Doctors On The Take: My Career Ending Expose

Whistles blowers aren't always celebrated.
Sometimes they're crushed.

"There is a pathologically intimate relationship between corporations and the U.S. government- their collusion is expressed in the revolving door. "


by Dan Abshear
(for henrymakow.com)


In the Spring of 2006, I became a pharmaceutical corporate whistle blower.



In February of that year, I had recruited a law firm with experience in pharmaceutical whistle blower lawsuits in Boston, which is a top place to file and submit pharmaceutical whistle blower cases.  They agreed to represent me after I submitted a ten page document to them I composed- explaining why the wrongdoing of my employer, Novartis Pharmaceuticals, needed to be addressed.  They represented me on complete contingency, which meant that they would not be paid if they did not succeed in the whistle blower lawsuit they were submitting for me.



The law firm submitted the whistle blower lawsuit against Novartis in April of 2006.  And it was filed under seal, which means that I and my legal council cannot discuss the case whatsoever.  It's a trick played by the D.O.J., to eliminate the possibility of media contact.



I made a trip to Boston in July of 2006 to be asked hundreds of questions by various relevant government entities, such as the department of health and human services.  Also, in the center of a large table in a conference room, was a phone, with numerous attorney generals from various states- all there to hear my answers to the hundreds of questions I was asked one day, for 8 hours.  I spoke with complete knowledge of the evidence, and with total honesty.



Novartis hired me at the end of 2001 as one of their many sales representatives.  At that time, I had already worked for two of the top pharmaceutical corporations in the world, which were Merck and Pharmacia Corporation.  The game is the same no matter which pharmaceutical corporation one may work for as a sales representative. 



That game, as a pharmaceutical representative, is bribing doctors: hiring doctors to be on the payroll of the pharmaceutical corporation.



In the years I worked for Novartis, I received above average raises yearly.  I received numerous awards from Novartis.  I was very well liked and respected.  Novartis gave me a company car, I normally only worked half-days.  I was viewed as an expert as a pharmaceutical sales representative.  I was often asked to train other new sales representatives.  This was vocational bliss.



So, why would I even consider reporting wrongdoing by them, if they treated me so well?  Was I insane?



WIDESPREAD CORRUPTION

In the year 2003, I discovered CafePharma.  CafePharma is basically an online venting board for pharmaceutical representatives.  Such representatives who post on this board often do so with overt anger and disgust.  My uneasiness about bribing doctors was validated by what  representatives from many pharmaceutical companies wrote on this board.  The money we paid targeted doctors are kickbacks.  By paying such doctors, we as sales representatives are violating the federal anti-kickback statute.



As sales reps with large pharmaceutical corporations, the more doctors you acquire n your territory, the more you assure your career with your employer.  You are told as nauseum by your employer to seek and pay targeted doctors. 



With Novartis, they took things a step further:  They sent instructions to their sales force to remind doctors paid by representatives that they are obligated to prescribe Novartis pharmaceuticals whenever possible.  This, of course, potentially clouds the clinical judgments of such doctors, and as a result, adversely affects the restoration of health obligated by the health care provider.



The year now was 2004, and I had had enough.  I had enough of Novartis threatening the members of their sales force.  Each representative was given a promotional budget.  Often, this budget was several thousand dollars per month.  The unspoken rule was, each representative has to spend all their budget, or else. It was this year I started to read books written by those experts critical of the pharmaceutical industry.  I began to become very uncomfortable about the industry I represented.



Also, in 2004, I started to collect evidence in the form of internal documents- accessible only to Novartis employees, and not intended to be viewed by others. Documents illustrating the coercion by Novartis to its sales force to spend their promotional budgets. Documents in the form of emails by upper management- indicating the need to enforce quid pro quo- to acquire and keep targeted doctors on the payroll of Novartis. Documents instructing the sales force to sell a promoted drug for a use not indicated by the food and drug administration.



SPLIT PERSONALITY

At this time, I suffered from pharmaceutical representative schizophrenia.  One personality of me I expressed was the perfect sales representative, who always spent the promotional budget, and became elated at hearing that various disease states for which the promoted products would treat were expected to increase.  The one who acquired and hired doctors targeted by Novartis.  The one who believed in bribing and threatening doctors on the payroll of Novartis. 



The other personality I represented quietly was the one who had a need to report this wrongdoing by my employer.  My real personality.



The year 2005 approached, and I continued to collect evidence in the form of Novartis internal documents.  By the end of 2005, My whistle blower personality was dominating my existence.  I became vocal about my unease with what we were being told to do by Novartis as sales representatives.  I deliberately dug my own employment grave with Novartis.



In the Spring of 2006, I was ostracized by Novartis, due to what I expressed about the illegal nature of my job.  Days after the whistle blower lawsuit was filed in Boston, I was terminated. .  I expected to be terminated, at that point.



In 2007 and 2008, I discovered that no corporation would hire me.  No large corporation.  It is as if potential employers were aware that I blew the whistle against Novartis.  There is a system within the Department of Justice called the PACER system, I believe.  It records all who file such lawsuits as I filed via my legal counsel.  And it's accessible to anyone.  In these years, I acquired employment by two very small pharmaceutical companies, but the pay was next to nothing.  I was laid off in the Spring of 2008 by one of them, and that was the official end of my career as a pharmaceutical sales representative.



GOVERNMENT FAILS TO INTERVENE




In the Spring of 2009, my whistle blower lawsuit was unsealed by the D.O.J., and, even though the evidence I presented was overwhelming, the government did not intervene in the case that I filed.  I suspect that Novartis bribed the D.O.J. not to intervene.  There is a pathologically intimate relationship between corporations and the U.S. government- their collusion is expressed in the revolving door. 



Of all large pharmaceutical corporations, and the settlements they have paid for wrongdoing identical to what I discovered and presented to the D.O.J. with Novartis, Novartis has paid the least amount over the years.



A study of 233 whistleblowers was conducted years ago, to explore the effect on one who blows the whistle on a corporation.  Their findings:



The average whistle blower is a man in his 40s with a strong conscience and high moral values.  I was near the age of 40 when I became a whistle blower.



After blowing the whistle, 90 percent of whistle blowers were fired or demoted.  27 percent faced lawsuits themselves.  26 percent had to seek psychiatric or physical care.  25 percent suffered substance abuse.  17 percent lost their homes.  15 percent experienced divorce.  10 percent attempted suicide.  8 percent were bankrupt.  But in spite of all of this, only 16 percent said they would not blow the whistle again.



The only effect I did not experience with this study above is facing any lawsuits.
 

Views: 122

Comment by Rob the Ridiculous on August 20, 2012 at 6:09pm

Wow.... that's some seriously f*cked up shite right there. I can only applaud the courage of such conviction and sacrifice. I sometimes wonder what I'd do in such a situation, yet I'd not dare to claim to have the "balls" to act similar, truly remarkable.

Comment by Heather Spoonheim on August 20, 2012 at 7:04pm

One of my Aunts (a registered nurse) became a pharmaceutical rep at about the time I was working for a very large company in an unrelated sector.  We talked about our jobs and it quickly became clear to me that she was completely oblivious as to the nature of her 'promotional budget'.  Needless to say, her career went nowhere and she was soon back working as a nurse.

My point, I guess, is that you haven't revealed anything that is privy to some tight circle that has never been broken.  If the DOJ had any interest in pursuing these matters they could easily find hundreds, if not thousands, of people who could testify.  The could start at CafePharma, for instance.  It's truly disgusting how they choose to remain obstinately blind to this problem.

I do wish you the best, though.  I know it's hard to lose a great career and find you can't climb back up.  At the very least you can look yourself in the eye when you face the mirror each morning.

Comment by Doug Reardon on August 20, 2012 at 10:41pm

Unfortunately, it is not just the pharmacy industry, but endemic to ALL sectors of the economy!

Comment by Unseen on August 21, 2012 at 9:02am

I dated a nurse for a while, and she told me that many of the sales reps who meet with the doctors are attractive young women who dressed at the very limits of office decorum (mid-thighs skirts, 4"+ heels, plunging necklines that would show plenty if the rep bent toward the doctor while explaining a graphic on his desk). They would invite the doctors to lunch, or even dinner, where who knows what went on. The nurses were disgusted by it,.

Comment by James Cox on August 21, 2012 at 6:32pm

People like YOU should get medal!

I worked at a QC food lab 2005 as a temp. One time I noticed that a sample crossed my bench for analysis, then was removed by our supervisor. The sample had too much celulose, inplying a possible contamination. I listened to the talk in the lab and the folks that seem to imply a reprocess of the lot for packing and sale. I wish I kept the sample number, FDA might have been interested.

Comment by Unseen on August 23, 2012 at 10:52pm

@Blaine Leavitt

I'm confused. Are you speaking as a doctor, a nurse, or a sales rep?

Comment by Dan Abshear on August 24, 2012 at 10:00am

I was a sales rep for Novartis when I did this.

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