YouSaid · the spoken record

John Abramson

lines on the record
108
first
2022-02-11
most recent
2022-02-11
sittings or episodes
1
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podcast

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  1. “Yep, yep. And without guardrails, it becomes even more part of the game you keep moving in that direction if you're not bumping up against guardrails and i think that's how we've gotten to the extreme situation we're in now”

    2022-02-11 · Lex Fridman Podcast · #263 – John Abramson: Big Pharma · IDENTIFIED FROM THE TRANSCRIPT · source

  2. “And within that milieur, you have one set of standards, and then the rest of good American people have the expectation that the drug companies are trying to make money, but that they're playing by rules that aren't part of the insider milieu.”

    2022-02-11 · Lex Fridman Podcast · #263 – John Abramson: Big Pharma · IDENTIFIED FROM THE TRANSCRIPT · source

  3. “I think it has to do with the cultural milieu that this unfolding in. We need to look at sociology to understand this when the cultural milieu is Set up Maximize the returns on investment for shareholders and other venture capitalists and hedge funds and so forth. When that defines the culture and the higher up you are in the corporation, the more you're in on the game of getting rewarded for maximizing the profits of the investors, that's the culture they live in. And it becomes normative behavior to do things with science that look normal in that environment and are shared values within that environment by good people whose self-evaluation becomes modified by the goals that are shared by the people around them.”

    2022-02-11 · Lex Fridman Podcast · #263 – John Abramson: Big Pharma · IDENTIFIED FROM THE TRANSCRIPT · source

  4. “Felonies, which is not an unusual occurrence. The government usually allows the companies, the parent companies, to allow subsidiaries to take the plea so that they are not one step closer to getting disbarred from Medicare, not being able to participate in Medicare. So in that sense, there is a mechanism that is appearing to impose law and order on drug company behavior, but it's clearly not enough. It's not working.”

    2022-02-11 · Lex Fridman Podcast · #263 – John Abramson: Big Pharma · IDENTIFIED FROM THE TRANSCRIPT · source

  5. “And I testified in a federal trial in 2010, and the jury found Pfizer guilty of fraud and racketeering violations. In terms of violating the law, it's a routine occurrence. The drug companies have paid $38 billion worth of fines from, I think, 1991 to 2017. It's never been enough to stop the misrepresentation of their data. And rarely are the fines greater than the profits that were made. Executives have not gone to jail for misrepresenting data that have involved even tens of thousands of deaths in the case of VIOCs, oxycontin as well. And when companies plead guilty to”

    2022-02-11 · Lex Fridman Podcast · #263 – John Abramson: Big Pharma · IDENTIFIED FROM THE TRANSCRIPT · source

  6. “We separate those out because those are two huge questions. So, how we're failing in all three, and these are the minimal functions that our guru of free market capitalism said the government should perform. So this is the absolute baseline. On preserving law and order, the drug companies routinely violate the law in terms of their marketing and in terms of The presentation of the results of their trials. I know this because I was an expert in litigation for about 10 years. I presented some of what I learned in civil litigation to the FBI and the Department of Justice. And that case led to the biggest criminal fine in U.S. history as of 2009.”

    2022-02-11 · Lex Fridman Podcast · #263 – John Abramson: Big Pharma · IDENTIFIED FROM THE TRANSCRIPT · source

  7. “I think it is Lex, but I think it is not possible without guardrails that maintain the integrity and the balance of the knowledge. Without those guardrails, it's like trying to play professional basketball game without referees and having players call their own fouls. But the players are paid to win, and you can't count on them to call their own fouls. So we have referees who are in charge. We don't have those referees in American healthcare. That's the biggest way that American healthcare is distinguished from healthcare and other wealthy nations.”

    2022-02-11 · Lex Fridman Podcast · #263 – John Abramson: Big Pharma · IDENTIFIED FROM THE TRANSCRIPT · source

  8. “The biggest problem is the way they Determine the content, the accuracy, and the completeness. What doctors believe to be the full range of knowledge that they need to best take care of their patients so that With the knowledge having been taken over by the commercial interest, primarily the pharmaceutical industry, the purpose of that knowledge is to maximize the profits that get returned to investors and shareholders and not to optimize the health of the American people. So rebalancing that equation would be the most important thing to do to get our healthcare back aimed in the right direction.”

    2022-02-11 · Lex Fridman Podcast · #263 – John Abramson: Big Pharma · IDENTIFIED FROM THE TRANSCRIPT · source