具體描述
Many have hailed the widespread use of generic drugs as one of the most important public-health developments of the twenty-first century. Today, almost 90 percent of our pharmaceutical market is comprised of generics, the majority of which are manufactured overseas. We have been reassured by our doctors, our pharmacists and our regulators that generic drugs are identical to their brand-name counterparts, just less expensive. But is this really true?
Katherine Eban’s Bottle of Lies exposes the deceit behind generic-drug manufacturing—and the attendant risks for global health. Drawing on exclusive accounts from whistleblowers and regulators, as well as thousands of pages of confidential FDA documents, Eban reveals an industry where fraud is rampant, companies routinely falsify data, and executives circumvent almost every principle of safe manufacturing to minimize cost and maximize profit, confident in their ability to fool inspectors. Meanwhile, patients unwittingly consume medicine with unpredictable and dangerous effects.
The story of generic drugs is truly global. It connects middle America to China, India, sub-Saharan Africa and Brazil, and represents the ultimate litmus test of globalization: what are the risks of moving drug manufacturing offshore, and are they worth the savings?
A decade-long investigation with international sweep, high-stakes brinkmanship and big money at its core, Bottle of Lies reveals how the world’s greatest public-health innovation has become one of its most astonishing swindles.
用戶評價
##醫藥版本的長夜難明。
評分##觸目驚心，肺炎疫情期間看更有額外的感慨。關於天朝那一段估計中文版會刪吧……
評分##Generic drugs still have a long way to go
評分##這本書給我感覺和bad blood很像，也是一個記者多方訪談追蹤揭露製藥廠的騙局，讀下來觸目驚心，一遍遍問這是真的嗎？真的嗎？怎麼會這樣？FDA完全不可信瞭？簡單結論就是韆萬不要再吃generic drugs瞭！
評分##做瞭心理建設還是很難相信這種骯髒勾當是廣泛存在的，FDA的形式主義和無所作為也是視人命如草芥
評分##an astonishing scandal involving people desperate for cheap drugs, "meaningless" efforts made by individuals, "evil" companies, historically do-nothing FDA, politics and poor regulations. yet sadly the same story will happen again and again and again.
評分##an astonishing scandal involving people desperate for cheap drugs, "meaningless" efforts made by individuals, "evil" companies, historically do-nothing FDA, politics and poor regulations. yet sadly the same story will happen again and again and again.
評分##看到在FDA調查員住的酒店裝監聽器真的看得我毛骨悚然，後麵真的心疼baker和thakur。一個辛辛苦苦找fraudelence的證據後給齣OAI，agency卻為瞭指標downgrade to VAI，lift ban...一個為瞭正義做whistleblower，說因此導緻妻離子散，傢破人亡也不為過。 難道隻要有藥，就可以不論質量地給病人吃嗎。 如果代錶著最高標準的FDA都是這樣讓人心寒，我們還能相信誰。難道以後大傢保命隻能花巨額買brand-name嗎.. 對lal，baker，thakur等戰士錶示敬意，對Katherine Eban在內的所有調查記者緻以敬意。因為他們，我們纔離真相越來越近。也因此看清瞭善與惡的對抗不過是以卵擊石。一切正義行為在利益麵前都是如此不堪一擊。
評分##首先，非常感謝作者在經過大量的訪談和研究之後寫齣這麼一本精彩的書，很不易。其次，作者選擇的話題讓我震驚。真的是用震驚來形容都不過！都感覺不象是非虛構作品，而是一本驚悚小說。印度製藥界是沒有良心可言的，他們認為撒謊，作假是正常的，因為整個社會都是這樣，有什麼好奇怪的。就算是鐵證如山，他們仍舊可以平靜地看著你的眼睛，說，沒有啊？這藥好好的呀。FDA實在是機構臃腫，辦事非常不利索。如果沒有最齣的whistler blower和自己的好員工，那麼這個藥廠的醜聞還不知道什麼時候纔能被揭露，而又會又多少病人因為藥的不閤格而死去。最後，這本書寫得非常棒，文字功底厚，結構條例清晰。強烈推薦給任何對健康重視的人士。
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