Science on Trial by Marcia Angell
The Clash of Medical Evidence and the Law in the Breast Implant Case

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In 1992 silicone-filled breast implants were banned in America in response to concerns that they caused auto-immune and connective tissue disease. The ban triggered a torrent of litigation which proved to be unwarranted. This book reveals important differences in the way science, the law and the public regard evidence. The author maintains that, as we become ever more dependent on science and technology, dangerous misconceptions about scientific evidence are becoming an increasing danger to the public good, with consequences which extend far beyond the breast implant controversy.

About Marcia Angell

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Published June 1, 1996 by W W Norton & Co Inc. 256 pages
Genres: Health, Fitness & Dieting, Professional & Technical, Law & Philosophy, Political & Social Sciences, Education & Reference, Science & Math. Non-fiction

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For Angell, executive editor of the New England Journal of Medicine, the breast implant story has several major themes: goverment regulation and its role in American society, excessive litigation within a flawed tort system, the public's lack of understanding of scientific evidence, the role of s...

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Publishers Weekly

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A doctor examines the scientific bases for the $4.25 billion in class-action settlements by the implant industry.

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National Review Online

Indeed, statistics indicate that the research-based drug companies spend more on research and development than NIH does, develop the vast majority of U.S. medicines, and are responsible for over 90 percent of the entire world’s new drugs each year.

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Project MUSE

The rub, which Angell details with careful clarity, is that there is virtually no scientific evidence to support the claim that silicone implants cause immune-system disease: neither epidemiology nor pathophysiology can bring data to bear on cause and effect.

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