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Even doctors are (finally. These days, it's hard to tell the difference between pharmaceutical commercials and car commercials. That's because nutritional supplements, based on vitamins, minerals, herbs, and natural substances such as MSM, are not patentable. Doctors chronically under-report and even ignore the deaths or adverse reactions to the drugs they prescribe because it is not in their professional self interest to raise public awareness to the danger. Marcia Angell and Arnold Relman, another former editor of the New England Journal of Medicine, to warn, "Few Americans appreciate the full scope and consequences of the pharmaceutical industry's hold on our health care system. In fact, they are summaries of after-hours conferences sponsored by pharmaceutical companies. Although industry market research data are unavailable, studies of physicians show what common sense predicts, namely that physicians are influenced by all kinds of marketing tactics.