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June 19th, 2008

Should more doctors go to jail?

Posted by Dana Blankenhorn @ 8:34 am

Categories: Aging, Drugs, Ethics, General, Government, Sports Medicine, U.S., state government

Tags: Perl, Dr., Drug, Thomas Perls, Justice System, Scripting Languages, Federal Government, Programming Languages, Development Tools, Software/Web Development

Dr. Ivan Goldsmith and Jill Oliver, from Las Vegas Review-JournalChris Benoit. Anna Nicole Smith.

Famous people die every year with gobs of prescription drugs in their systems. Should the doctors who prescribe these drugs face legal penalties, even jail time?

Thomas Perls thinks so. He’s helped produce a commentary for the Journal of the American Medical Association suggesting it’s time more do.

While Benoit sought steroids to bulk up and become a professional wrestler, while Nicole Smith used a variety of drugs to control her moods, Perls’ target are so-called “weight loss clinics” and “anti-aging clinics” run by licensed physicians.

Many of these clinics are prescribing human growth hormone (HGH), testosterone, and other dangerous drugs for conditions they weren’t designed or approved to address, he writes.

Why aren’t medical societies re-examining the licenses of these doctors, he asks? Why aren’t plaintiff’s attorneys putting them out of business? Do we really need the criminal law involved?

In the case of Benoit, Dr. Phil Astin now faces a 175 count indictment covering 18 patients who were given, not just steroids, but such drugs as methadone, Percocet, Oxycontin, Demerol and Xanax. That’s an extreme case.

Dr. Perls is looking instead at people like Dr. Ivan Goldsmith of Las Vegas, who calls his combination of FDA-approved drugs Phentermax and pushes them through a MySpace page.

In the picture above, from a Las Vegas Review-Journal story on his practice published in January, Dr. Goldsmith is being injected with drugs which claim to “kill” fat cells. The treatment has not been approved by the FDA, the article notes.

MSNBC contributor Brian Alexander recently questioned these practices, focusing on a former Goldsmith patient named Jeff Beacher. He called Goldsmith’s actions “standard operating procedure in some of the nation’s anti-aging and weight-loss clinics.”

Is this unethical? Should it be illegal? Should the licenses of such physicians be pulled, and should they be hauled into criminal courts?

Dr. Perls’ article is mainly focused on the use of HGH as a claimed anti-aging or weight loss agent, but even without HGH these clinics, and these doctors, would be pushing something else. It’s their business.

Should it also be the profession’s business? The civil courts’? The criminal justice system’s? Where are the ethical or legal boundaries, or should this all be a case of buyer beware?

What should be done about doctors prescribing drugs in unapproved ways?

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Dana BlankenhornDana Blankenhorn has been a business journalist since 1978, and has covered technology since 1982. He launched the Interactive Age Daily, the first daily coverage of the Internet to launch with a magazine, in September 1994. See his full profile and disclosure of his industry affiliations.

Email Dana Blankenhorn

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  • Talkback
  • Most Recent of 22 Talkback(s)
Wisdom and Experience can't sub for Rules
The problem here is not any lack of "wisdom or experience" on the part of the doctors. It is rather a clear lack of ethics. No doctor has a good medical reason for overprescribing to such an extent. H... (Read the rest)
Posted by: mejohnsn Posted on: 07/16/08 You are currently: a Guest | | Terms of Use
Actually...  BitTwiddler | 06/19/08
what if the doctor's corrupt?  DanaBlankenhornZDNet Moderator | 06/19/08
Pharmaceutical TV commercials sell products.  Anton Philidor | 06/19/08
It's really sad when famous people die (NT)  lumpy_blumpkin | 06/19/08
Limitations of law  techboy_z | 06/19/08
Define "punitive measures?"  DanaBlankenhornZDNet Moderator | 06/19/08
Get the governments nose out of it!  wkulecz | 06/19/08
Unequal power.  Anton Philidor | 06/19/08
War on Drugs = War on Freedom  terry flores | 06/19/08
...  Linux User 147560 | 06/19/08
For the less heartless...  Anton Philidor | 06/19/08
Many are prescription happy.  TripleII | 06/19/08
True, but...  Anton Philidor | 06/19/08
RE: Should more doctors go to jail?  Linux User 147560 | 06/19/08
I think that was what I was screaming for...  DanaBlankenhornZDNet Moderator | 06/19/08
LOL, yes you are...  Linux User 147560 | 06/20/08
RE: Should more doctors go to jail?  lotherius | 06/19/08
Caveat emptor with your life?  DanaBlankenhornZDNet Moderator | 06/19/08
Interesting? Or scary?  mejohnsn | 07/16/08
Rules can't take the place of wisdom and experience  terry flores | 06/21/08
Wisdom and Experience can't sub for Rules  mejohnsn | 07/16/08
RE: Should more doctors go to jail?  lotherius | 06/23/08

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