Epistemic Corruption, the Pharmaceutical Industry, and the Body of Medical Science.
Epistemic Corruption, the Pharmaceutical Industry, and the Body of Medical Science.
复制标题
DOI：
10.3389/frma.2021.614013
复制
发表时间：
2021
影响因子：
--
通讯作者：
Sismondo S
中科院分区：
文献类型：
--
作者：
Sismondo S
当一个知识系统严重地失去完整性，停止提供人们期望它提供的可信知识时，我们可以给这种知识腐败贴上标签。认知腐败的发生往往是因为这个体系被某些利益集团所利用，而这些利益集团被认为与其背后的一些核心目标不一致。现在有大量证据表明，制药公司的参与腐蚀了医学科学。在医学界，这通常被认为是利益冲突的结果。然而，该行业腐败的一些重要方式在利益冲突方面的标准分析中并没有得到很好的捕捉。这不仅仅是因为有一部分医学科学被工业界的慷慨所扭曲。相反，通过制药业进行的大部分医疗科学腐败都是通过嫁接活动发生的：制药公司自己进行研究，并利用后者的合法性将其与医疗科学顺利整合。
When a knowledge system importantly loses integrity, ceasing to provide the kinds of trusted knowledge expected of it, we can label this epistemic corruption. Epistemic corruption often occurs because the system has been co-opted for interests at odds with some of the central goals thought to lie behind it. There is now abundant evidence that the involvement of pharmaceutical companies corrupts medical science. Within the medical community, this is generally assumed to be the result of conflicts of interest. However, some important ways that the industry corrupts are not captured well by standard analyses in terms of conflicts of interest. It is not just that there is a body of medical science perverted by industry largesse. Instead, much of the corruption of medical science via the pharmaceutical industry happens through grafting activities: Pharmaceutical companies do their own research and smoothly integrate it with medical science, taking advantage of the legitimacy of the latter.