Long Story Short: I believe every word in this book about the ethical perils and injustices of medical testing, but I’m not sure at all what to do about it.
Why I Chose This Book: I’m not really tuned in to the new releases, and a lot of what I find to read crosses my path indirectly. This time, however, I crossed this book’s path directly: I was wandering through the library seeing if something would catch my fancy, and this book was one of the ones placed on a library shelf, propped on a bracket facing outward. It was about a topic I could read with a critical eye. It was about a topic that seemed rife with controversy and might teach me something. It was written by a woman, and then had this unexpected “Foreword by John Le Carre,” which was intriguing enough (by seeming completely out of the blue) to seal the deal.* And we were in a hurry to go, so I just grabbed it and checked it out and didn’t pick it up again until a few days after I’d brought it home (a detail that becomes important somewhere around the 950th word of this book review).
*I really scratched my head about this one, but some Internet searching revealed that he’d written a novel more or less about the same thing–The Constant Gardener–so there you have it. Also, it’s mentioned on the very first page of the preface, which I had forgotten about until I was flipping through the book today to write this review.
The Book’s Strengths: I thought this book really covered its material well. It analyzes the process whereby drug manufacturers identify and test drugs on human subjects, how it chooses which populations to test them on, the history of the drug-testing industry, the government regulations that enable and hamper (different regulations) the process, the ways pharmaceutical companies “spin” results, the cavalier attitudes towards “informed consent,” and international efforts to establish and protect test subjects’ rights. It covered all this information in an efficient, readable way, and each of ten chapters covered a distinct topic within the broader themes. There were lots of interviews, lots of documented research, and plenty of end notes and a long bibliography. I learned a lot and probably had the exact emotional reaction I was supposed to have; set against what I’ve picked up over recent years about marketing drugs right to patients and the revelations about how things like, say, statins are not really benefiting many people and may be harming more (and other things about Viagara, and all the different allergy medicines, et cetera), and the context of corporate greed and abuses that also make the news, Shah makes plenty of sense to me.