具體描述
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.
用戶評價
##優點是：1 故事精彩，特彆是Ranbaxy部分 2 對仿製藥的齣現和問題的支齣，在4+7時代尤其重要。缺點是：1 太多采訪驅動，數據太少，導緻麵子太多裏子不夠 2 野心太大導緻主綫太散
評分##[audible]
評分##investigative journalism比偵探懸疑武俠都好讀！本來是要堅定信心好好賺錢just so that I can pay whatever for the non generics，後麵讀到drug resistance那段覺得也無所謂瞭，????大傢一起玩完。
評分##做瞭心理建設還是很難相信這種骯髒勾當是廣泛存在的，FDA的形式主義和無所作為也是視人命如草芥
評分##Generic drugs still have a long way to go
評分##bad blood, billion dollar whale... fraud seems everywhere and beyond my wild imagination... one whistle blower against the world.. how many of us are brave enough to do this? luckily sometimes one would be sufficient
評分##https://athenacool.wordpress.com/2019/05/21/bottle-of-lies/
評分##問題本身並不僅限於藥企，本質上是policymaker和lawmaker如何能改良現有框架適應全球化，要不然遲早是下一個羅馬。
評分##Generic drugs still have a long way to go
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