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Army Probes Big Pharma Payments To Military Doctors

Trauma Iraq

First Posted: 06/20/11 02:19 PM ET Updated: 08/20/11 06:12 AM ET

The U.S. Army is probing payments by pharmaceutical companies to military physicians in the wake of a recent settlement between Novo Nordisk and the Justice Department over charges that the drugmaker "illegally promoted" its hemophilia drug, reports Pharmalot.

In that case, Novo Nordisk was accused of promoting its NovoSeven medication for unapproved uses such as blood trauma, intercranial hemorrhage and other surgeries by making payments to influential military physicians and personnel. Such off-label use was illegal and dangerous, said the settlement, and while it was helpful to reduce the amount of blood transfusion needed in trauma patients, it did not prolong life. In some cases, the payments were disguised as educational grants by being channeled through nonprofits.

As part of the settlement, the drugmaker paid $25 million and signed a corporate integrity agreement, which is closely monitored by the Justice Department. Such off-label marketing by drugmakers has resulted in multi-billion-dollar settlements in recent years between large pharmaceutical companies Pfizer and Merck and the Justice Department.

The use of NovoSeven has been defended by some military physicians, who insist that it's safe and useful in treating trauma patients.

The command stated in a release saying, “the Army surgeon general and commanding general United States Army Medical Command re-opened the AR 15-6 investigation to include a systematic review of honoraria in the medical research environment.”

The Army had put its investigation of the incident on hold during the Justice Department probe.

Oversight of Disaster Pipelines Was Guided By Industry-Funded Studies

The operators of the nation's 2.3 million miles of pipelines carrying natural gas shaped and provided funding for numerous safety studies conducted by the federal agency that regulates the industry, reports the San Francisco Chronicle. Those studies, run by the federal Pipeline and Hazardous Materials Safety Administration, help guide national and state safety rules and procedures for those pipelines.

Three deadly accidents in the past three years involved decades-old pipelines that might have been replaced -- saving lives -- had the outcomes of the federal agency's research, and the policies they influenced, been different.

CPR For TBTF

How do you resuscitate a too-big-to-fail bank that is near collapse?

That is the subject of an all-star panel Tuesday assembled by the Federal Deposit Insurance Corporation's Sheila Bair to advice the agency on the issue. Among the attendees: former Fed chairman Paul Volcker, MIT economist Simon Johnson and former Citigroup chairman John Reed. Bair said the panel “brings together some of the best and brightest minds to augment the groundwork that the FDIC has already put in to place to handle an extremely large and complex failure,”

Other items on iWatch News's useful Financial Reform Watch this week: a SEC vote on Wednesday on whether to require hedge fund advisers to register with the agency and a House Oversight Committee hearing the same day on the implications of the GM bailout.

FDA Goes Global To Handle Flood Of Imports

The Food and Drug Administration unveiled on Monday a new global strategy to address the challenges posed by rising imports of food, drugs, vaccines and medical devices amid a highly complex global supply chain.

“Global production of FDA-regulated goods has exploded over the past ten years. In addition to an increase in imported finished products, manufacturers increasingly use imported materials and ingredients in their U.S. production facilities, making the distinction between domestic and imported products obsolete,” said Commissioner of Food and Drugs Margaret A. Hamburg in a release. "There has been a perfect storm - more products, more manufacturers, more countries and more access. A dramatic change in strategy must be implemented."

Part of the strategy involves building international coalitions of regulators focused on product safety and quality and building data systems to help share information about these products. Among the agency's new mandates -- inspecting more than 19,000 foreign food facilities in 2016.

Salazar Expected To Ban Uranium Mining For 20 Years

It's widely expected that Interior Secretary Ken Salazar will announce on Monday a new long-term ban (up to 20 years) on uranium mining. In a midday press conference at the Grand Canyon, he will address the controversy over the boom -- there was a 2,000-percent increase in new mining claims in the Grand Canyon area between 2005 and 2009, reports the American Independent.

Since the U.S. relies on imports of uranium to fuel the nuclear industry, Salazar has been under pressure to drop the ban, but the Japanese nuclear disaster changed that calculus.

More Cops On The Wall Street Beat

The number of regulatory cops on the beat on Wall Street is growing fast, reports the Wall Street Journal.

The New York Federal Reserve has about 150 regulators -- or regulatory "embeds" -- working at Bank of America, Goldman Sachs, Morgan Stanley, JPMorgan Chase, Deutsche Bank among others and that number is expected to double by this fall.

And the Office of the Comptroller of the Currency has about 500 bank examiners working on location at big banks -- and that number is expected to rise by 10 percent. From the Wall Street Journal:

"Regulators have inspected their companies for safety and soundness, financial performance and the quality of management and directors for decades. The on-site reviews are thorough and can produce friction between the bank examiners and their subjects, according to bankers and regulators. The Fed's latest how-to "Commercial Bank Examination Manual" is 1,808 pages long, and examiners have the power to "review all books and records maintained by a financial institution."
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The U.S. Army is probing payments by pharmaceutical companies to military physicians in the wake of a recent settlement between Novo Nordisk and the Justice Department over charges that the drugmaker ...
The U.S. Army is probing payments by pharmaceutical companies to military physicians in the wake of a recent settlement between Novo Nordisk and the Justice Department over charges that the drugmaker ...
 
 
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04:21 PM on 06/21/2011
And the worst problem with the story? How many of the militarys doctors--not mention the V.A., do not even have a medical license?
06:54 PM on 06/20/2011
I find it surprising that anyone finds this at all surprising.
04:35 PM on 06/20/2011
Big Pharma doing something illegal ? well thats just shocking.Big Pharma is like the Koch brothers, just spreading the wealth around- but to all the wrong people
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SoapboxKing
04:20 PM on 06/20/2011
GOP is fighting for more deregulation. And this is free market at work.
04:02 PM on 06/20/2011
While I applaud this action, many not in the medical field may fail to understand that these physicians then come back to the US and train other physicians. Some of these physicians then filter out to the public sector, especially trauma center's and "spread the message", so that ER's then demand the drug. With enough pressure, some pharmacies then add this drug to their formularies and it then becomes available for use in the public arena.

Some will say great. But, consider the cost. Each dose of this drug cost $5,000. In trauma situations, this drug can be over used ( as their have not been any guidelines for it's use). Depending on the ER and if it is publicly or privately financed, one can hopefully see for yourself that a drug company should not be able to market a drug via a kickback system to any physician. The trickle down effect of getting this drug into public using the "yeah it is an off label use, but it works" only benefits the drug company.

FTR: I have personally witnessed this "over utilization" and physicians would say: it is our last resort, we don't know what else to do to try and save a life.

But you decide for yourself.
02:59 PM on 06/20/2011
Hopefully, we'll also see some court martials!
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bola47
07:29 PM on 06/20/2011
never happen, too much money involved in all the wrong places. and by the way, the plural is courts martial.
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Trustfunded1
02:58 PM on 06/20/2011
US military personnel are property of the State.

The military have been experimenting with big Pharma for decades on said property..
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MPFIED
Blah,blah,blah and all other white noise.
02:52 PM on 06/20/2011
Big Pharma is obviously drowning in their own largesse. Just look any TV show and you'll notice almost every commercial is advertising some prescription drug for an ailment we barely knew we had.

It comes at no surprise they'd use their deep pocketed profits to infiltrate military medicine next.
04:36 PM on 06/20/2011
and for every drug there is a huge list of side effects
iridium53
Semper Fi
02:40 PM on 06/20/2011
Washington is a corrupt kleptocracy.

No reason why Army physicians shouldn't get their share when Presidents, Senators and Congresspersons are getting theirs.
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03:17 PM on 06/20/2011
So one wrong justifies another? You are not making a good representation of a military person.
iridium53
Semper Fi
03:25 PM on 06/20/2011
Nope.

Just pointing out that it seems some of our military might be following the "leadership" example.

Corruption has always been with us. Will always be.

Washington as a corrupt kleptocracy, at least to the extent currently going on - is new. The greatest kleptocracy in history.
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02:36 PM on 06/20/2011
It be great if we had a safe,effective AND affordable medical sickness/disaster care.......

http://www.webmd.com/content/article/91/101128.htm?lastselectedguid=%7B5FE84E90-BC77-4056-A91C-9531713CA348%7D

.....instead of sloppy,lazy,greedy corporations AND workers...
MEDICAL practice accidentally kills 2,3,4 hundred thousand in the US each year - not a "good" return...
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Nobody78
A little left of Center
02:26 PM on 06/20/2011
And no one goes to jail.
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02:25 PM on 06/20/2011
In some cases, the payments were disguised as educational grants by being channeled through nonprofits.

---

Illegal....

Now investigate the makers of Ambien...Every soldier is dependent on it.
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CoastalNC
Good thoughts create good things
03:48 PM on 06/20/2011
My husband took ambien...went into a fugue state, drove 3 hours away and had 4 accidents before the 4th one totalled his car. Luckily, no one was injured other than our insurance company...and our insurance premium.

I think that everyone should have to read and sign or watch a video or something more than they do now before they are given ambien....people don't understand how dangerous it can be in you go into a fugue state and no one knows you are asleep.
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04:01 PM on 06/20/2011
That is so sad. Is your husband a soldier ?

Maybe the two of you could watch this together. So sad...

The Wounded Platoon.

http://www.pbs.org/wgbh/pages/frontline/woundedplatoon/

Click on the Platoon roster and see what happened to them.
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sensimilla
You are not your body
02:20 PM on 06/20/2011
c0rporate payoffs in the DOD, say it ain't so!!!

Same 'ole MIC wasting TRILLIONS in taxpayer dollars...
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CigarGod
What is your process?
02:29 PM on 06/20/2011
Add a ban on DOD personnel going to work for the MIC...and we'll stop another hidden bribe system.
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CoastalNC
Good thoughts create good things
03:50 PM on 06/20/2011
How about retired officers taking management positions in the DOD....the good ole boys club works tirelessly to hire and protect each other.