you cannot absolve doctors and nurses of their role in the very system in which they participate. using oxycontin as a case study - doctors and nurses willingly went to events hosted by purdue pharma to advertise their drugs including oxycontin. doctors were
recognised early on into the development and marketing of the drug itself as being susceptible to being marketed a drug and push it for profits of a private corporation. they
attended dinners, luxury vacations and whatever else hosted by purdue pharma - with their own
internal documents showing that these dinners would lead to a massive increase in a doctors inclination to prescribe oxycontin. this is nepotism, doctors are very much in bed with the pharmaceutical companies that are taking people for a ride. its not like there are not strong precedent cases that should lead doctors to be at least somewhat wary of heavily marketed claims by pharmaceutical companies (see: thalidomide)
Doctors
should be wary of heavily marketed claims by pharmaceutical companies... but then what? Pharm has a stranglehold on medicinal science and the lobby industry that protects it from government intervention. Doctors, who rely on constantly updated scientific knowledge, absolutely require the information that Pharm has to give them in the form that Pharm chooses.
I've known doctors who were uncomfortable with resort conferences and those who believed that these affairs "couldn't adversely influence them" (although that's clearly not true, hopefully you can recognize the attitude). Should anything that could be construed as nepotism be forbidden by the government? Almost certainly. But the power to change that is also squarely in Pharm's hands, and I don't see how whinging about frontline healthcare workers addresses that.
It's impossible to practice medicine without involvement from pharmaceuticals and insurance companies. Alternative medicine is not an alternative.
Whether it is in 'bad faith' isnt the correct question to ask (exceptionally difficult to prove), rather being whether the conduct was negligent, which in all examples listed points to yes. purdue pharma is getting rightfully sued for their actions - but the doctors and nurses who attended these events, were super enthused to prescribe oxycontin and enable these kinds of industry practices should be taken to task as well. overprescription of antibiotics has been a lazy cope from doctors for decades. my last point in brackets (which you seem to take the most umbrage with) was pretty clearly conjecture, but doctors / nurses are only one stage removed from the chain of pharmaceutical company (who do definitely have a profit motive in the population being less healthy) to consumer - and are once again heavily linked to them.
The evidence you've linked shows that Oxy was marketed to doctors as being safe and less addictive, which is also what a randomized double-blind test at the time showed. I haven't even found much evidence that Purdue didn't think Oxy was safer, although I don't think that absolves them of any wrongdoing.
It was actually part of my job to report doctors who received kickbacks from pharmaceutical companies (among other forms of medical nepotism), but this literally never happened on my watch. It has happened, but it's abnormal.
As I said before, doctors AND insurance are incentivized to keep people healthy (the first by oath, the second by money). I cannot for the life of me think of a single example of Pharm having any effect on "making people unhealthy for profit". Clearly your problem with them is that they can just sell product to healthy people anyway when they shouldn't be.
but for arguments sake what do you consider a 'pretty penny'?
best source i know of for salaries in america seems to show median registered nurse salary at 75k/annum.
I wouldn't call that a pretty penny in America. The average salary in the US is 50k, a completely pitiful amount of money given US spending power. This baseline has been heavily used to show the inadequacy in salary growth over time vs inflation. 50k is pitiful, so 75k is not rich. My best friend is a teacher and he makes 75k. That's not a profession known for its adequate salaries. Purdue's Oxy salesmen got 75k on average just in bonuses and that was in 1996.
Speaking of nurses, you've talked a great deal about nurses overprescribing medicine, and that's only true if we're talking about nurse practitioners. There are 20 rns to every np and they cannot prescribe medication. NPs also make closer to (and sometimes over) 100k. It's worth noting that NPs are also probably the most notorious overprescribers as Pharm salesmen specifically target them due to their relative lack of education (it's not as if an NP is more prone to corruption than anyone else). They are however also frontline healthcare workers and we'll get to the danger element of that later.
Residential doctors, the core frontline workforce,
make 60k a year.
They work 80 hours a week. They do this for 3-7 years out of medical school. A Seattle residential doctor can be making
less than minimum wage when you do the math. Nurses are expected to work only 40 hours a week, but those limits were lifted with covid. I don't have data regarding the average nurse shift right now but it's easy to find people working multiple overtime shifts a week. I can't even imagine being abused the way the system abuses Residents and that was before there was a major risk factor. It's the massive amount of overwork in the hospital system that leads to what you call "lazy prescribing", not an actual poor work ethic. I could not imagine having the work ethic these people require.
these people dont have to scrounge in the gutters for money like the many who were in low paying, low security jobs rendered inoperable by covid that they are unlikely to receive them back any time soon, if at all. these people are the ones truly on the 'frontlines' of this pandemic - they are shouldering the majority burden of the economic downturn and the cases / deaths but i am not seeing anyone call them 'heroes'.
That's a huge concern, but what exactly makes those people 'heroes'? When people are calling frontline healthcare workers heroes, that word isn't being used interchangeably with 'victim'. Healthcare workers are actively fighting the pandemic (if not by interacting with covid patients, then by addressing hospital overworkload, possibly the biggest danger that covid presents). Now as of June, 600 healthcare workers had died of covid. It's harder to tell how many healthcare workers (of which there are over 18 million) would be frontline. A lot of the well-paid paid doctors, especially those with their own practices, are only doing zoom consultations, so if you don't think those people are heroes, that's fine (I still wouldn't lay the sins of pharm and insurance on their shoulders). Going by the stats I had access to, and those may be outdated now, I would have said about 25% of healthcare workers were essential. That would put us at about 26 deaths per 100k workers.
That puts it within the realm of the most dangerous jobs in America (edit: I had some shaky math and I fixed some figures. I'm running off of memory and conjecture, we really won't know until these numbers get compiled after this year, but even a conservative estimate makes this a relatively very dangerous profession right now). Mind you, it used to be one of the safest. Perhaps these statistics are not impressive to you, but danger to police doesn't even crack the top 20 and conservatives think that's worth shooting unarmed black people over. So let's see... fighting the pandemic, 60k a year, 80 hours a week (maybe more), high personal danger, all this when they could be getting pandemic assistance instead? Some call them heroes because
they feel expendable.
While there are massive problems with the healthcare industry, it feels like criticizing the current support for frontline workers could only possibly serve to delegitamize the dangers of the covid crisis. As I touched on, perhaps the biggest danger of covid is that hospitals are overworked, so that if your life is threatened by something over than covid you may be unable to receive proper care. We desperately need frontline healthcare workers to go through this hell, and that's a major infrastructure problem that I haven't seen my government addressing in a long-term capacity (the military set up a free hospital near Seattle, so that's cool, but not meant to be long-term pandemic relief).
I'm absolutely in favor of villainizing Big Pharm and insurance as well as many hospital administrations. And there's much that doctors and nurses can be criticized on if we want the best health system possible. But even as I'm as much a cynic as anyone on smogon, I can think of few professions less morally tainted by capitalism. It's
such a shitty job and it eventually pays out, but you absolutely have to believe that what you're doing is for the greater good or you'd just break.