Few people realize that prescription drugs have
become a leading cause of death, disease, and
disability. Adverse reactions to widely used drugs, such
as psychotropics and birth control pills, as well as
biologicals, result in FDA warnings against adverse
reactions. The Risks of Prescription Drugs describes how
most drugs approved by the FDA are under-tested for
adverse drug reactions, yet offer few new benefits.
Drugs cause more than 2.2 million hospitalizations and
110,000 hospital-based deaths a year. Serious drug
reactions at home or in nursing homes would
significantly raise the total. Women, older people, and
people with disabilities are least used in clinical
trials and most affected. Health policy experts Donald
Light, Howard Brody, Peter Conrad, Allan Horwitz, and
Cheryl Stults describe how current regulations reward
drug companies to expand clinical risks and create new
diseases so millions of patients are exposed to
unnecessary risks, especially women and the elderly.
They reward developing marginally better drugs rather
than discovering breakthrough, life-saving drugs. The
Risks of Prescription Drugs tackles critical questions
about the pharmaceutical industry and the privatization
of risk. To what extent does the FDA protect the public
from serious side effects and disasters? What is the
effect of giving the private sector and markets a
greater role and reducing public oversight? This volume
considers whether current rules and incentives put
patients' health at greater risk, the effect of the
expansion of disease categories, the industry's
justification of high U.S. prices, and the underlying
shifts in the burden of risk borne by individuals in the
world of pharmaceuticals. Chapters cover risks of
statins for high cholesterol, SSRI drugs for depression
and anxiety, and hormone replacement therapy for
menopause. A final chapter outlines six changes to make
drugs safer and more effective. Suitable for courses on
health and aging, gender, disability, and minority
studies, this book identifies the Risk Proliferation
Syndrome that maximizes the number of people exposed to
these risks. Additional Columbia / SSRC books on the
privatization of risk and its implications for
Americans: Bailouts: Public Money, Private ProfitEdited
by Robert E. Wright Disaster and the Politics of
InterventionEdited by Andrew Lakoff Health at Risk:
America's Ailing Health System-and How to Heal ItEdited
by Jacob S. Hacker Laid Off, Laid Low: Political and
Economic Consequences of Employment InsecurityEdited by
Katherine S. Newman Pensions, Social Security, and the
Privatization of RiskEdited by Mitchell A.
Orenstein
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