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	<title>Comments on: Bloggers Affect the Objectivity of Science</title>
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	<link>http://trishatorrey.com/2008/04/19/bloggers-affect-the-objectivity-of-science/</link>
	<description>A blog about patient empowerment, advocacy, safety, consumerism and tools to navigate the dysfunction of American health care.</description>
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		<title>By: The Happy Hospitalist</title>
		<link>http://trishatorrey.com/2008/04/19/bloggers-affect-the-objectivity-of-science/comment-page-1/#comment-1446</link>
		<dc:creator>The Happy Hospitalist</dc:creator>
		<pubDate>Wed, 23 Apr 2008 03:45:28 +0000</pubDate>
		<guid isPermaLink="false">http://trishatorrey.com/?p=413#comment-1446</guid>
		<description>Thanks for responding.  Often times, when you go to a financial advisor, you may not know that they are getting a commission for selling a certain branded name of mutual fund. They are not employees of large firms.  Their relationships are not always known or explained. They may get commissions for selling branded funds. 

It is not a given that an established relationship is known between client and adviser.  In fact, it is often not known at all.  Getting higher commission for selling certain brands of securities, and for selling certain types of securities within that brand is often not known by the lay person looking for a trust worthy adviser  

You imply that physicians represent life and death and are therefor on a different level than a financial adviser.   I disagree.  An elective total hip replacement has nothing to do with life or death.  It has to do with quality of life in terms of mobility and function.  By their very nature, being elective, they should not be construed as any more important than the quality of ones retirement funds to provide a comfortable lifestyle (mobility and function).  I would argue that food and shelter are vastly more important (and related to good financial planning) to provide for than is an elective hip replacement replacement.  

Thanks for responding.  Just another way to look at things.</description>
		<content:encoded><![CDATA[<p>Thanks for responding.  Often times, when you go to a financial advisor, you may not know that they are getting a commission for selling a certain branded name of mutual fund. They are not employees of large firms.  Their relationships are not always known or explained. They may get commissions for selling branded funds. </p>
<p>It is not a given that an established relationship is known between client and adviser.  In fact, it is often not known at all.  Getting higher commission for selling certain brands of securities, and for selling certain types of securities within that brand is often not known by the lay person looking for a trust worthy adviser  </p>
<p>You imply that physicians represent life and death and are therefor on a different level than a financial adviser.   I disagree.  An elective total hip replacement has nothing to do with life or death.  It has to do with quality of life in terms of mobility and function.  By their very nature, being elective, they should not be construed as any more important than the quality of ones retirement funds to provide a comfortable lifestyle (mobility and function).  I would argue that food and shelter are vastly more important (and related to good financial planning) to provide for than is an elective hip replacement replacement.  </p>
<p>Thanks for responding.  Just another way to look at things.</p>
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		<title>By: Trisha Torrey</title>
		<link>http://trishatorrey.com/2008/04/19/bloggers-affect-the-objectivity-of-science/comment-page-1/#comment-1379</link>
		<dc:creator>Trisha Torrey</dc:creator>
		<pubDate>Sun, 20 Apr 2008 17:37:54 +0000</pubDate>
		<guid isPermaLink="false">http://trishatorrey.com/?p=413#comment-1379</guid>
		<description>HH,

It&#039;s a fair question. I can&#039;t speak to the arena of financial advisers -- it&#039;s not my subject and I have not made a study of them.

But if you are suggesting doctors who are subsidized by big pharma or a device manufacturer should be considered to be the same as financial advisers who work for branded mutual fund companies, I suggest that they are not. 

For one thing -- the effects of finance vs medical care on human outcomes are not similar. One may be a question of life and death, the other is a question of how to pay for food and shelter. Granted, they effect each other, but no, I don&#039;t believe they are the same.

Secondly -- when a financial adviser who works for a large firm makes recommendations, she makes them with that firm&#039;s name on her door and on her business card.  When a doctor or researcher is being subsidized by anyone other than the lab or university he works for, then the subsidizing party is not known to us unless it&#039;s disclosed separately.  You won&#039;t find the corporation&#039;s logo or name on that doctor&#039;s business card or door. 

Therefore -- the difference is in the advisee&#039;s perception.  In the case of a financial adviser who works for XYZ Mutual Fund Company -- anyone with enough money to talk to that person to begin with will know that the recommendations will be based on what XYZ Mutual Fund Company has to see.  But in the case of a patient, or another medical professional to whom a doctor is making recommendations -- the perception is that the person is unbiased because disclosure of an additional funding source is rarely forthcoming.

And even if the subsidized doctor is totally unbiased, the fact that the relationship is undisclosed makes him or her suspect.  Perception becomes reality.

Thanks for posting.  You gave me some food for thought.

Trisha</description>
		<content:encoded><![CDATA[<p>HH,</p>
<p>It&#8217;s a fair question. I can&#8217;t speak to the arena of financial advisers &#8212; it&#8217;s not my subject and I have not made a study of them.</p>
<p>But if you are suggesting doctors who are subsidized by big pharma or a device manufacturer should be considered to be the same as financial advisers who work for branded mutual fund companies, I suggest that they are not. </p>
<p>For one thing &#8212; the effects of finance vs medical care on human outcomes are not similar. One may be a question of life and death, the other is a question of how to pay for food and shelter. Granted, they effect each other, but no, I don&#8217;t believe they are the same.</p>
<p>Secondly &#8212; when a financial adviser who works for a large firm makes recommendations, she makes them with that firm&#8217;s name on her door and on her business card.  When a doctor or researcher is being subsidized by anyone other than the lab or university he works for, then the subsidizing party is not known to us unless it&#8217;s disclosed separately.  You won&#8217;t find the corporation&#8217;s logo or name on that doctor&#8217;s business card or door. </p>
<p>Therefore &#8212; the difference is in the advisee&#8217;s perception.  In the case of a financial adviser who works for XYZ Mutual Fund Company &#8212; anyone with enough money to talk to that person to begin with will know that the recommendations will be based on what XYZ Mutual Fund Company has to see.  But in the case of a patient, or another medical professional to whom a doctor is making recommendations &#8212; the perception is that the person is unbiased because disclosure of an additional funding source is rarely forthcoming.</p>
<p>And even if the subsidized doctor is totally unbiased, the fact that the relationship is undisclosed makes him or her suspect.  Perception becomes reality.</p>
<p>Thanks for posting.  You gave me some food for thought.</p>
<p>Trisha</p>
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		<title>By: The Happy Hospitalist</title>
		<link>http://trishatorrey.com/2008/04/19/bloggers-affect-the-objectivity-of-science/comment-page-1/#comment-1378</link>
		<dc:creator>The Happy Hospitalist</dc:creator>
		<pubDate>Sun, 20 Apr 2008 14:38:12 +0000</pubDate>
		<guid isPermaLink="false">http://trishatorrey.com/?p=413#comment-1378</guid>
		<description>An honest question:

Should financial advisors that earn commission  from large financial corporations for selling their brand of mutual funds be made illegal? Both fields play a vital role in providing  a service for safety and longevity of life.  A doctor does it through health.  A financial advisor does it through retirement planning.  So I ask, in the interest of consumer advocacy,  should these commissioned relationships between financial advisors and big mutual fund selling financial powerhouses be outlawed?</description>
		<content:encoded><![CDATA[<p>An honest question:</p>
<p>Should financial advisors that earn commission  from large financial corporations for selling their brand of mutual funds be made illegal? Both fields play a vital role in providing  a service for safety and longevity of life.  A doctor does it through health.  A financial advisor does it through retirement planning.  So I ask, in the interest of consumer advocacy,  should these commissioned relationships between financial advisors and big mutual fund selling financial powerhouses be outlawed?</p>
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