Did you really think big pharma cared for your health?

Peter Goetze from the Nordic Cochrane Centre argues prescription drugs are the third leading cause of death in the U.S., killing around 200,000 people yearly. He points to polypharmacy in the elderly, where antidepressants alone cause roughly 3% annual mortality through falls, and claims pharmaceutical companies operate like organized crime.
Questions this video answers
Around 200,000 people per year.
Third leading cause of death (after heart disease and cancer).
More than 10% of elderly.
About 3% per year (attributed to falls and hip fractures).
More than five drugs per day.
Chapters
My name is Peter Goetje. I'm director of the Nordic Cochrane Centre in Copenhagen and professor of research, design and Analysis at the University of Copenhagen. Two years ago, I found out that our prescription drugs are the third leading cause of death after heart disease and cancer. Our Drugs kill around 200,000 people in America every year. And half of these people die while they do what their doctors told them. So they die because of the side effects, the other half die because of errors. And it's often the doctors that make the errors, because any drug may come with 20, 30 or 40 warnings, contraindications, precautions and so on. No doctor in the world knows about all this. So they give patients drugs that they should not have given them that interact dangerously with other drugs or food items or so on, and then the patients die. That's the other half. So the other thing I found out two years ago was that much of what the drug industry does fulfills the criteria for organized crime in U.S. law. And they behave in many ways like the mafia does. They corrupt everyone they can corrupt. They have bought every type of person, even including ministers of health in some countries. So there is a huge amount of corruption. In my country, for example, Denmark, we are regarded as having very little corruption, but yet we have thousands of doctors on industry payroll, although we are just 20,000 doctors. So this is an effective kind of corruption. The drug industry buys the professors first, then chiefs of department, then other chief physicians and so on. They don't buy junior doctors. So when several thousands are on industry payroll, it's really, really bad. And that's why I wrote my book Deadly Medicines and Organized How Big Pharma Has Corrupted Healthcare. I hope to convince patients not to take so many drugs because so many die from the drugs they take. In my country, people take so many drugs that every single citizen can be in treatment with one and a half drugs from they are born till they die. This is incredible. And drugs are not that helpful. And they kill very many of us. We know that. That's why drugs are the third major killer after heart disease and cancer. So what we need in the coming years is to take far fewer drugs than what we do currently. If we did that and we were careful, then we could live longer and live better lives, because drugs have many side effects. And patients often don't realize that when they become worse that it could be a side effect of the drug which they continue taking, because that's what their doctors tell them. So when I was a specialist in internal medicine, what I very often did was that I stopped a lot of drugs, particularly in elderly people, and it's quite revealing to see a bedridden elderly person come into your ward and when you stop the drugs, I mean, that person becomes many years younger. Many of these drugs affect the brain, and old people tolerate that very, very badly. They fall, and when they break a hip, a quarter of them die. For example, antidepressant drugs are used in more than 10% of our elderly, and they seem to kill 3% of them every year. I mean, if 100 old people take an antidepressant for one year, 3% of them will die because they fall and break their hip. This is a huge death rate. So a lot of other drugs and antidepressants also make people fall and kill them. And they may affect your cognition, your memory and all these things. And then they interact in ways that we know almost nothing about. Very many elderly, they take more than five drugs a day, and we actually don't know how these drugs interact with each other. What we do know is that all drugs have many effects in the body, and some of them interact also in their metabolism, so that you can get a too high concentration of a drug if you take other drugs simultaneously. So we make a lot of harms that we don't even recognize. I have a pretty colorful collection of things. People have called me during all these years, and sometimes journalists have asked me, why do you always look up controversy? And my reply is, I don't. Controversy looks me up because it's not popular to tell the truth. In health care. You will get a lot of enemies because a lot of people make money on false premises. Doctors and industry alike and our drug regulators and our politicians, they are on board on this wagon. So very few people are independent of money in health care. And of course I have attacked a lot of holy cows during my career. And people have screamed loudly in a French journal. I was called a statistical mastobist because I showed with statistics that mammography screening didn't work and things like that. And I was even accused of scientific misconduct by the association of the Danish Pharmaceutical Industry, which was completely ludicrous. It was harassment from beginning to end. They came with vague arguments that we cannot recognize the conclusions in your study. And they could have come up with numbers and said, these numbers are wrong. They didn't do anything. It was only harassment. It lasted 18 months. I think the whole thing. Then when we were acquitted, I made sure that this nasty behavior was described in the British Medical Journal. So after that they haven't come so much after me, the Danish drug industry. And when my book about organized crime came out, they just lied about it, as they always do. That my examples were old, they went back 90 years and so on. But you know where I demonstrate that what the 10 biggest companies do is organized crime? These examples, they were from within the last 10 to 15 years. That's not all examples. And the crimes have increased because when crime pays, you will have more crime. That's how capitalism works.
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