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Today's
Stories
June 9, 2008
Uri Avnery
No, I Can't: Obama, Israel and AIPAC
Nikolas Kozloff
McCain & the Republican Insitute: Promoting Iraqi Occupation for "a Million Years"
Harry Browne
Irish Euro Vote Comes Down to the Wire
C. Hand
U. S. Bid to Hike Iran's Gas Prices Seems Doomed
June 7 / 8, 2008
Alexander Cockburn
Obama Goes Over the Top
Ishmael Reed
How Miles Davis Changed My Life
Jeffrey St. Clair
What a Miner's Life is Worth
Nikolas Kozloff
Meet the King the Beers: John McCain and Latin America
Dave Lindorff
The High Cost of a Single War-Like Remark: Oil Prices, Israel, Iran and the U.S.
Robert Fantina
When Truth is the Casualty
Conn Hallinan
Iran and Rumors of War
Neve Gordon
The Occupation and the Politics of Death
Tom Barry
The Deterrence Strategy of Homeland Security
Patrick Irelan
Raiding the Packing House
Tim Wise
Your Whiteness is Showing
David Ker Thomson
The Hard Question
Joshua Frank
"Socialist" Wins Republican Nomination in Montana
David Yearsley
Disaster Music
James T. Phillips
1968: Year of the Rat
Joe Allen
The Real Bobby Kennedy
P. Sainath
Making Life Brighter in Kondapur
David Macaray
Should Unions be More Democratic?
B.R. Gowani
Experience and the Two-for-One
Fred Gardner
What Happened (at the DA's Office)
Peter Harley
Technology to the Rescue? Kurzweil and the Human Machines
Michael Dickinson
Surrender the Bones of Geronimo!
Jen Roesch
Where are the Real Women in Sex and the City?
Poets' Basement
Gibbons, Landau, and Buknatski
Website of the Day
Partying with the Waltons
June 6, 2008
Frank Barat
An Interview with Ilan Pappé and Noam Chomsky on the Future of Israel / Palestine
Patrick Cockburn
U.S. Extorts Iraq to Approve Military Deal
Gary Leupp
Cheney Enrages Iraqis Over Security Deal
James Abourezk
Name That Terrorist
Peter Morici
Recession Grips the Jobs Market
Faheem Hussain
What is NATO Doing in Afghanistan?
Andy Worthington
Guantánamo's Britons Go on Hunger Strike
Ayesha Ijaz Khan
How Will Musharraf Go? Impeachment or Safe Exit?
Dave Lindorff
Congress Needs to Defend Itself
Website of the Day
Backstage with Bo Diddley
June 5, 2008
Patrick Cockburn
Bush's Secret Deal Would Ensure Permanent U.S. Occupation of Iraq
Sharon Smith
Hillary's Wreckage
Nikolas Kozloff
Obama's Electoral Dilemma: Latinos or Reagan Democrats?
Linn Washington, Jr.
Police Brutality and Cover-Up in Philly
Omar Barghouti
60 Years of Nakba, 41 Years of Occupation ...
Scott Pellegrino
Jim Crow Radio: Bob Grant's Lifetime Achievement Award
John Walsh
Obama Woos AIPAC
Dan Bacher
The Parching of California
DC Larson
Nazi Rockers ... F-Off
Robert Jensen
Masculine, Feminine or Human?
Website of the Day
Ohio Cops Attack Long Walkers
June 4, 2008
Eric Walberg
Princess Patricia and the Taliban
Gary Leupp
Iran and EFPs: Chronology of a Lie
Ralph Nader
Disenfranchised Youth
Dave Lindorff
Of Whiners and Poor Losers
George Wuerthner
Farm Economics
Victor M. Rodriguez
The Puzzle of Race and Politics
Remi Kanazi
Why a Cultural Boycott of Israel is Needed
Stephane Luçon
Renault's Romanian Fairyland Suspended
Farzana Versey
The Tablighi Jamaat Movement
Laray Polk
The Militarization of Space
Website of the Day
Red State Rebels
June 3, 2008
Paul Craig Roberts /
Lawrence M. Stratton
Legislating Tyranny
Mike Whitney
The Withering Economy
Steve Early
San Juan Showdown
Manuel Otero
Why Hillary Won Puerto Rico: the View from the Colony
George Bisharat
The Hope of a Victimized People
Nikolas Kozloff
Obama's VP Quandry
Dan Bacher
Death on the Salmon Highway
Website of the Day
Censoring Bill Knott?
June 2, 2008
Uri Avnery
The Olmert Scandal
Nikolas Kozloff
Obama's Latino Problem Getting Worse
Allan J. Lichtman
Revisionist History: Bush, Borah and Hitler
Malini Johar Schueller
The Color of Randomness: Returning to the US From Beirut Via Syria
Robert Weissman
What's Driving Skyrocketing Oil Prices?
Peter Morici
Bailing Out Wall Street
Manuel Garcia, Jr.
Don't Get Burned: How to Protect Yourself From Raytheon's Pain Gun
John Ross
Celebrating Catholic Fanaticism in Mexico
Ahmad Al-Akhras
Encounters with the Watch List
Website of the Day
Man on Earth
May 31 / June 1, 2008
Alexander Cockburn
The Worst is Yet to Come
Jeffrey St. Clair
Arkansas Bloodsuckers
Gary Leupp
How McClellan Prettifies Bush
Stan Cox
Broken Agriculture
Rannie Amiri
Lebanon: the Domino That Wouldn't Fall
P. Sainath
A Guaranteed Day's Work--in the Fields, at 110 Degrees, for $2 a Day
Binoy Kampmark
Going Bankrupt in Vallejo
Robert Fantina
Bush, Rice and McClellan
Seth Sandronsky
Will There be Water Riots, as Sacramento Goes Dry?
Corporate Crime Reporter
Death Penalty for Bush?
Anthony DiMaggio
Gaming the Ghetto: Grand Theft Auto IV, Racist Media and the Concrete Jungle
Karl Grossman
A Half-Trillion for Nukes
Matt Reichel
From Vegas to the Heartland and Back Again
Paul Myron Hillier
Of Gas and God
Andy Worthington
Suicide at Guantánamo
David Yearsley
And the Winner is ... Wayne Shorter
Daniel Cassidy
Free Lunch
Charles Thomson
If Hitler Had Been a Hippy ...
Gary Corseri
A Dream Deferred: Activism and the Arts
Wajahat Ali
Sex and the City Through a Man's Eyes
Ron Jacobs
Robins Weep
Poets' Basement
McNeill and Davies
Website of the Day
Last Charge of the Light Horse
May 30, 2008
Bassam Aramin
Here's the Truth You've Been Running From
Andrew Cockburn
Petraeus' Iran Obsession
Saul Landau
How We Got Into This Mess
Nikolas Kozloff
Meet South America's New Secessionists
Robert Sandels
Turning Back the Clock on Cuba
Dave Lindorff
Talk is Cheap
Martha Rosenberg
Raiding Big Meat; Arresting the Wrong People
Harvey Wasserman
Lieberman & McCain: Linking Internet Censorship and Atomic Reactor Terror
Doug Giebel
A Plague on Both Your Houses (of Congress)
Shaun Harkin
The Trial of the Raytheon 9
Website of the Day
The Once and Future Environmental Movement
May 29, 2008
Jeffrey St. Clair
Bill Clinton and the Rich Women
Nikolas Kozloff
Puerto Rico, Obama and the Politics of Race
Col. Dan Smith
Deceiving the Dead
Karl Grossman
The Most Lucrative Incentive for Nuclear Power in the History of the United States
William S. Lind
Inside the Washington Game
Robert Weissman
What to do About the Price of Oil
Dave Lindorff
Why Puerto Rico Won't Matter
David Macaray
A Union Fable
Chris Genovali
Fear and Loathing in the Northern Rockies
Laura Carlsen
Mexico's Battle Over Oil
Website of the Day
Support Antiwar.com
May 28, 2008
Wajahat Ali
The Libertarian Dark Horse: An Exclusive Interview with Ron Paul
Ralph Nader
What's Really Driving the High Price of Oil?
Brian McKenna
Why I Want to Teach Anthropology at the Army War College
Corporate Crime Reporter
Why Vincent Bugliosi Wants to Prosecute George W. Bush for Murder
Brian Cloughley
The Attack on Damadola
Eric Walberg
Opium for the Masses from Afghanistan
Michael Dickinson
Raytheon's Pain Ray: Coming to a Protest Near You
Ijaz Khan
Opening Windows in Pakistan
Website of the Day
Older Than America
May 27, 2008
Alexander Cockburn
In Her Mind She's Killed Before: the Plot to Assassinate Ralph Nader
Greg Kafoury
Is Obama Turning (Further) Right?
Jean Bricmont
Western Delusions
Tim Wise
Farrakhan is not the Problem
Ricardo Alarcón
Puerto Rico's Turn
Stephen Soldz
APA Supports Psychologist Engagement in Bush Regime Interrogations
Andy Worthington
The Guantánamo 16
Alan Singer
Vapid, Stupid and Insulting:
Chuck Schumer Speaks to the Graduates
Richard Neville
Storm in an A-Cup
Susie Day
Gone with the W
May 26, 2008
Uri Avnery
The Syrian Option
Bill Quigley
War Immemorial Day
Col. Dan Smith
Retreating from Hell: a Different Memorial Day
Cindy Sheehan
Why Memorial Day is a Double-Whammy for Me
Marjorie Cohn
Hillary's Assassination Politics: Her Last Shot?
Fred Gardner
Does the VA Care?
Raymond J. Lawrence
Pain Pays: Getting Rich at NY Presbyterian Hospital
Harvey Wasserman
Mugging the Election System
Moncia Benderman
Truth Matters
David Rovics
In Praise of Utah Phillips
Website of the Day
Fox News Jokes About "Knocking Off" Osama and Obama
May 24 / 25, 2008
Alexander Cockburn
Death-Wish Hillary Primes Manchurian Candidate
Jeffrey St. Clair
Yellowstone: How Sununu Shrank the Ecosystem
Barbara Rose Johnston
Dam Legacies, Damned Futures
Nikolas Kozloff
U.S. Fourth Fleet in Venezuelan Waters
Adriana Kojeve
The Environment and the 2008 Elections
Robert Fantina
Justice Department's Revelations on Torture
Dave Lindorff
Bush's War on Children in Iraq
David Yearsley
The War on Kitsch
Nelson P. Valdés
The Buying of "Democracy" Agents in Cuba
Kathleen M. Barry
Celebrating Ethnic Cleansing
John Ross
Mexico's Narco Opera Reaches for High Point
Allison Kilkenny
Apathy Doesn't Live in Bronx
Fred Gardner
Orangeburg, 1968
Elizabeth Schulte
Can the Whole World be Fed?
Daniel Gross
Remembering the Wendy's Massacre: the Dangerous Side of Retail Work
Christopher Brauchli
The Search for a Token Right-winger
Richard Rhames
A Nation of Sheep
Daniel Cassidy
My Mother
Poets' Basement
Davies, Klipschutz and Willson
Website of the Weekend
Happy Birthday, Bob
May 23, 2008
Paul Craig Roberts
War Abroad, Poverty at Home
Alan Farago
The Radical Extremists of the Building Industry
Conn Hallinan
Ballots and Bullets: From Beirut to Bolivia
Mark Engler
The World After Bush
George Wuerthner
Cars and Cows: Living Large in America
Kamran Matin
The Kurds and American Neo-Imperialism
Sandy Boyer /
Shaun Harkin
The Long Incarceration of Pol Brennan
Robert Weitzel
A "Holey" Instrument of Peace in Iraq
Cindy Sheehan
An Uphill Battle
Liaquat Ali Khan
Pakistan's Futile Constitutional Amendment
Website of the Day
A Message from the Moral Compass of the McCain Campaign
May 22, 2008
Vijay Prashad
Racist Grammar
Joanne Mariner
A Military Commissions Cheat Sheet
Sharon Smith
60 Years of Apartheid
Jeff Birkenstein
Disaster Redux: Some Early Thoughts on the Earthquake in China
Brendan McQuade
From Obama to the PRTs in Iraq
Peter Morici
The Sorry State of the Banking Industry
Niranjan Ramakrishnan
Restoration Boulevard
Dave Zirin
What I Want to Ask Mary Tillman
Ron Jacobs
CPR for the Antiwar Movement
Stephen Lendman
Immoral Hazard
Website of the Day
Hagee: God Sent Hitler to Drive the Jews to Israel
May 21, 2008
Jeffrey St. Clair
The Gothic Politics of Hillary Clinton
Nikolas Kozloff
U.S. Military Bases in South America
Alan Farago
Miami, Cuba and the Presidential Campaign
Dave Lindorff
Big John and the Scary, Scary Iran Threat
David Model
Genocide in Iraq?
Eric Walberg
Afghanistan:
Who is the Enemy?
Franklin Lamb
Lebanon Gets a President
Kenneth Couesbouc
Tax Against Tyranny
Website of the Day
Child Labor and War-Affected Children: a Photo Essay
May 20, 2008
Ralph Nader
A Trip Inside Google
Uri Avnery
With Friends Like These
Patrick Irelan
The Empire and the Fleet
Ray McGovern
Come Out, Admiral Fallon, Wherever You Are
David Macaray
The UAW Strike Against American Axle
Chris Genovali
Big Oil on the Water:
Skating Around the Tanker Issue
Ibrahim Fawal
Birmingham, Israel and the Nakba
Christopher Ketcham
Let Us Now Praise Famous Suicides
Andy Worthington
Guantánamo Trial Delayed
Martha Rosenberg
Merck is a Repeat Offender
Website of the Day
Defend the Students Who Pied Tom Friedman
May 19, 2008
Saul Landau
Cuba Will Live
Paul Craig Roberts
The Metamorphosis of the Conservative Movement
Brian McKenna
Brotherly Love in Philly's Badlands
Patrick Cockburn
City of the Dead:
Mosul on Lockdown
B. R. Gowani
The Central Problem Pakistan Needs to Tackle
Dr. Trudy Bond
Psychologists and Torture:
If Not Now, When?
Cindy Sheehan
Whose War is It?
John Mohawk
The Warriors Who Turned to Peace
Remi Kanazi
When Free Speech Doesn't Come for Free
Robert Day
I Get a Horse
Website of the Day
Evolve or Die
Subscribe Online
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June 9, 2008
The Drug Industry Throws a Tantrum
The Inconvenient Senator Grassley
By
MARTHA ROSENBERG
The "bully tactics" and "intimidation" of drug industry operatives could cause "thousands of additional cancer deaths," cries an angry doctor in a May 29 oped in the Wall Street Journal.
But Mark O. Thornton, MD, MPH, PhD, is not talking about the lobbyists and reps embedded in doctors' and lawmakers' offices even as patients and constituents wait for access.
He's talking about Sen. Charles Grassley (R., Iowa), ranking member of the Senate Finance Committee.
You see, even though "Mr. Grassley did some good after the Vioxx episode, by focusing on the woeful manner in which postmarketing drug safety is managed and regulated by the FDA," writes Thornton, who the Journal identifies as a former medical officer in the Office of Oncology Products at the FDA who "volunteers as president of the Sarcoma Foundation of America," the Senator "and his staff should have kept their eyes on the ball."
Instead, Grassley wants the Government Accountability Office to investigate why the cancer drug Avastin was approved for use in metastatic breast cancer two months after the FDA's Oncologic Drugs Advisory Committee (ODAC) rejected approval--and on the basis of data that showed improvement in PFS--progression free survival, the period of time a patient doesn't get worse--but no improvement in overall survival.
Even drug reps were surprised it was approved.
"Not going to happen on basis of data presented to date," posted an anonymous salesman on industry chatroom cafepharma when approval rumors first surfaced. "Think about it. What is the label going to say? Improvement in PFS but not sure of clinical relevance of this. No improvement in overall survival. FDA is not going to do it."
Just because Vioxx caused 27,000 cardiac deaths, Avandia was found to increase cardiovascular death risk by 64 percent and Vytorin proved worthless in improving cardiovascular health all after approval, "The senator is demanding a full-scale review of each and every product ever approved," whines Thornton, "to ensure that drugs approved on surrogate endpoints are both safe and effective."
Imagine that.
Of course surrogate endpoints--short-term criteria a clinical study is judged on in lieu of mortality or survival data--vaulted to national fame when Merck and Schering-Plough sought to alter theirs in the suppressed ENHANCE study to keep Vytorin from looking like a national con job.
Surrogate endpoints spell Ka-Ching to the drug industry because it can start blitzing a drug while safety data is still out and Wall Street is sitting up and listening.
And if the drug turns South as it's used by the first patients/guinea pigs, it's cheaper to ask for forgiveness than permission; Merck, after all still made money on Vioxx despite its $4.85 billion settlement with tens of thousands of plaintiffs.
But the problem with surrogate endpoints is: your actual mileage may vary.
Vytorin reduced LDL but didn't clear arteries.
Avandia lowered blood sugar but raised not lowered heart attack risk.
New osteoporosis drugs stop bone turnover but cause instead of prevent fractures. Oops.
Thornton served on the clinical review team for Erbitux® while at the FDA--the cancer drug at the heart of the Martha Stewart/ImClone scandal--and worries that "a change toward the much stricter endpoint of overall survival," (sic) will chill innovation.
"U.S. cancer-drug development stands on a precipice overlooking a new dark age in which each new product's development is longer and costlier than the last," he writes.
Each new cancer drug is costlier, too, say health policy watchers.
Why does Erbitux® costs $17,000 a month? Avastin $4,400 a month?
Because the drug companies can get away with charging that much writes Robert Bazell, Chief science and health correspondent with NBC news, adding that if Avastin is added to the regimen for treating advanced colon cancer it would add $1.5 billion a year in new national health costs.
In a letter responding to Thornton's oped-- unsubtly titled Grassley's War on Cancer Patients-- Sen. Grassley says Thornton "mischaracterized" the GAO review and that it is an attempt "to make the relationship between the FDA and drug makers less cozy."
He also observes that in addition to "volunteering as president of the Sarcoma Foundation of America," Thornton is the Senior Vice President of Product Development at GenVec, Inc. which makes cancer drugs--a simple Google vett the Wall Street Journal didn't include.
Thornton also served as Chief Medical Officer and Head of Product Development of Ziopharm Oncology Inc. and Managing Director of Clinical and Regulatory Affairs of Angiotech Pharmaceuticals and is on the Board of Directors of the partially drug industry funded Center for Medicine in the Public Interest (CMPI).
But maybe those are his career's surrogate endpoints.
Disclosure composure
Dear Ms. Rosenberg,
I appreciate and respect your point of view raised in your piece. Indeed in my advocacy pieces, I do not mention the various companies I have worked for, since to do so would presuppose that they share my personal views. While fair to them, I fully understand how easy it is to believe that evil motives are at work in such a position.
It is unfortunate that we live in a time of such deep mistrust of motives of individuals. I consider my advocacy on behalf of cancer patients to be bipartisan and centrist, and engage often with advocactes on both ends of the political spectrum.
At any rate, I hope that through all the easy shots you took at all the fish in my barrel, one could appreciate that my views are not totally corrupted, and to perhaps consider the peril we may very well be in in being able to get new therapies out there for cancer patients.
Regarding profits in this industry, any bipartisan measures that you feel would help curb the profiteering going on in the industry when new cancer therapies get approved, I would surely support and mention to my fellow cancer advocates.
My best to you,
Mark Thornton
Martha Rosenberg is staff cartoonist on the Evanston Roundtable. She can be reached at mrosenberg@evmark.org
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