The last line really caught my attention: “All of these changes,” Lexchin and Fugh-Berman write, “need to be accompanied by a strong and ongoing endorsement from the leadership in the medical community”. That is the problem right there. The higher up you go in medicine, the greater the chance of corruption. Why would the leadership want to change a system that gives them so much money? Even after the prescription opioid epidemic nothing has changed. There is a recognition that corruption can be a big problem in the political and justice systems, and there are measures in place to prevent corruption. (You can argue that these measures are inadequate, but there is at least an acknowledgement of how harmful corruption can be.) In medicine, however, everyone seems to think that Doctors have some sort of moral super-power that no-one else in society has. Many of these problems exist because there is nothing in place to prevent it. Doctors and the Drug companies get away with it simply because they can!