��in an era when patient advocates are pharma partners, the public can no longer assume that advocacy groups have the public interest at heart. Unless an organization has foresworn corporate money, we can't be assured of its independence. And that is not in the best interests of our health, or in the best interest of a just society. We need change. We need advocacy. Social change is hard work, and no one is going to pay us to do it.�

�In the ensuing decade, drug companies realized the potential benefits of investing in patient groups. In January 2000, Urch Publishing, which offers "business intelligence and information for management in biotechnology, pharmaceuticals and chemicals companies," issued an $800-per-copy report titled Patient Groups and the Global Pharmaceutical Industry. "The perception that industry-patient group collaborations can lead to unwelcome publicity is the principal reason holding many potentially fruitful relationships back," wrote Fred Mills, a UK-based former pharmaceutical industry executive. "Despite this, groups are biting the bullet and some of the early efforts at partnerships have been very worthy and mutually beneficial."



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