Jayne Lyn Stahl
Who Will Reform the Health Care Reform?

Rev. William E. Alberts
God's Favorite Team (and Nation and Religion)

Alvaro Huerta
The Abominable Mr. Dobbs

Martha Rosenberg
Marketing Drugs to Psychoneurotics

Binoy Kampmark
Don't Give Us Your Wretched: Refugee Policy in OZ

Norm Kent
Not Just Zig-Zag Any More: Medical Marijuana Goes Mainstream

Charles R. Larson Roth's "The Humbling:" Nothing Like a Novel From an Old Pro

Ron Jacobs
One Man's Truth, Another Man's Lies

David Yearsley
Not Loud Enough by Half

Lorenzo Wolff
The Vulnerability of Lauryn Hill

Kim Nicolini
"Big Fan:" Football, Class and Sexuality in America

Poets' Basement
Davies, Heyen and Orloski

Website of the Weekend
Coal Country Music

October 29, 2009

Michael Neumann
Criticism of Israel: a Wonderful Hiding Place

Mike Whitney
Housing Rebound? Not So Fast

Gary Leupp
Matthew Hoh Speaks Truth to Power

Conn Hallinan
Roman Roads and Modern Emperors

Marshall Auerback
Obama's Bogus Populism: Pay Curbs and Bank Loans

Laura Flanders
Palin's Pet Doug Hoffman Has Taliban Ties

Eamonn McCann
The War Criminal Vote: Blair or Karadzic for EU President?

David Macaray
Strange Invaders: Can Ignorance and Arrogance Win Hearts and Minds?

Mark Weisbrot
When Small Countries Lead the Way

Stephen Soldz
Psychologist Complicity in Torture Challenged

Christopher Brauchli
Will the Pope Bring the Taliban Into His Flock?

Website of the Day
The USS Liberty Affair and the Problem of Truth in History

October 28, 2009

Moshe Adler
How to Reduce Unemployment, Rebuild the Middle Class and Free Ourselves From Wall Street

Dave Lindorff
America's Drug Crisis: Brought to You by the CIA

Frank Joseph Smecker
Agaisnt Prometheus: an Interview with Derrick Jensen on Science and Technology

Alexandra Early
What a "Jobless" Recovery Means for Young Workers

M. Shahid Alam
Israeli Exceptionalism

Vijay Prashad
Sahelian Blowback: What's Happening in Mali?

John Ross
Three Years Later, Brad Will is Still Dead

Franklin Lamb
A Rare Victory for Lebanon's Palestinians

Gregory Travis
The Dismal Science: Elinor Ostrom's Nobel

Susan Galleymore
Peace Cycle to Palestine

Website of the Day
Newspaper Decline, a Graphic Display

October 27, 2009

Mike Whitney
Black Tuesday and How We Got Out of It

Patrick Cockburn
Bombs Will Go Off in Baghdad, Whether the US is There or Not

Stewart J. Lawrence
Honduran Coup Myths Dispelled

Alan Farago
Power Plays in Florida: Rate Increases, Nukes and Deception

Ralph Nader
Obama: Form Letters and Business as Usual

Dave Lindorff
Pentagon Dirty Bombers: DU in America

Bouthaina Shaaban
The Danger of Towing the Line Behind Israel

Brian M. Downing Elections in Afghanistan, the Second Time Around

Iain Boal
How You Can Save Pacifica

Carl Finamore
Hotel Workers and the Law of Momentum

Jayne Lyn Stahl
Here Comes That Third Party: Palin and the Constitutionalists

Website of the Day
How Bank of America Charges for Perfect Credit

October 26, 2009

Bill Quigley /
Deborah Popowski
When Gitmo and Abu Ghraib Come Home

Paul Craig Roberts
Are You Ready for the Next Crisis?

Uri Avnery
A Tsunami Called Goldstone

Mike Whitney
Will the Dollar Remain the World's Reserve Currency in Five Years?

Michael Snedeker
The Execution of Cameron Willingham

Shamus Cooke
Obama's Dirty War on Immigrants

David Michael Green
Paranoia for Breakfast

Martha Rosenberg
Gagging Michael Pollan

Patrick Bond
Gridlock on the Way to Copenhagen

Binoy Kampmark
Heading for the Tiber

Website of the Day
Goldman Sachs Abandons Kittens

October 23-25, 2009

Alexander Cockburn
All the Populism Money Can Buy

Christopher Ketcham
Unlearning the CIA: the Education of Bob Baer

Jeff Gore
Palestine in Pieces: an Interview with Bill and Kathleen Christison

Gareth Porter
What Really Prompted Iran to Build the Qom Enrichment Facility?

Jayne Lyn Stahl
The Power Behind the Drone

Saul Landau
Fidel on Obama and Consumerism

Mike Whitney
The Great Dollar Collapse Debate

Nikolas Kozloff
Challenging the Dollar Dictatorship: an Interview with Economist Ethan Kaplan

Ron Jacobs
The Vatican's Takeover Bid

Russell Mokhiber
The Weiner Charade

Missy Beattie
Gainful Employment

Ricardo Alarcón de Quesada
Posada and the Cuban 5: Without Any Exception Whatsoever?

Stephen Lendman
Cashing In, Selling Out: AARP's Tradition of Betrayal

David Ker Thomson
Natural History: Make Some Today

Rannie Amiri
Saada Under Siege

Ronnie Cummins
The Organic Revolution

Norm Kent
Bring It On: Fox News vs. Team Obama

Charles R. Larson
Zimbabwe's Unravelling

David Yearsley
Damn Near Dead at Yale

Lorenzo Wolff
A Fistful of Your Own Teeth

Ben Sonnenberg
Costa-Gavras's "Z": an Excellent Thriller

Kim Nicolini
Where the Wild Things Are: Max's Hollow Utopia

Poets' Basement
Three Poems by Leonard J. Cirino

Website of the Weekend
Truth Squading Timberland: Join the Fray!

October 22, 2009

Dan Pearson /
Kathy Kelly
The Rotten Fruits of War

Jonathan Cook
Israeli Police Don Arab Disguises

Paul Craig Roberts The US as Failed State

Mark Engler
Pranksters Fixing the World: and Interview with the Yes Men

Johann Hari
Three Myths Driving the Afghan War

Brian M. Downing
Losing the War

Eric Toussaint
Small Oversights and Big Lies About Latin America

Tom Mountain
Busting the Darfur Myth

Israel Shamir
Russia's Daring Vote

Charles Thomson
What is Damien Hirst Playing At?

Website of the Day
Hitler Upset At Balloon Boy Hoax

October 21, 2009

Pam Martens
The Next Financial Crisis Hits Wall Street: Judges Start Nixing Foreclosures

Linn Washington, Jr.
A Kafkaesque Deportation

Liaquat Ali Khan
Now Pakistan: Sequential Destruction of Muslim Nations

D. K. Wilson
Rush Limbaugh and the NFL

Franklin Lamb
Syria's Golan Heights

Norman Solomon
Uncle Sam in Afghanistan

Stephen Fleischman
Hypocrisy Unbridled

Patrice Higonnet
On Harvard's Financial Crisis

Binoy Kampmark
Herta Müller's Nobel

Kevin Coval /
Josh Healey

Searching for a Minyan

Website of the Day
How Wall Street is Making Its Bilions

October 20, 2009

Sharon Smith
Et Tu, Codepink?

Tariq Ali
Farce in Kabul, Tragedy in Pakistan

Mark Brenner
Pensions: the Next Casualty of Wall Street

Bouthaina Shaaban
The Adoption of the Goldstone Report: What Does It Mean?

Michael D. Yates
Down in the Valley With Cesar: Power, Paranoia and Purges in the UFW

Dean Baker
Does Citibank Need China?

Dave Lindorff
Depleted Uranium Weapons: Dead Babies in Iraq and Afghanistan are No Joke

John Ross
Chronicle of a Tormenta Electrica, II

Ricardo Alarcón de Quesada
Cuban Five: a Very Important Liar

Kevin Zeese
Can the Democrats Avoid a Populist Health Care Rebellion?

Gilad Atzmon
Autumn in Shanghai

Website of the Day
A Message From the Gyre

October 19, 2009

Mike Whitney
The Dollar Will Not Crash

Greg Moses
The Cash Cops of Tenaha

John Ross
Chronicle of a Tormenta Electrica

Michael Donnelly
Outside Agitator

Jayne Lyn Stahl
Dick's Fringe Army: Tea Baggers and Birchers?

Eric Walberg
The Battle in Canada

Russell Mokhiber
Pennsylvania, First in the Nation for Single Payer?

Barbara Rose Johnston
War, Peace and the Obamajority

John V. Whitbeck
Zionism: an Anti-Semite's Dream?

Christopher Ketcham
Swine Fools

Website of the Day
Greenspan: Break Up the Big Banks?

October 16-18, 2009

Alexander Cockburn
White House v. Fox News: a War Obama Can Win

Saul Landau
Autumn of the Patriarch

Paul Craig Roberts
The Rich Have Stolen the Economy

Carl Ginsburg
Where $18 an Hour is Too Much

Ralph Nader
Barney Frank the Bankers' Consort

Nikolas Kozloff
Rainforest Beef, Factory Farms and Anthony Bourdain's War on Vegetarians

Carlo Galli
Berlusconi: Still Doing Nothing, Still There

Dave Lindorff
Agent Orange in Vietnam: Ignoring the Crimes Before Our Eyes

Catherine Rottenberg / Neve Gordon
Educating Children in War Zones

Marshall Auerback
Dollar Spasms

Nicola Nasser
The Realistic Way Out of Iraq

Windy Cooler
The Ghost of John Brown

James L. Secor
Why I Miss China

Ron Jacobs
Escalation Unopposed

Wes Jackson
A Way of Knowing

Jesse Lerner-Kinglake
Global Food Fight

David Ker Thomson Against Leaders

Missy Beattie
Dinner With the President

Emily Ratner
Taping Our Mouths Shut to Scream Out Our Dissent

Stephen Martin
The Scorched Earth Mindset of the International Banker

Michael Snedeker
"A Place of Greater Safety"

Charles R. Larson
Cheeta: the Last of the Hollywood High-Rollers

David Yearsley
Judith Leyster's Sensuous Passions

Peter Stone Brown
It's a Bob Christmas for Halloween

Poets' Basement
Keeler, Beatty and Anderson

Website of the Weekend
Elements of Nature

October 15, 2009

Andrew Cockburn
Our Cheap Politicians

Brian M. Downing
Rethinking the Afghan Insurgency

Ramzy Baroud
Abbas and the Goldstone Report: Our Shame is Complete

Danny Weil
A Neo-Liberal Arts Education: Diploma Mills and Debt Peonage

M. Idrees Ahmad
Return to Peshawar: a Journey Home

Margaret Kimberley
Michelle's Family Tree

Ricardo Alarcón de Quesada
Cuban Five: Which Side Are You On?

Harvey Wasserman
Nuking the Climate Bill

Nirmal Ghosh
A Tale of Two Protocols: How Montreal Could Save Us From the Mire of Kyoto

Charles R. Larson
Sarah Palin Bears It All

Website of the Day
Tortured Law

October 14, 2009

Michael Neumann
Fearsome Words? a Suppressed Talk on the Israel/Palestine Conflict

M. Reza Pirbhai
Fighting the Taliban: What, Exactly, is Being Fought in Afghanistan?

Gareth Porter
Hawks Play Up the Taliban's Ties to Al Qaeda

Paul Craig Roberts
War Criminals Are Becoming Arbiters of the Law

John Strausbaugh Fortress Moon

Ralph Nader
The CBO's Flawed Report on Medical Malpractice

Dean Baker
Won't You Please Come to Chicago to Greet the Bankers?

Charles Modiano
White Silence: Where Does Brett Favre Stand on Rush Limbaugh?

Nadia Hijab
Abandoning "Women and Children"

Walter Brasch
An Extension of Her Motherhood: Sherry Carpenter, Journalist and Animal Care Provider

Website of the Day
Nader: Obama Has a "Concessionary Personality"

October 13, 2009

Peter Linebaugh
Putting the Spine Back in the Commonwealth

Shamus Cooke
What Obama Isn't Telling American Workers

John Ross
War on Mexican Women

Brendan Cooney
Ask Awal Khan About Obama's Prize

Frida Berrigan
Operation Enduring Detentions: Losing the Moral High Ground

Yves Engler
Is Canada More Pro-Israel Than the US?

David Macaray
Why the Government Fears Unions

Dave Lindorff
Democrats: Selling Out, But Still Getting Screwed

Mark Weisbrot
Occupying Afghanistan is Making Things Worse

Ricardo Alarcón de Quesada
History Repeats Itself

Binoy Kampmark
That Dirty Colonial War

Website of the Day
The Health Insurance Industry's Latest Doublecross

October 12, 2009

Pam Martens
Secret Deal Between Wall Street and Washington Shines a Harsh Light on Federal Housing Agency

Mike Whitney
A Dollar Rout or More Bernanke Trickery?

Martha Rosenberg
Yale Lab Tech Causes Two Problems for Animal Researchers

Jessica Arents
The Price of Peace: Our Arrest at the White House

Eamonn McCann
Massacre in Ireland, Massacre in Iraq

Bill Hatch
Dairy Industry Goes Down the Tubes

Sen. Russell Feingold
Time for a Timetable in Afghanistan

Niranjan Ramakrishnan
The Siren Song of World Praise

Gideon Levy
Obama's Betrayed Mission in the Middle East

Iyad Burnat
Why Does Obama Get a Prize and Bush Got Shoes?

Alan Cabal
Why Obama Deserves the Nobel

Dan Bacher
The Astroturf Method

Website of the Day
The Palestine Chronicle Needs Your Help

October 9-11, 2009

Alexander Cockburn
War and Peace

James Bovard
Eight Years of Big Lies on Afghanistan

Kathleen and Bill Christison
New Crisis Developing in Palestine

Andy Worthington
Congressional Depravity on Gitmo

Marc Levy
Talking Dirty to the Kids

Tariq Ali
Ahmed Rashid's War

Mike Whitney
The Securitization Boondoggle

Paul Craig Roberts
Warmonger Wins Peace Prize

Alan Nasser
Cockeyed Economics

Jack Z. Bratich
The Twitterest Pill: Policing Dissent in the Information Age

Steve Breyman
Time for a War Tax

David Michael Green
A Hapless Presidency

Dave Lindorff
The WTF Prize

Paul Buchheit
Fear of the Rich

Jim Goodman
Feedlots and E. Coli

Missy Beattie
Theater of the Absurd

Michael Leonardi
Ships of Poison

Nadia Hijab
The Plight of the Right of Return

Mel Packer
The Crackdown on Pittsburgh

David Macaray
The Raiding Game

James T. Phillips
Getting Burned

Charles R. Larson
One Man's Walk Through Hell

Michael Donnelly
Behind the Capitalist Curtain

David Yearsley
The Biggest Blot on Mel Gibson's Rap Sheet

Lorenzo Wolff
Rap That Threatens ... and Endures

Poets' Basement
Heyen, Ames and Buknatski

Website of the Weekend
Jobs Conference

October 8, 2009

Saul Landau
A Late September Morning With Fidel

Paul Fitzgerald /
Elizabeth Gould

Dark Omens for the US in Afghanistan

Linn Washington, Jr.
Pot and Perversion: Judicial Antics Expose Drug War Insanity

Marshall Auerback
Neo-Classical Economics Misses What Matters

Dave Lindorff
A Nation of Snoops

David Rosen
Bankrupt Morality: the Staying Power of Republican Sinners

Chris Darimont / Misty MacDuffee
The Bear Essentials: New Thinking Needed to Save BC's Salmon and Grizzlies

John V. Walsh
Remembering Hinton's Fanshen

Stewart Lawrence
The Edwards / Hunter Affair Reconsidered

Charles R. Larson
Conservatives in the Sandbox

Website of the Day
Et Tu, Code Pink?

October 7, 2009

Brendan Cooney
Are Republicans Breaking US Law in Honduras?

Paul Craig Roberts
Dead Labor: Marx and Lenin Reconsidered

Dean Baker
Bernanke's Recovery: Unemployment Up, Wages Down (But the Banks Have Been Saved ... Sort Of)

Jonathan Cook
A Third Intifada?

John Stanton
HTS: Congress Rewards Failure, Puts Personnel in Harms Way

Joanne Mariner
Tortured Language

Ricardo Alarcón de Quesada
Cherry Blossoms

Stephen Lendman
The Gaza War's Effect on Women

Sen. Russell Feingold
Time to Draw Down in Afghanistan

Mary Lynn Cramer
Doublespeak on Health Care

Website of the Day
How to Bag a Wolf by Aerial Assault

October 6, 2009

Mike Whitney
Dollar Hysteria: Is the Sky Really Falling?

Gareth Porter
The Iranian Rift in the IAEA: Leaked Paper Based on Disputed Intel

Jonathan Cook
How Israel Buried the UN's War Crime Probe

Boris Kagarlitsky
My Hour as Talking Head in Moscow

Iain Boal
The New Crisis at Pacifica

Ron Jacobs
Why Are We in Afghanistan?

John Ross
Wave of Anarchist Bombings Strikes Mexico

Michael Dickinson
Panic in Istanbul: Smoke, Mayhem and the World Bank

Stephen Fleischman
Beware the Predator

Ira Glunts
The Audacity of Nope

Missy Beattie
Outside Looking In

Website of the Day
Round Up the Usual Suspects

October 5, 2009

Pam Martens
Wall Street Titans Use Aliases to Foreclose on Families While Partnering with a Federal Agency

Mike Whitney
Dead Man Walking: Welcome to the US Economy

Paul Craig Roberts
How the Feds Imprison the Innocent

Harry Browne
Ireland Says, "Yes, Please"

Sara Mann
My Little Town: Nothin' But the Dead and Dyin'

Omar Barghouti
Dissolve the Palestinian Authority

Shamus Cooke
A Jobless Recovery?

Brenda Norrell
A Dirty New Low for Peabody Coal

Fred Gardner
Situation NORML: Reconciling Medical Pot Use and Legalization

Binoy Kampmark Copenhagen Blues: McChrystal and the Afghan Trap

Website of the Day
In Goldman Sachs We Trust?

October 2-4, 2009

Alexander Cockburn
Geezer Renditions

Saul Landau
News From Raul Castro

Diana Johnstone
After the German Elections: Is Socialism Really Dead in Europe?

Greg Moses
Cramming for the Downside

William Blum
The Fall of the Berlin Wall: Another Cold War Myth

Brian Cloughley
Iran's Nuclear Program: Where's the Proof?

Russell Mokhiber
Welcome Back, Michael Moore

John Ross
Chomsky in Mexico

Ellen Brown
IMF Catapults From Shunned Agency to Global Central Bank

David Ker Thomson
Cop Shocks

David Macaray
The Audacity of Toyota

Gary Engler
Unions in a Rut

Robert Fantina
Meet the New Boss (Same as the Old Boss)

Lisa Stolarski / Naomi Archer
Pittsburgh: Still a (Coal) Company Town

Anthony Papa
Here is Your Chance to Help End the Failed War on Drugs

Joe Allen
The Good Wife: Bad View of a Corrupt System

Harry Browne
Tarantino Scalps His Audience

Ron Jacobs
Collective Fiction

Charles R. Larson
Cultural Warriors: Austrialian Aboriginal Art Triennial

David Yearsley
Hanns Eisler's Great National Anthem for East Germany is Available: Make It America's

Poets' Basement
Taylor, Gardner and Landau

Website of the Weekend
Wrongful Convictions of Youth

 

November 4, 2009

AstraZeneca U

Is Your Doctor's Continuing Ed Funded by Drug Makers?

By MARTHA ROSENBERG

Raise your hand if you've breathed a sigh of relief seeing your doctor had a CME (Continuing Medical Education) certificate next to the medical school diploma on the wall.

Did your doctor pass  Bipolar Disorder: Individualizing Treatment to Improve Patient Outcomes, Part 2 "taught" by Trisha Suppes, MD, PhD and offered by CME Outfitters?

Suppes is a Professor in Stanford's Department of Psychiatry and Behavioral Science and funded by Abbott, AstraZeneca; GlaxoSmithKline, Janssen, Novartis, Pfizer, Wyeth, Bristol-Myers Squibb, Eli Lilly, Shire and four more drug companies.

Maybe your doctor passed Quadrivalent HPV Vaccine May Be Effective in Women 24 to 45 Years Old -- which sounds like a sales pitch for Gardasil because it is -- which "studies" a Lancet article written by Nubia Munoz, MD, two Merck employees and other authors.

Sample question: "What was the main conclusion of the current study by Munoz and colleagues of HPV vaccine among women between the ages of 24 and 45 years?" (Italics CME's) Hint: the answer is in the title.

Upon "completion on this activity" offered by CME giant Medscape, part of the WebMD monolith -- still available for credit if you hurry -- "participants will be able to: "Specify the currently recommended age range for the administration of the quadrivalent human papillomavirus vaccine" and "Describe the effects of the quadrivalent human papillomavirus vaccine among women between the ages of 24 and 45 years."

Maybe your doctor passed Medscape's Innovative Approaches to Vaccination Challenges: Overcoming Barriers for Adult Patients sponsored by -- surprise! -- vaccine makers Novartis, GSK and Merck and meaning sales barriers.

CMEs, continuing medical education courses, are sponsored by drug makers, "taught" by industry-funded specialists and bracketed by pop-up drugs ads which sometimes occlude the text you're reading. ("Which of the following manic symptoms are most seriously impacting your bipolar patients' lives?" asked a disease-baiting ad for Geodon, direct-to-consumer style, when we looked at a CME.) Yet doctors are required to sit through the canned message like a time-share presentation and answer a quiz just to keep their state licenses and sometimes insurance policies.

In fact the only good thing doctors have to say about CMEs is they are hard to fail--"second chance" questions pop up if you miss the first ones; and they are often free. Why?

CMEs are supposed to be monitored by the Accreditation Council for Continuing Medical Education (ACCME) but like Standard and Poor's and Moody's stock ratings funding comes from the client side so buyer beware.

Last year Bernard Carroll, MD a former chairman of psychiatry at Duke, challenged the objectivity of a CME Outfitters course called Atypical Antipsychotics in Major Depressive Disorder: When Current Treatments Are Not Enough (what are they trying to say?) funded by Seroquel maker AstraZeneca and taught by disgraced Emory University psychiatrist Charles Nemeroff, MD who lost his department chairmanship from unreported drug industry income.

Two doses of Seroquel were tested but only the results of one were "statistically significant," writes Carroll on a blog called Health Care Renewal. "One of the junior presenters stated very clearly that there was 'significant improvement in both response and remission with both doses' of Seroquel. That is a falsification of the scientific record."

In October AstraZeneca agreed to pay $520 million to settle Seroquel suits and investigations of "physicians who participated in clinical trials involving Seroquel," presumably on which safety was established, and a JAMA article red flags Seroquel's metabolic proclivities in which studied children gained a pound a week and more. Yet AstraZeneca still seeks FDA approval to market Seroquel to kids.

Nor did the April 2009 article about Seroquel, Maintenance Treatment For Patients With Bipolar I Disorder: Results From A North American Study Of Quetiapine In Combination With Lithium Or Divalproex in the American Journal of Psychiatry (AJP) by CME presenter Trisha Suppes fare well.

Why were two-thirds of pre-randomization patients discontinued because of "lack of therapeutic response, developing an adverse event" and being lost to follow-up, ask Debasish Basu, MD, and Kaustav Chakraborty, MD from Chandigarh, India in the October AJP? "Could it be possible that the remaining patients, who did eventually proceed to the randomization phase, represented a group favorably predisposed to the quetiapine combination?"

A second letter in the same AJP echoes the methodology questions. "Only one-third of the patients were selected for maintenance therapy, which raises the possibility of selection bias," write Bettahalasoor S. Somashekar, MD, DPM, Ashok Kumar Jainer, MD, MRCP and Wajid Shafi, MD from Coventry, UK. "In this regard, Healy [David Healy, MD, Cardiff University professor] stated that company sponsored clinical trials invariably recruit samples of convenience, which by definition do not actually sustain extrapolation to normal clinical practice."

Similar methodology questions are raised about the "science" behind Medscape's Quadrivalent HPV Vaccine May Be Effective in Women 24 to 45 Years Old CME in the October 10 Lancet. Not only should your sons and daughters get the Human Papillomavirus vaccine,says Merck, so should your parents.

Why did Munoz et al exclude women "with pre-existing infections and women who do not complete the full course of the vaccine," ask six researchers with US National Cancer Institute. Is this also a sample of convenience?

Why was "infection of 6 month duration or longer" used as an endpoint for showing a cancer benefit asks a different set of researchers, Stefanie Schenk and Jutta Halbekath from Berlin, in the same Lancet issue. Why is there no "differentiation" between infection and cancer--a big scientific leap?

Clearly the letter writers need to do their CMEs.

Martha Rosenberg can be reached at: martharosenberg@sbcglobal.net

 

Inside the New Print Edition of Our Subscriber-Only Newsletter!

Obama and Black America

Ten months into Obama-time, the plight of black Americans is terrible. Yet overwhelmingly they rally behind the president. In a powerful report from the Deep South Kevin Alexander Gray asks the question: what should the black political agenda be? Mark Rudd counterposes “organizing” with “activism” and describes what it will take to build a movement.  H. Bruce Franklin gives a chronology of the march into Afghanistan. Get your new edition today by subscribing online or calling 1-800-840-3683 Contributions to CounterPunch are tax-deductible. Click here to make a donation. If you find our site useful please: Subscribe Now! CounterPunch books and t-shirts make great presents.

Order CounterPunch By Email For Only $35 a Year !

 

Now Available from CounterPunch Books!

Yellowstone Drift:
Floating the Past
in Real Time

by John Holt
Introduction by Doug Peacock


Click here to Buy!

Born Under a Bad Sky:
Notes from the Dark Side

of the Earth
By Jeffrey St. Clair

"Powerful and shocking ..
see this film"
-- Joseph Stiglitz on American Casino

Waiting for Lightning
to Strike:
The Fundamentals

of Black Politics
Kevin Alexander Gray

Click Here to Buy!

Spell Albuquerque:
Memoir of a
"Difficult Student"

By Tennessee Reed

"The Case Against Israel"
Michael Neumann's Devastating Rebuttal of Alan Dershowitz

Click Here to Buy!

The Inside Story of the Shannon Five's Smashing Victory Over the
Bush War Machine

By Harry Browne

RED STATE REBELS:
Tales of Grassroots Resistance from the Heartland

Edited by
Jeffrey St. Clair
and Joshua Frank


How the Press Led
the US into War


Buy End Times Now!
New From
CounterPunch Books
The Secret Language
of the Crossroads:
HOW THE IRISH
INVENTED SLANG
By Daniel Cassidy
WINNER OF THE
AMERICAN BOOK AWARD!

Click Here to Buy!


Saul Landau's Bush and Botox World with a Foreword by Gore Vidal

Click Here to Order!
 
Grand Theft Pentagon
How They Made a Killing on the War on Terrorism

 

 
 

 

 

 
 

 

 


The Occupation
by Patrick Cockburn

 
 

Humanitarian Imperialism
By Jean Bricmont
 

 
 

CITY BEAUTIFUL
By Tennessee Reed