Oversight & Investigations

Doctor's hand on book with Hippocratic Oath

NIH Transparency: Research Over Bureaucracy


Policy and Medicine | 24-Mar-2010

"Letting journalists only use the numbers (money) to attack the legal and ethical work of doctors who are helping train their colleagues is unacceptable. This kind of negative effect will only hurt patients because physicians will have less access to new information and data and they will be less willing to carry out important clinical studies and research because of such attacks for being paid to do such work."

How DrRich Became Radicalized

Richard N. Fogoros, M.D.

The Covert Rationing Blog | 16-Mar-2010

“I was sure my career had ended. My family, friends, patients and colleagues were about to see the CEO of my hospital appearing before a hostile Senate Investigational Committee answering questions on the Medicare fraud that I supposedly had committed. I knew it didn’t matter that I hadn’t done anything wrong. Truth is only a compilation of some facts, whereas perception is everything.”

Letter from FDA Commissioner to Senator Grassley

Margaret A. Hamburg, M.D.

Office of Senator Charles E. Grassley | 04-Mar-2010

The Agency's Office of Criminal Investigations (OCI) obtained 4,392 convictions, imposed $9.89 billion in fines and seized assets worth more than $1 billion from its inception in 1992 through fy 2009. The Agency's senior leadership now recommends various changes, including increased misdemeanor prosecutions against corporate officials and enhanced debarments and disqualifications against clinical investigators.

Health Care Fraud and Abuse Control Program Annual Report For FY 2008

United States Departments of Health and Human Services and Justice | 01-Sep-2009

“During FY 2008, the Federal Government won or negotiated approximately $1 billion in judgments and settlements, and it attained additional administrative impositions in health care fraud cases and proceedings.”

Not What We Call Due Diligence


The New York Times | 12-Jan-2009

“The inspector general of the Department of Health and Human Services reviewed all 118 applications for marketing drugs and medical devices that were approved by the F.D.A. in fiscal year 2007. It found appalling failures to collect [conflict of interest] information and act on it.... The agency’s lax performance underscores the need for Congress to pass legislation requiring all drug and device makers to report their financial arrangements with doctors in a public databank.”

FDA's Oversight of Clinical Investigators' Financial Information

Daniel R. Levinson

United States Department of Health and Human Services | 01-Jan-2009

Findings of the report: (1) 1% of clinical investigators disclosed a financial interest, (2) FDA cannot determine whether sponsors have submitted financial information for all clinical investigators, (3) 42% of FDA-approved marketing applications were missing financial information, (4) FDA did not document a review of any financial information for 31% of marketing applications, and (5) Neither FDA nor sponsors took action for 20% of marketing applications with disclosed financial interests.

Psychiatric Group Faces Scrutiny Over Drug Industry Ties

Benedict Carey and Gardiner Harris

The New York Times | 12-Jul-2008

“After a series of stinging investigations of individual doctors’ arrangements with drug makers, Senator Charles E. Grassley, Republican of Iowa, is demanding that the American Psychiatric Association, the field’s premier professional organization, give an accounting of its financing.”

Researchers Fail to Reveal Full Drug Pay

Gardiner Harris and Benedict Carey

The New York Times | 08-Jun-2008

“By failing to report income, [two psychiatrists] at Harvard Medical School may have violated federal and university research rules designed to police potential conflicts of interest, according to Senator Charles E. Grassley, Republican of Iowa. Some of their research is financed by government grants.”

Top Psychiatrist Didn't Report Drug Makers' Pay

Gardiner Harris

The New York Times | 08-Jun-2008

“One of the nation’s most influential psychiatrists earned more than $2.8 million in consulting arrangements with drug makers from 2000 to 2007, failed to report at least $1.2 million of that income to his university and violated federal research rules, according to documents provided to Congressional investigators.”

Sen. Grassley Knocks Psychiatrist's Funding from AstraZeneca

Sarah Rubenstein

The Wall Street Journal | 07-Apr-2008

“A University of Cincinnati psychiatrist who was the lead author of a 2002 study that concluded kids did well on AstraZeneca’s antipsychotic Seroquel has received hundreds of thousands of dollars from the company since then, according to Sen. Charles Grassley (R-Iowa).”

Researchers Go Unchecked, Report Says

Gardiner Harris

The New York Times | 19-Jan-2008

“The National Institutes of Health do almost nothing to monitor the financial conflicts of university professors to whom it provides grants, a government report found, and the huge federal research agency does not want to start now.”

Plea Bolsters Kickback Case against Mass. Medical Firm

Alice Dembner

The Boston Globe | 04-Jan-2008

“[An Arkansas neurosurgeon] agreed to pay $1.5 million to settle allegations against him in the whistle-blower suit, which alleges [two companies] provided kickbacks in the form of bogus consulting contracts, fake research studies, and gifts to ... doctors across the nation who agreed to use the companies' devices in back surgeries.”

National Institutes of Health: Conflicts of Interest in Extramural Research

Daniel R. Levinson

United States Department of Health and Human Services | 01-Jan-2008

Findings of the report: (1) NIH could not provide an accurate count of the financial conflict-of-interest reports that it received from grantees during fiscal years 2004 through 2006, (2) NIH is not aware of the types of financial conflicts of interest that exist within grantee institutions because details are not required to be reported and most conflict-of-interest reports do not state the nature of the conflict, (3) Many Institutes primary method of oversight is reliance on grantee institutions’ assurances that financial conflict-of-interest regulations are followed.