In reply to Jon Stewart:
> To argue for more public investment in research and more rigorous regulation
There is almost never a circumstance where you cannot get someone to produce an argument for more public spending (lets drop the loaded term "investment"), sometimes there is even a valid case for it,
taking that issue in isolation. But the problem is that in practice every plea for more public spending is competing with every other, and we conspicuously do not have much money to throw around.
Obviously there has never been an academic in the world who has ever suggested that LESS research is required!
> ... large public sector organisations are notoriously dreadful at doing anything
Not always, they can be but it depends on your standard of comparison. Compared with French or American bureacracy, UK bureacracy is a miracle of common sense and helpfulness!
> The implication is that he simply doesn't have a point worth making, he is simply having an unjustified pop at the pharmceutical industry for his own purposes of selling books. Is that what you actually believe?
The implication is that he may or may not have a substantive point, but he is very far from the monopoly possessor of virtue that he claims to be, also that he has a tame audience that will automatically cheer pretty much whatever he produces. I have heard various of his "bad science" pieces, the loaded tendentiousness of his examples is the most striking thing about them, rather than any conspicuous insight or iconoclasticism.
> It becomes a meaningless discussion, as to respond in kind I would be asking "so, you don't think anything should be regulated then?" and the discussion would descend further into drivel.
As you correctly say, that is a reductio-ad-absurdum (or playground taunts and talking in cliches).
> The problem in this instance is that commercial interests are not aligned with the need for scientific rigor which benefits patients
Clearly regulation is needed, indeed it is already very strict, expensive and rigorous. But where is the evidence (post Thalidomide, which is a long time ago now), that there are gross abuses? Commercial interests are heavily constrained, but drug production is very, very expensive, especially when you remember that there is only a 10 year exclusive licence (someone will no doubt deny that if I am not correct), while for every drug that has the effect wanted there are 9 failures, or else the drug does what it is supposed to but fails on some other criteria, e.g. unacceptable side-effects.
Adding an extra layer of administrative and financial burden on drug-producers always sounds like a good idea, to those who don't have to bear the cost. But where is the argument that the cost-benefit justifies it?
> By dividing everything into left and right, and arguing that government is always bad and the free market always delivers the right outcome (or something), you drag the discussion away from the issue at hand.
I don't argue that, indeed private does everything best/public does everything best is an incredibly sterile argument, given that they are both clearly mutually dependent. Where the appropriate boundary lies in any given circumstance is however very much the point.
> Here the issue is that publication bias, driven by the commercial interests of drug companies, has distorted the information available on which medical decisions can be made.
That is the claim, it is far from clear that it has been substantiated (by the way, I hope you never apply these considerations to our fine new aircraft carriers - bigger ships than we ever had when half the world was painted red, with the unfortunate feature that they can't fly any planes!)
> There is a simple proposition to address that problem
The problem is that it is far from simple and is very expensive, if it works at all. That cost has to be bourne by patients/taxpayers.