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. 2003 Dec 20;327(7429):1442–1445. doi: 10.1136/bmj.327.7429.1442

Table 2.

Aftercare programme

Designation Strategy Tactic
SAFE (Say Anything For a Euro) panel of “experts” Provide generous research grants, first class travel, luxurious accommodations, exorbitant honorariums, and gargantuan ongoing “consultant” fees to “experts” who (surprise) favour your product, screening test, or programme Get SAFE experts to generate the guidelines, write the editorials, pick the keynote speakers, referee for the key journals, etc
SCUM (Sick Celebrities to Use in the Media) Hire stars of stage and screen, famous athletes, and washed up politicians who will “disease monger” and tout your product or screening test Get them on to talk shows, into gossip magazines, and into the front lines of parades on any issue
PPCT (Pay the Piper and Call the Tune) Give generous “journalism” awards for articles that monger your disease or praise your product in the lay media Continue to feed media new diseases and products to push
RCAF (Rabid Citizens Against Facts) Secretly fund “patients' action” groups to attack any counter-evidence that shows your product, programme, or screening test is useless or harmful Denounce detractors with testimonials and threats
DISARM (DIScourage Arguments with Research Money) Disarm your critics by funding an evaluation of your new screening test or health programme Then stop the funding, ignore the results as out of date, or abandon the test or programme for a new, equally untested one
FYP (Foundation in Your Pocket) Build beautiful headquarters and conference centres for health foundations Smooth the way for infiltrating SAFE experts into their leadership and programme development
MTM (Move the Ministry) Lobby to shift responsibility for the approval of new drugs and devices from the Ministry of Health to the Ministry of Industry Shift the objective from healthy patients to healthy national economies
GFGC (Get the Fox to Guard the Chicken house) Purchase a pharmaceutical benefits management organisation Control the selection and purchasing of drugs while preserving the illusion of a market
BOSS (Bureau Of Secret Surveillance) Buy confidential information from pharmacists as to exactly who is prescribing exactly what Tailor drug reps' visits to focus on just the prescribing habits that need to be changed to your benefit
SOW (Save/Sacrifice Our Workers) Threaten to move your product development and manufacture to another country Launch media and lobbying blitzes that exaggerate how many jobs will be lost if you leave (see cigarette manufacturers' ploys)
SHARKS (Striking Horror And Retreat through Killer Solicitors) Hire all the really good lawyers Use them to threaten nay-sayers, members of drug review boards, etc with frivolous but expensive libel lawsuits. Suppress negative health technology assessment reports until you've met your sales targets