Bottle of Lies

书名:Bottle of LiesTheInsideStoryoftheGenericDrugBoom
作者:KatherineEban
译者:
ISBN:9780062338785
出版社:Ecco
出版时间:2019-5-14
格式:epub/mobi/azw3/pdf
页数:512
豆瓣评分: 8.7

书籍简介:

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.

作者简介:

Katherine Eban, an investigative journalist, is a Fortune magazine contributor and Andrew Carnegie fellow. Her narrative, deeply reported articles on pharmaceutical counterfeiting, gun trafficking, and coercive interrogations by the CIA, have won international attention and numerous awards. She lectures frequently on the topic of pharmaceutical integrity. Bottle of Lies: The Inside Story of the Generic Drug Boom, which she worked on for five years and reported on four continents, is her second book. Educated at Brown University and Oxford, where she was a Rhodes Scholar, she lives in Brooklyn with her husband, two daughters and Newfoundland dog Romeo.

书友短评:

@ Cecilia 触目惊心。显然仿制药的问题是整个行业系统性的问题,从美国mylan在wv的manufacturing plant到印度的dr reddy到中国的海正、华海药业到mnc在印度中国的厂… 头部企业qaqc已经拉垮至此,中小企业还能被entrust吗?此外eban提出的dilemma很真实,affordability和quality如何做tradeoff? 但其实书里也给出了部分答案,制药过程合规虽然增加成本,但并不是天文数字。隐隐担忧,集采拼命杀价背后,一致性评价结果可信吗😂 @ sato酱 配合作者访谈来听,毕竟描述的内容有些过于夸张 @ 秋夜早睡 写法像Bad blood,还不错。其实也是可以想见的,关于处于第三世界的仿制药相关境况。 @ momo 案例都不错,以及现在知道为啥很多试验都在某些国家搞了吧,背后当地问题也不小啊

书籍目录

  • 在世界各国中,日本是一个特别热爱品牌的社会,对仿制品极不信任。整个国家都很注重品质和卫生。日本的制药业曾因品质低劣遭人耻笑,但今天它已经成为品质管理的领先者,享誉全球。在日本,就连药片都得做成白色,不然患者就会觉得可疑。虽然采孟正是在这股严谨的社会氛围中成长起来的,但他注意到日本制药业的孤立本质,也明白对高成本研究的专注拖慢了企业的成长。
    —— 引自章节:第十六章 钻石和红宝石 /157
  • 尼尔森回忆说:“他们说被告是无辜的,因为在他们的文化中行贿是合理的,这种说法是对我的侮辱。”鲍克在奎德制药工作时听说,在有些印度企业,“如果你能回避繁重的工作,另辟蹊径,更快更方便地完成任务,别人会认为这是你的优点。被我们看作欺骗的行为,在他们的文化中却被看作创意”。这种积极开辟捷径这开麻烦的规则、以最短的路线达到理想结果的能力,就叫(随机应变)这也是创新专家拉古纳特・阿南特・马含尔卡博士所谴责的。就像迪内希萨库尔所说:“在印度有一句谚语:我们不建立体系,我们想办法绕过体系。”
    —— 引自章节:第十八章 国会觉醒了 /178
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