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	<title>Comments on: Merck, Vioxx &#038; Cox In Paradise: Tom Nesi Explains</title>
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	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 22:34:15 +0000</pubDate>
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		<title>By: Joe A</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-652816</link>
		<dc:creator>Joe A</dc:creator>
		<pubDate>Fri, 23 Dec 2011 16:36:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-652816</guid>
		<description>Quote:
"Pharmalot: But how do you really know it was the exception and not the rule?
Nesi: I work inside the industry. I’ve been a consultant to many of the largest companies. My friends are in the industry. I’m not an outsider. I sat as a pr director at one of the largest drug companies in the world. And I talk to my friends all the time. We had a standard of doing business. I never heard of anything coming close to people intimidating professors."

Really...? I work there too and look what I recently found...

http://www.quackometer.net/blog/2010/02/omniscan-and-ge-healthcares-sinister-libel-suit.html</description>
		<content:encoded><![CDATA[<p>Quote:<br />
&#8220;Pharmalot: But how do you really know it was the exception and not the rule?<br />
Nesi: I work inside the industry. I’ve been a consultant to many of the largest companies. My friends are in the industry. I’m not an outsider. I sat as a pr director at one of the largest drug companies in the world. And I talk to my friends all the time. We had a standard of doing business. I never heard of anything coming close to people intimidating professors.&#8221;</p>
<p>Really&#8230;? I work there too and look what I recently found&#8230;</p>
<p><a href="http://www.quackometer.net/blog/2010/02/omniscan-and-ge-healthcares-sinister-libel-suit.html" rel="nofollow">http://www.quackometer.net/blog/2010/02/omniscan-and-ge-healthcares-sinister-libel-suit.html</a></p>
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		<title>By: rb in NS</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-391724</link>
		<dc:creator>rb in NS</dc:creator>
		<pubDate>Mon, 16 Mar 2009 18:20:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-391724</guid>
		<description>Are things that bad.We are the ones that are one step from death because of their bad meds.We should find ways to make them pay for those bad practises of faking tests and all the lies to fda.Why don`t we go public to the news papers and television.Let us embarass the company(Merck)and our greedy lawyers.What a stupid legal system.,</description>
		<content:encoded><![CDATA[<p>Are things that bad.We are the ones that are one step from death because of their bad meds.We should find ways to make them pay for those bad practises of faking tests and all the lies to fda.Why don`t we go public to the news papers and television.Let us embarass the company(Merck)and our greedy lawyers.What a stupid legal system.,</p>
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		<title>By: bbh - dh</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-381283</link>
		<dc:creator>bbh - dh</dc:creator>
		<pubDate>Thu, 13 Nov 2008 13:28:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-381283</guid>
		<description>Some pieces of a couple of recent POSTS with an observation that the Merck Vioxx MSA MAY be headed towards Congress….. 

…  a theory was advanced that should it have merit, frankly makes my stomach sick …  It is one that the MSA (the agreement) was actually written so that it could then be transferred into LAW by Congress (or say most of it…) so  pharma and other industry will use it  to shield themselves from MASS TORTS. 

That does not mean that locally one cannot sue for being run over by a car, but it WOULD mean that damage perpetuated by a drug company will have one heck of a hard time gaining any shred of adequate compensation for the rest of our lives, and our children’s also. It would certainly seem to encourage adequate testing  to come out of the laboratory and into the public, and will discourage proper pharma post-marketing tracking/analysis. It will make litigation merely a fixed, product life cycle cost. By providing fixed costs and capping risk, it will then permit other reckless and too risky behavior by the pharma industry. The ramifications get worse…. unless MAJOR NOISE IS MADE to the public, the Attorney Generals, the US Supreme Court, and the best we can do to warn Congress. It will complete the “loop” and it all fits very well. I am not a radical – in fact I have quite conservative values in re to family and right/wrong – but in re to CIVIL RIGHTS of MANY kinds, I would consider myself in the liberal camp, as I DO see movement towards as I say – “peeling away our CIVIL RIGHTS like onions”.

Shall it have merit, it is one of the worst things that we have seen in our lifetimes in re to real perversion of our Legal System; with Pharma/the courts and the large firms largely in control of protecting pharma, and now looking to suggest to Congress – “we have the perfect solution – look, it’s already done… all you need to do is sign on the dotted line, and you can go tell your constituents how well you FOUGHT for TORT REFORM (actually is DEFORM) - but the PUBLIC does not, cannot yet currently differentiate between frivolous litigation (and of course we understand that) and the massive fraud and collusion taking place under the guise of “TORT REFORM”.
 
IF you are a vIOXX Plaintiff and wish to get involved, in addition to learning/educating/sharing – please feel free to apply:

http://groups.yahoo.com/group/MerckSettlement/
Posted by Dennis Harrison (bones)
Sunday, November 09, 2008 1:42 AM EST
What I get out of CAFA is that jurisdiction for large class action is moved to Federal; that would then seem to be the first stage as it consolidates POWER centralized. Note that the STATES, by the way, ARE AGAINST PRE-EMPTION; kind of tells you that the STATES continue to be very way of Federal Power over-reaching. Some things certainly make sense from a Federal Point of view, certainly that is the case. However, in the case of TORT/PHARMA - it seems clear to me that the first step is to centralize power into the Federal Government, where it then becomes under their control how to move further.

http://en.wikipedia.org/wiki/Class_Action_Fairness_Act_of_2005

Then, along comes TORT REFORM - and since the PUBLIC DOES not understand what it really means, the PUBLIC thinks hot coffee/and near $50M (amt ?) award. SURE, the public opinion says, something must be done, let's support TORT REFORM. 

http://en.wikipedia.org/wiki/Tort_reform

OK, now along comes PHARMA. Things are starting to look great for Pharma.

TORT REFORM? what a great way to PUSH a private "settlement" (DEAL), surely the public at large will support such a brave effort...

OK, now we get the "settlement" (DEAL)....

The Public has been quoted with MANY mean spirited quotations (we are blood sucking thieves, we steal $ from the research for children, we steal $ from greater research efforts, etc...).

Merck poor mouths itself and declares that $5B is SUCH A LARGE amount (don't we know where that amount gets now a days divided by so many people?).

The COURTS say - sure, we have been instructed by our Congress and House to seek TORT REFORM; 

The COURTS collude (sorry, I know a lot don't like that word...) with PHARMA and design/collude the referred "private settlement" (DEAL) that has, without question, stolen CIVIL RIGHTS up the kazoo....

BUT, then go further.... while at it... why not actually draft the MSA ("settlement" (DEAL)) so that we can then bring it to the legislative body for their signature? Sounds quick and easy enough...

And that is where it seems to be:

1 - pharma knew for a long time where this was going...

2 - the courts are only too glad to have a nice, easy way to wipe away their dockets...

3 - the legislative branch wishes (this is NOT an issue of which party) to look good to their consitutents and claim - SURE, we have WORKED VERY HARD AT TORT REFORM (i.e. signing what Merck DIRECTED for the entire industry).... By the way, they do so via illegal "bill of attainer"

http://en.wikipedia.org/wiki/Bill_of_attainder

Besides seeking JUSTICE AND FAIR COMPENSATION, a goal of 2009 needs to beat back this new realization.</description>
		<content:encoded><![CDATA[<p>Some pieces of a couple of recent POSTS with an observation that the Merck Vioxx MSA MAY be headed towards Congress….. </p>
<p>…  a theory was advanced that should it have merit, frankly makes my stomach sick …  It is one that the MSA (the agreement) was actually written so that it could then be transferred into LAW by Congress (or say most of it…) so  pharma and other industry will use it  to shield themselves from MASS TORTS. </p>
<p>That does not mean that locally one cannot sue for being run over by a car, but it WOULD mean that damage perpetuated by a drug company will have one heck of a hard time gaining any shred of adequate compensation for the rest of our lives, and our children’s also. It would certainly seem to encourage adequate testing  to come out of the laboratory and into the public, and will discourage proper pharma post-marketing tracking/analysis. It will make litigation merely a fixed, product life cycle cost. By providing fixed costs and capping risk, it will then permit other reckless and too risky behavior by the pharma industry. The ramifications get worse…. unless MAJOR NOISE IS MADE to the public, the Attorney Generals, the US Supreme Court, and the best we can do to warn Congress. It will complete the “loop” and it all fits very well. I am not a radical – in fact I have quite conservative values in re to family and right/wrong – but in re to CIVIL RIGHTS of MANY kinds, I would consider myself in the liberal camp, as I DO see movement towards as I say – “peeling away our CIVIL RIGHTS like onions”.</p>
<p>Shall it have merit, it is one of the worst things that we have seen in our lifetimes in re to real perversion of our Legal System; with Pharma/the courts and the large firms largely in control of protecting pharma, and now looking to suggest to Congress – “we have the perfect solution – look, it’s already done… all you need to do is sign on the dotted line, and you can go tell your constituents how well you FOUGHT for TORT REFORM (actually is DEFORM) - but the PUBLIC does not, cannot yet currently differentiate between frivolous litigation (and of course we understand that) and the massive fraud and collusion taking place under the guise of “TORT REFORM”.</p>
<p>IF you are a vIOXX Plaintiff and wish to get involved, in addition to learning/educating/sharing – please feel free to apply:</p>
<p><a href="http://groups.yahoo.com/group/MerckSettlement/" rel="nofollow">http://groups.yahoo.com/group/MerckSettlement/</a><br />
Posted by Dennis Harrison (bones)<br />
Sunday, November 09, 2008 1:42 AM EST<br />
What I get out of CAFA is that jurisdiction for large class action is moved to Federal; that would then seem to be the first stage as it consolidates POWER centralized. Note that the STATES, by the way, ARE AGAINST PRE-EMPTION; kind of tells you that the STATES continue to be very way of Federal Power over-reaching. Some things certainly make sense from a Federal Point of view, certainly that is the case. However, in the case of TORT/PHARMA - it seems clear to me that the first step is to centralize power into the Federal Government, where it then becomes under their control how to move further.</p>
<p><a href="http://en.wikipedia.org/wiki/Class_Action_Fairness_Act_of_2005" rel="nofollow">http://en.wikipedia.org/wiki/Class_Action_Fairness_Act_of_2005</a></p>
<p>Then, along comes TORT REFORM - and since the PUBLIC DOES not understand what it really means, the PUBLIC thinks hot coffee/and near $50M (amt ?) award. SURE, the public opinion says, something must be done, let&#8217;s support TORT REFORM. </p>
<p><a href="http://en.wikipedia.org/wiki/Tort_reform" rel="nofollow">http://en.wikipedia.org/wiki/Tort_reform</a></p>
<p>OK, now along comes PHARMA. Things are starting to look great for Pharma.</p>
<p>TORT REFORM? what a great way to PUSH a private &#8220;settlement&#8221; (DEAL), surely the public at large will support such a brave effort&#8230;</p>
<p>OK, now we get the &#8220;settlement&#8221; (DEAL)&#8230;.</p>
<p>The Public has been quoted with MANY mean spirited quotations (we are blood sucking thieves, we steal $ from the research for children, we steal $ from greater research efforts, etc&#8230;).</p>
<p>Merck poor mouths itself and declares that $5B is SUCH A LARGE amount (don&#8217;t we know where that amount gets now a days divided by so many people?).</p>
<p>The COURTS say - sure, we have been instructed by our Congress and House to seek TORT REFORM; </p>
<p>The COURTS collude (sorry, I know a lot don&#8217;t like that word&#8230;) with PHARMA and design/collude the referred &#8220;private settlement&#8221; (DEAL) that has, without question, stolen CIVIL RIGHTS up the kazoo&#8230;.</p>
<p>BUT, then go further&#8230;. while at it&#8230; why not actually draft the MSA (&#8221;settlement&#8221; (DEAL)) so that we can then bring it to the legislative body for their signature? Sounds quick and easy enough&#8230;</p>
<p>And that is where it seems to be:</p>
<p>1 - pharma knew for a long time where this was going&#8230;</p>
<p>2 - the courts are only too glad to have a nice, easy way to wipe away their dockets&#8230;</p>
<p>3 - the legislative branch wishes (this is NOT an issue of which party) to look good to their consitutents and claim - SURE, we have WORKED VERY HARD AT TORT REFORM (i.e. signing what Merck DIRECTED for the entire industry)&#8230;. By the way, they do so via illegal &#8220;bill of attainer&#8221;</p>
<p><a href="http://en.wikipedia.org/wiki/Bill_of_attainder" rel="nofollow">http://en.wikipedia.org/wiki/Bill_of_attainder</a></p>
<p>Besides seeking JUSTICE AND FAIR COMPENSATION, a goal of 2009 needs to beat back this new realization.</p>
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		<title>By: bbh - dh</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-381281</link>
		<dc:creator>bbh - dh</dc:creator>
		<pubDate>Thu, 13 Nov 2008 13:23:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-381281</guid>
		<description>….  Unfortunately in the case of the vioxx settlement The Honorable Eldon E. Fallon, United States District Court, Eastern District of Louisiana, has not done an adequate job assuring a balanced, or even reasonable, playing field for all concerned. His actions seem more intent on protecting Merck and clearing his docket than ensuring the legal rights of the litigants are upheld. 
The federal and state courts have been overwhelmed with all sorts of Mass Tort Litigation far too long. I believe the Merck Settlement Agreement, had it been executed properly, could have been a model for Federal Legislation, which would reduce the high cost of the plaintiffs’ and corporations fighting each other. I certainly DO NOT believe the Merck Settlement Agreement as it stands could be a model for Federal Legislation. Judge Fallon did not provide a “level playing field” and allowed the parties to proceed in a non-transparent (“secret”) manner. He has NOT engaged to protect the legal rights of the litigants, whose lawyers, for the large majority, have not been encouraged to provide proper representation. These lawyers appear to have been “brow beaten” into recommending a settlement that seems to not even represent 10% of an “average” litigant’s damage, all in the name of clearing the dockets and “getting something in this lifetime out of Merck” rather than providing true justice. Many have expressed concern, and remain perplexed, as to how Judge Fallon could provide proper judicial oversight while at the same time being Merck’s “administrator” – it just does not make sense.
            I am a member of group called “Vioxx Plaintiffs’ Education Group or VPEG”. VPEG was born out of Vioxx victims wishing to share information and to try to understand the details of the settlement which were not being met by other means, including the litigant’s attorneys. Members also discuss the damage Vioxx did to them and their families and to help support and educate each other.</description>
		<content:encoded><![CDATA[<p>….  Unfortunately in the case of the vioxx settlement The Honorable Eldon E. Fallon, United States District Court, Eastern District of Louisiana, has not done an adequate job assuring a balanced, or even reasonable, playing field for all concerned. His actions seem more intent on protecting Merck and clearing his docket than ensuring the legal rights of the litigants are upheld.<br />
The federal and state courts have been overwhelmed with all sorts of Mass Tort Litigation far too long. I believe the Merck Settlement Agreement, had it been executed properly, could have been a model for Federal Legislation, which would reduce the high cost of the plaintiffs’ and corporations fighting each other. I certainly DO NOT believe the Merck Settlement Agreement as it stands could be a model for Federal Legislation. Judge Fallon did not provide a “level playing field” and allowed the parties to proceed in a non-transparent (“secret”) manner. He has NOT engaged to protect the legal rights of the litigants, whose lawyers, for the large majority, have not been encouraged to provide proper representation. These lawyers appear to have been “brow beaten” into recommending a settlement that seems to not even represent 10% of an “average” litigant’s damage, all in the name of clearing the dockets and “getting something in this lifetime out of Merck” rather than providing true justice. Many have expressed concern, and remain perplexed, as to how Judge Fallon could provide proper judicial oversight while at the same time being Merck’s “administrator” – it just does not make sense.<br />
            I am a member of group called “Vioxx Plaintiffs’ Education Group or VPEG”. VPEG was born out of Vioxx victims wishing to share information and to try to understand the details of the settlement which were not being met by other means, including the litigant’s attorneys. Members also discuss the damage Vioxx did to them and their families and to help support and educate each other.</p>
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		<title>By: csmith</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-377215</link>
		<dc:creator>csmith</dc:creator>
		<pubDate>Fri, 03 Oct 2008 19:37:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-377215</guid>
		<description>Merck DID NOT admit fault and accept responsibility. They are not doing this settlement to offer compensation. They are doing it because they know they are guilty and trying to get their a**es out of more hot water.</description>
		<content:encoded><![CDATA[<p>Merck DID NOT admit fault and accept responsibility. They are not doing this settlement to offer compensation. They are doing it because they know they are guilty and trying to get their a**es out of more hot water.</p>
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		<title>By: southern Girl</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-376514</link>
		<dc:creator>southern Girl</dc:creator>
		<pubDate>Sun, 28 Sep 2008 22:42:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-376514</guid>
		<description>the not so funny thing is after being on Vioxx, having a heart attack, my doctor prescribed Vytorin for cholesteroland to prevent a second MI... I can't win .</description>
		<content:encoded><![CDATA[<p>the not so funny thing is after being on Vioxx, having a heart attack, my doctor prescribed Vytorin for cholesteroland to prevent a second MI&#8230; I can&#8217;t win .</p>
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		<title>By: Researcher101</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-375032</link>
		<dc:creator>Researcher101</dc:creator>
		<pubDate>Mon, 22 Sep 2008 14:06:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-375032</guid>
		<description>I agree with Anne regarding Zyprexa.  I've reviewed many of the court documents and Lilly appears to have put its own financial interests well ahead of concerns for patient safety.

On another front there is the issue of Vytorin: there are suggestions that statins may have their beneficial clinical effects not through lowering cholesterol but through an anti-inflammatory mechanism.  This might explain why lowering cholesterol with Zetia (the non-statin part of Vytorin) may have no benefit.  If this turns out to be true, I wonder how long it will take for this to be accepted in the medical community?  There are so many vested interests in this case (doctors, health advisory boards, diet advisors, food companies, etc.), in addition to the drug companies.  The cynical side of me suspects that, if cholesterol levels are clinically irrelevant, a shift in opinion will not begin until patents on all of the statins expire.</description>
		<content:encoded><![CDATA[<p>I agree with Anne regarding Zyprexa.  I&#8217;ve reviewed many of the court documents and Lilly appears to have put its own financial interests well ahead of concerns for patient safety.</p>
<p>On another front there is the issue of Vytorin: there are suggestions that statins may have their beneficial clinical effects not through lowering cholesterol but through an anti-inflammatory mechanism.  This might explain why lowering cholesterol with Zetia (the non-statin part of Vytorin) may have no benefit.  If this turns out to be true, I wonder how long it will take for this to be accepted in the medical community?  There are so many vested interests in this case (doctors, health advisory boards, diet advisors, food companies, etc.), in addition to the drug companies.  The cynical side of me suspects that, if cholesterol levels are clinically irrelevant, a shift in opinion will not begin until patents on all of the statins expire.</p>
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		<title>By: RVN</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-374339</link>
		<dc:creator>RVN</dc:creator>
		<pubDate>Fri, 19 Sep 2008 14:53:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-374339</guid>
		<description>There were about 50,000 plaintiffs in the Vioxx settlement. Merck agreed to pay nearly 5 BILLION dollars to those plaintiffs. The largest product settlement in history. It reflects well for a company to not only admit fault, but to accept responsibility, and to offer compensation. Of course, no dollar amount will bring back a lost loved one, nor heal the physical damage done, just as automobile insurance will not replace someone lost in a collision. But they are offering a measure of compensation rather than forcing the victims into years (perhaps decades) of litigation for an uncertain outcome. Merck should be thanked for setting a precedent on compensating victims, which will be used by corporations for years to come.</description>
		<content:encoded><![CDATA[<p>There were about 50,000 plaintiffs in the Vioxx settlement. Merck agreed to pay nearly 5 BILLION dollars to those plaintiffs. The largest product settlement in history. It reflects well for a company to not only admit fault, but to accept responsibility, and to offer compensation. Of course, no dollar amount will bring back a lost loved one, nor heal the physical damage done, just as automobile insurance will not replace someone lost in a collision. But they are offering a measure of compensation rather than forcing the victims into years (perhaps decades) of litigation for an uncertain outcome. Merck should be thanked for setting a precedent on compensating victims, which will be used by corporations for years to come.</p>
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		<title>By: Ger</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-373736</link>
		<dc:creator>Ger</dc:creator>
		<pubDate>Tue, 16 Sep 2008 21:56:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-373736</guid>
		<description>Ed, this type of story is what distinguishes Pharmalot from others.  Fresh and informative.  Well done.</description>
		<content:encoded><![CDATA[<p>Ed, this type of story is what distinguishes Pharmalot from others.  Fresh and informative.  Well done.</p>
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		<title>By: Justice in MI</title>
		<link>http://www.pharmalot.com/2008/09/merck-vioxx-cox-in-paradise-tom-nesi-explains/#comment-373708</link>
		<dc:creator>Justice in MI</dc:creator>
		<pubDate>Tue, 16 Sep 2008 20:14:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=15577#comment-373708</guid>
		<description>On the issue of intimidating researchers (when it clear is that), this is one of those delinquencies that is entirely outside the purview of FDA.  So is bribing, or attempting to bribe, people _not_ to do studies, some cases of which I have personal knowledge.  This is also, of course, entirely outside the purview of FDA.

This is one of several reasons whey, even if we had a utopian FDA (wistful thinking), civil liability would still be needed.  Actions of this kind are simply not covered by what FDA does, but they are relevant in both criminal prosecution and civil actions.</description>
		<content:encoded><![CDATA[<p>On the issue of intimidating researchers (when it clear is that), this is one of those delinquencies that is entirely outside the purview of FDA.  So is bribing, or attempting to bribe, people _not_ to do studies, some cases of which I have personal knowledge.  This is also, of course, entirely outside the purview of FDA.</p>
<p>This is one of several reasons whey, even if we had a utopian FDA (wistful thinking), civil liability would still be needed.  Actions of this kind are simply not covered by what FDA does, but they are relevant in both criminal prosecution and civil actions.</p>
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