Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Think critically about for-profit donor entities and their commitments to health

Emi Okamoto, MD
Physician
February 2, 2018
Share
Tweet
Share

At my job as a primary care doctor in a federal safety net clinic, I was given a free T-shirt to wear the following day. It reads “Crucial Catch — Intercept Cancer” in between the logos of the National Football League (NFL) and the American Cancer Society (ACS). This celebrates the 8-year partnership of almost $18 million dollars donated to fund cancer screening and prevention. These philanthropic gestures of large donors help to fund valuable projects and raise visibility, as demonstrated by my entire clinic staff getting ready to sport their campaign gear. However, recent history of the NFL delineates motives which are not aligned with health and wellness of their players, and such philanthropic gestures from large corporations warrant speculation.

While the NFL shows collaborative and financial support for cancer, the relationship is more complicated with another disease: chronic traumatic encephalopathy (CTE). This neurodegenerative disease can be diagnosed post-mortem on autopsy, and current research overwhelmingly depicts a strong correlation of this disease and football players. In a landmark study, McKee et al discovered 110 of 111 donated brains from former NFL players had CTE, most with severe pathology who had exhibited cognitive and behavioral symptoms. New research in mouse models show physical impact injury from hits, independent of concussion, correlates with CTE pathology. Concern continues rising for the health and welfare of past football players, and more importantly for identifying and mitigating risks of current players, including over one million high school athletes. In 2013, after years of incorrect data and undermining risks, the League agreed to $765 million in settlements to players for covering up the risks of CTE.

Amidst rising public awareness, in 2012 the NFL pledged $30 million to the National Institute of Health for brain injury investigation. In 2016 a congressional committee became involved citing evidence that the NFL was influences the NIH funding recipients, and in July 2017, the relationship ended with over half the funds unspent, drawing widespread speculation. In 2016, the NFL agreed to pay $100 million to brain injury research, much of which has went into helmet development, considered by many concussion experts to be risk reduction but not elimination, as if going from a cigarette to an e-cigarette.

During 2017, the NFL continued funding a small institute in London, the International Concussion & Head Injury Research Foundation. Their website reads like a prepared statement for the NFL: “Only through stringent and controlled medical investigation will we ever establish if there is any correlation between recurrent head impact in sport and neurodegenerative disorders,” disparaging the accumulating evidence from a variety of U.S. institutions. Now, in 2018, the NFL is again making a $17 million donation to be distributed among the Department of Defense, an NIH study called TRACK-TBI, and the National Institute of Aging. While this newest donation is laudable, given the league’s history ridden with motives for self-preservation, it should be received with caution and more appropriate regulatory buffers between the funder and the research.

I challenge every individual, including those acting as part of anything from a community health center to a major medical organization, to think critically about for-profit donor entities and their commitments to health. Recent contributions of the NFL to concussion research have been fraught with scandal and deception, leaving me uncomfortable to showcase such an industry in the clinic. These complex relationships are pervasive in our work. While the medical profession has come a long way regards to reporting industry affiliations and more offices and institutions declining “free lunches” from pharmaceutical representatives, there continues an uncomfortable, uphill battle to fight. For another example, according to their last financial statement, the American Heart Association accepted $12 million from AstraZeneca who held the patent for Crestor at the time of donation. Though their widely followed guidelines for cholesterol management mention individual relationships with industry, this disclosure is not forthright on their widely-used society guidelines.

Ultimately, although I applaud the NFL’s charity towards cancer prevention, I struggle with how the league manages its commitment towards its own players’ safety and well-being. While I had been excited by the opportunity to wear casual jeans with a new T-shirt, I will sit this advertising opportunity out.

Emi Okamoto is an internal medicine physician.

Image credit: Shutterstock.com

Prev

Why medical scribes are accidental blessings

February 2, 2018 Kevin 19
…
Next

Immigrant health care workers serve a vital function within the American health care system

February 2, 2018 Kevin 47
…

Tagged as: Cardiology, Neurology

Post navigation

< Previous Post
Why medical scribes are accidental blessings
Next Post >
Immigrant health care workers serve a vital function within the American health care system

ADVERTISEMENT

Related Posts

  • Are negative news cycles and social media injurious to our health?

    Rabia Jalal, MD
  • How social media can help or hurt your health care career

    Health eCareers
  • Sharing mental health issues on social media

    Tarena Lofton
  • Black boxes: health warning or profit warning?

    Martha Rosenberg
  • 3 ways to advance the credibility of online health information

    Robert Pearl, MD
  • The obscene price of insulin: This is what happens when health care is for profit

    Therese Zink, MD, MPH

More in Physician

  • Why judgment is hurting doctors—and how mindfulness can heal

    Jessie Mahoney, MD
  • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

    Olumuyiwa Bamgbade, MD
  • The gift we keep giving: How medicine demands everything—even our holidays

    Tomi Mitchell, MD
  • From burnout to balance: a neurosurgeon’s bold career redesign

    Jessie Mahoney, MD
  • Why working in Hawai’i health care isn’t all paradise

    Clayton Foster, MD
  • How New Mexico became a malpractice lawsuit hotspot

    Patrick Hudson, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • How veteran health care is being transformed by tech and teamwork

      Deborah Lafer Scher | Conditions
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • How veteran health care is being transformed by tech and teamwork

      Deborah Lafer Scher | Conditions
    • Why judgment is hurting doctors—and how mindfulness can heal

      Jessie Mahoney, MD | Physician
    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • How veteran health care is being transformed by tech and teamwork

      Deborah Lafer Scher | Conditions
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • How veteran health care is being transformed by tech and teamwork

      Deborah Lafer Scher | Conditions
    • Why judgment is hurting doctors—and how mindfulness can heal

      Jessie Mahoney, MD | Physician
    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...