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	<title>Comments on: Merck To Pay $670 Million Over Medicaid Fraud</title>
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	<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/</link>
	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 17:50:37 +0000</pubDate>
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		<title>By: Simon Passanante - Merck will pay $670 million to settle Medicaid fraud claims</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146716</link>
		<dc:creator>Simon Passanante - Merck will pay $670 million to settle Medicaid fraud claims</dc:creator>
		<pubDate>Fri, 08 Feb 2008 20:43:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146716</guid>
		<description>[...] to a Corporate Integrity Agreement which means good behavior is required for the next five years. Pharmalot has more on the settlement as well as a timeline that traces the origins and developments of the [...]</description>
		<content:encoded><![CDATA[<p>[...] to a Corporate Integrity Agreement which means good behavior is required for the next five years. Pharmalot has more on the settlement as well as a timeline that traces the origins and developments of the [...]</p>
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		<title>By: ol cranky</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146396</link>
		<dc:creator>ol cranky</dc:creator>
		<pubDate>Fri, 08 Feb 2008 15:54:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146396</guid>
		<description>Chris:

&lt;blockquote&gt;"Isn’t time for Merck to just close up shop. Has there ever been a company in American history that went from the apex in terms of science and integrity to the gutter in such a short period of time."
&lt;/blockquote&gt;

Actually, the revelation that SKF/GSK may have obfuscated data about suicidality in the paxil trials may surpass Merck's tumble in reputation.  I've always found Merck to be a very arrogant company, even well before the VIOXX debacle (though I was absolutely shocked that Merck would have acted as they did).  The downfall of GSK stems directly from the merger of Glaxo and SmithKline.  I had worked with (not for) Glaxo prior to the merger and found that their trials and research practices seemed to be designed and managed to err on the side of safety.  Much of what I learned from this has impacted how I handle my role in development and design/manage programs.  SKF on the other hand, always seemed to be like a Merck wannabe and, as the mishandling of paxil data was set up and entrenched in the SKF days.

The constant mergers of big companies to make supercompanies that only develop blockbusters (and for whom even a $1B settlement is just the cost of business) has hurt consumers (patients), the industry, the medical community (due to overall decrease in development) and the economy.  Maybe it's time to break up "Ma Bell" and limit merger/acquisition activity.


CHASELY:  correct me if I'm wrong, but are you saying that the only reason industry insiders complain about lack of compliance to outright fraud is because we're jealous that we're not getting the financial gain executives have by violating regulations?  You really seem to be presenting 2 options to us: stop complaining and join in; or get out and shut up.  I'm sure I'm not the only "complaining" who has paid a hefty penalty by trying to correct things and improve compliance while diligently working towards the development of what I hope will be the more efficacious treatments with better safety profiles that we need.  Now if you want me to get out instead of trying to get the companies to be responsible and take corrective action, how about paying my mortgage and/or giving me a job that suits my qualifications?  And another thing, I don't want to hear a word of complaint if/when someone you love can't afford treatment/has a less than acceptable response to the limited treatments available/is given a medication they should not be taking.</description>
		<content:encoded><![CDATA[<p>Chris:</p>
<blockquote><p>&#8220;Isn’t time for Merck to just close up shop. Has there ever been a company in American history that went from the apex in terms of science and integrity to the gutter in such a short period of time.&#8221;
</p></blockquote>
<p>Actually, the revelation that SKF/GSK may have obfuscated data about suicidality in the paxil trials may surpass Merck&#8217;s tumble in reputation.  I&#8217;ve always found Merck to be a very arrogant company, even well before the VIOXX debacle (though I was absolutely shocked that Merck would have acted as they did).  The downfall of GSK stems directly from the merger of Glaxo and SmithKline.  I had worked with (not for) Glaxo prior to the merger and found that their trials and research practices seemed to be designed and managed to err on the side of safety.  Much of what I learned from this has impacted how I handle my role in development and design/manage programs.  SKF on the other hand, always seemed to be like a Merck wannabe and, as the mishandling of paxil data was set up and entrenched in the SKF days.</p>
<p>The constant mergers of big companies to make supercompanies that only develop blockbusters (and for whom even a $1B settlement is just the cost of business) has hurt consumers (patients), the industry, the medical community (due to overall decrease in development) and the economy.  Maybe it&#8217;s time to break up &#8220;Ma Bell&#8221; and limit merger/acquisition activity.</p>
<p>CHASELY:  correct me if I&#8217;m wrong, but are you saying that the only reason industry insiders complain about lack of compliance to outright fraud is because we&#8217;re jealous that we&#8217;re not getting the financial gain executives have by violating regulations?  You really seem to be presenting 2 options to us: stop complaining and join in; or get out and shut up.  I&#8217;m sure I&#8217;m not the only &#8220;complaining&#8221; who has paid a hefty penalty by trying to correct things and improve compliance while diligently working towards the development of what I hope will be the more efficacious treatments with better safety profiles that we need.  Now if you want me to get out instead of trying to get the companies to be responsible and take corrective action, how about paying my mortgage and/or giving me a job that suits my qualifications?  And another thing, I don&#8217;t want to hear a word of complaint if/when someone you love can&#8217;t afford treatment/has a less than acceptable response to the limited treatments available/is given a medication they should not be taking.</p>
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		<title>By: Andy</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146370</link>
		<dc:creator>Andy</dc:creator>
		<pubDate>Fri, 08 Feb 2008 15:39:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146370</guid>
		<description>Let's hope Gov. Corzine will use his piece of this settlement for dedicated funds to Medicaid and NOT the general treasury.  What ever happened to the tobacco settlement funds for healthcare?</description>
		<content:encoded><![CDATA[<p>Let&#8217;s hope Gov. Corzine will use his piece of this settlement for dedicated funds to Medicaid and NOT the general treasury.  What ever happened to the tobacco settlement funds for healthcare?</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146278</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Fri, 08 Feb 2008 14:26:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146278</guid>
		<description>Chris - 
Actually I think there may be 3 or more people posting under Chris.   Just change the name YOU are using - add an initial or something.</description>
		<content:encoded><![CDATA[<p>Chris -<br />
Actually I think there may be 3 or more people posting under Chris.   Just change the name YOU are using - add an initial or something.</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146238</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Fri, 08 Feb 2008 13:39:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146238</guid>
		<description>Hi Ed,
This might not concern anybody but me but there are two people using the name Chris on here and we have different views on some things, such as this. As I said before, I type in an English accent but that might not be enough to differentiate us... Perhaps you could decide and inform which one of us should change our pharmalot name.</description>
		<content:encoded><![CDATA[<p>Hi Ed,<br />
This might not concern anybody but me but there are two people using the name Chris on here and we have different views on some things, such as this. As I said before, I type in an English accent but that might not be enough to differentiate us&#8230; Perhaps you could decide and inform which one of us should change our pharmalot name.</p>
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		<title>By: chasley</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146126</link>
		<dc:creator>chasley</dc:creator>
		<pubDate>Fri, 08 Feb 2008 11:12:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-146126</guid>
		<description>hey chris, why are you still part of the industry if you are so sickened? you don't seem to mind taking your part of the take of the horrible drug industry take do you? the fat and lazy american public are the ones who are enabling this problem. they would prefer to take the easy way out of their problems. i can just take a pill, i don't need to make any effort at all to change my lifestyle. that is the attitude that makes this all possible. you people are just jealous that you are not cashing in on this weakness in the usa and other parts of the so called advanced societies.</description>
		<content:encoded><![CDATA[<p>hey chris, why are you still part of the industry if you are so sickened? you don&#8217;t seem to mind taking your part of the take of the horrible drug industry take do you? the fat and lazy american public are the ones who are enabling this problem. they would prefer to take the easy way out of their problems. i can just take a pill, i don&#8217;t need to make any effort at all to change my lifestyle. that is the attitude that makes this all possible. you people are just jealous that you are not cashing in on this weakness in the usa and other parts of the so called advanced societies.</p>
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		<title>By: Chris</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-145617</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Fri, 08 Feb 2008 04:02:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-145617</guid>
		<description>Isn't time for Merck to just close up shop.  Has there ever been a company in American history that went from the apex in terms of science and integrity to the gutter in such a short period of time.  I have worked in pharma for almost 20 years and until VIOXX I was one of the many who truly looked up at Merck even over my own employer.  But now I see the work Merck and I am disgusted.  Merck came to represent the best of the industry and now Merck is the poster child of everything that is wrong with it.  And sadly like the company that I work for myself, Merck is full of people working hard trying to do the right thing.  It is the leadership of Merck that is dragging it to the bottom.  Desperate greedy people lacking any integrity trying to pull as much from a sinking ship as they can before they jump.  The work Merck genuinely sickens me.</description>
		<content:encoded><![CDATA[<p>Isn&#8217;t time for Merck to just close up shop.  Has there ever been a company in American history that went from the apex in terms of science and integrity to the gutter in such a short period of time.  I have worked in pharma for almost 20 years and until VIOXX I was one of the many who truly looked up at Merck even over my own employer.  But now I see the work Merck and I am disgusted.  Merck came to represent the best of the industry and now Merck is the poster child of everything that is wrong with it.  And sadly like the company that I work for myself, Merck is full of people working hard trying to do the right thing.  It is the leadership of Merck that is dragging it to the bottom.  Desperate greedy people lacking any integrity trying to pull as much from a sinking ship as they can before they jump.  The work Merck genuinely sickens me.</p>
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		<title>By: BPW</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-145518</link>
		<dc:creator>BPW</dc:creator>
		<pubDate>Fri, 08 Feb 2008 01:45:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-145518</guid>
		<description>The statement issued by merck after the agreement is disgusting.

"Merck believes its pricing and sales and marketing policies and practices were consistent with all applicable regulations and contracts during the relevant time. "

How in the world can they have the audacity to say this?  becuase they're Big Pharma and that's the way it works!  The lawyers for the company negotiate a monetary settlement which amount to pennies on the dollar for the company, admits no wrongdoing and absolves its' executives of any prosecution.  This has been seen over and over and over again.  The fine is paid out of the stockholders pockets and the execs get away completely free.  Until they are held accountable for their misdeeds, this crap will never stop.  next will be Lilly with its' billion dollar fine for pushing Zyprexa to people that didn't need it and causing God knows what problems in those patients.  They'll also no doubt settle claiming no wrongdoing and protecting their stupid unethical executives.  White-collar crime rules in Big Pharma!</description>
		<content:encoded><![CDATA[<p>The statement issued by merck after the agreement is disgusting.</p>
<p>&#8220;Merck believes its pricing and sales and marketing policies and practices were consistent with all applicable regulations and contracts during the relevant time. &#8221;</p>
<p>How in the world can they have the audacity to say this?  becuase they&#8217;re Big Pharma and that&#8217;s the way it works!  The lawyers for the company negotiate a monetary settlement which amount to pennies on the dollar for the company, admits no wrongdoing and absolves its&#8217; executives of any prosecution.  This has been seen over and over and over again.  The fine is paid out of the stockholders pockets and the execs get away completely free.  Until they are held accountable for their misdeeds, this crap will never stop.  next will be Lilly with its&#8217; billion dollar fine for pushing Zyprexa to people that didn&#8217;t need it and causing God knows what problems in those patients.  They&#8217;ll also no doubt settle claiming no wrongdoing and protecting their stupid unethical executives.  White-collar crime rules in Big Pharma!</p>
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		<title>By: Matt</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-145491</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Fri, 08 Feb 2008 01:16:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-145491</guid>
		<description>There is no end to Big Pharma corruption...</description>
		<content:encoded><![CDATA[<p>There is no end to Big Pharma corruption&#8230;</p>
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		<title>By: Hypocrisy rules</title>
		<link>http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-145440</link>
		<dc:creator>Hypocrisy rules</dc:creator>
		<pubDate>Fri, 08 Feb 2008 00:28:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/2008/02/merck-to-pay-650m-over-medicaid-fraud/#comment-145440</guid>
		<description>The mighty and "clean" Merck has follen. Who is next? One of the big ones that has managed to evade the bloodhounds is the mighty Novartis. Apparantly teflon can not be tracked by these noble animals? For how long?</description>
		<content:encoded><![CDATA[<p>The mighty and &#8220;clean&#8221; Merck has follen. Who is next? One of the big ones that has managed to evade the bloodhounds is the mighty Novartis. Apparantly teflon can not be tracked by these noble animals? For how long?</p>
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