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UBC Press Spring 2017 Trade

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Health Advocacy, Inc.
How Pharmaceutical Funding Changed the Breast Cancer Movement
By (author): Sharon Batt
9780774833844 Hardcover, Dust jacket English General Trade SOCIAL SCIENCE / Disease & Health Issues Jun 15, 2017
$39.95 CAD
Active 6 x 9 x 1.13 in | 720 gr 396 pages UBC Press
In this unsettling analysis of the breast cancer movement in Canada, health activist, scholar, award-winning journalist, and cancer survivor Sharon Batt investigates the changing relationship between patient advocacy groups and the pharmaceutical industry, as well as the contentious role of pharma funding.

Health activist, scholar, award-winning journalist, and cancer survivor Sharon Batt investigates the relationship between patient advocacy groups and the pharmaceutical industry as well as the contentious role of pharma funding. Over the past several decades, a gradual reduction in state funding has pressured patient groups into forming private-sector partnerships. This analysis of Canada’s breast cancer movement from 1990 to 2010 shows that the resulting power imbalance undermined the groups’ ability to put patients’ interests ahead of those of the funders. A movement that once encouraged democratic participation in the development of health policy now eerily echoes the demands of the pharmaceutical industry.

Sharon Batt is an independent scholar and adjunct professor in the Department of Bioethics at Dalhousie University and a research affiliate of the university’s Technoscience and Regulation Research Unit. A survivor of breast cancer, she co-founded Breast Cancer Action Québec in 1991. Batt was a founding member of Canada’s first feminist magazine, the Edmonton-based Branching Out, and for six years was an editor for the consumer magazine Protect Yourself. Her documentary on cancer for CBC Radio’s Ideas won the Major Armstrong award; her book Patient No More: The Politics of Breast Cancer won the Laura Jamieson Award for feminist non-fiction.

Sharon Batt was a pioneer of the breast-cancer patients’ movement. No one is better positioned to tell the ultimate insider story of how the movement grew, feuded, and was slowly sundered by Big Pharma’s clever seductions. It’s a blistering but balanced study of the impossible strains imposed on our medical system and those who struggle within it – a cautionary but constructive tale for our times. - Michele Landsberg, journalist, breast cancer survivor, and author of Writing the Revolution

Sharon Batt, herself a breast cancer survivor, weaves the personal with the political to tell the story of how most of the breast cancer movement ended up in the arms of the pharmaceutical industry. Abandoned by the federal government as it increasingly adopted a set of neoliberal values, the patient breast cancer groups turned to the drug companies for funding, and in doing so lost their way. - Joel Lexchin, MD, Professor Emeritus, Faculty of Health, York University and author of Doctors in Denial: Why Big Pharma and the Canadian Medical Profession Are Too Close for Comfort

Sharon Batt’s thorough and detailed book revisits some key history around breast cancer activism, pointing out, for example, the serious conflict of interest that shaped the work of the prominent women’s health movement advocate Rose Kushner. Batt both “follows the money” and also offers a sympathetic analysis of the challenges facing public interest groups seeking to educate the public in the face of well-financed opposition. A must for any social justice activist wishing to learn from the past, as well as why there is no such thing as a free lunch and how hard it can be to avoid biting the hand of those that feed us. I was particularly pleased to see the chronicling of how several long-time principled activists within the Canadian women’s health movement laid the foundation for important crossborder collaboration with US feminist activists that extends even to this day. - Judy Norsigian, cofounder of the Our Bodies, Ourselves organization and co-author and co-editor of Our Bodies, Ourselves

Sharon Batt catalogues with exquisite and agonizing precision the predatory funding by drug companies of breast-cancer–patient advocacy groups and the consequent loss of authenticity and trustworthiness of breast cancer advocates. It is an alarming historical record and inseparable from government cuts to patient groups and the infiltration of corporate values into patient care and activism. - Philip B. Berger, MD, long-time downtown Toronto physic

I recommend this book to anyone who wants to understand the government policy changes and the manipulations, conflicts of interest, and very human dynamics that undermined the integrity of the breast cancer patient/survivor movement and skewed patient advocacy towards pharmaceutical industry interests. Sharon Batt’s meticulous research lays bare the troubling dynamics of drug industry funding and explores better ways to protect women’s health. - Ann Silversides, award-winning health policy journalist and author of AIDS Activist: Michael Lynch and the Politics of Community

Sharon Batt has given us a riveting account of how health advocacy in Canada became colonized by the pharmaceutical industry. As a leader in the breast cancer and women’s health movement, she provides a compassionate and scholarly overview of the moral and ethical dilemmas many health activists faced when Big Pharma came knocking at the door. Health Advocacy, Inc. describes the public policies that were behind these heart-wrenching debates on the front lines and provides a roadmap back to independence. - Colleen Fuller, cofounder and president, PharmaWatch Canada

This is a powerful insider account, coupled with excellent scholarship, of Big Pharma’s doings in relation to the breast cancer movement. After reading this book, the only thing I wanted was more – more information on how this work applies to other countries and to other health advocacy movements. This is a vitally important book. - Evelyne de Leeuw, director of the Centre for Health Equity Training Research and Evaluation (CHETRE) at the University of New South Wales, Australia

A searing indictment of industry subversion of “patient” groups. Batt chronicles the rise of industry fronts and industry-influenced patient groups that arose in parallel with (and as a result of) the rise of neoliberalism. She demonstrates how the same tools used by industry to influence doctors are used to influence key patient groups in ways that patients may not recognize. Required reading for all lay groups tempted by industry money. - Jeanne Lenzer, associate editor of British Medical Journal, and author of The Danger within Us: America’s Untested, Unregulated Medical Device Industry and One Man’s Battle to Survive It

This riveting history of the breast cancer movement chronicles, analyzes, and evaluates the relationship between patient advocacy organizations and the pharmaceutical industry. The author’s auto-ethnographic observations shine brilliantly, and the issues she raises should incite debate about the need for medical reform and new health policy. - Sergio Sismondo, Professor of Philosophy, Queen’s University, and co-editor of The Pharmaceutical Studies Reader

As a public intellectual whose work spans the worlds of journalism, the women’s movement, breast cancer advocacy, and the social studies of medicine, Sharon Batt provides a nuanced analysis of the vexing problem of political advocacy and industry funding. This book has important implications not only for health policy and patient advocacy but also for the broader political conversation about neoliberalism, democracy, social movements, and social fairness. - David J. Hess, professor of sociology, Vanderbilt University, and author of Undone Science: Social Movements, Mobilized Publics, and Industrial Transitions

[Health Advocacy Inc.] expands the conversation into new terrain, exploring how industry infiltrates patient advocacy groups employing the same tools that have been so successful with doctors…

- Anne Kingston, Literary Review of Canada

Batt`s scholarly approach allows opposing voices ... [her] goal is to start a conversation and encourage discussion. She readily achieves this effect, and any cancer charity currently facing a funding dilemma would be well served by her book.

- Isabel Lokody, Lancet Oncology

Health Advocacy Inc. occasionally feels like a Russian novel. It has plot twists and dissidents whose tactics and rebellions against drug companies are nothing short of heroic. Yet Batt eschews sensational tropes about the evils of big pharma in favour of interviews and archives describing the gradual demise of the breast cancer movement.

- Deborah Ostrovsky, Herizons

Batt makes a powerful case ... To this reviewer’s knowledge, this is the only study tracking the process of neoliberal reform and its cumulative impact on the same groups within civil society over such a long time frame and is ground breaking for that reason alone.

- Nick Acheson, University of Dublin Trinity College, Voluntary Sector Review

[Batt’s] superb new book is a deep scholarly account of the way that pharmaceutical funding has warped the patient advocacy movement into a tool for medical capitalism ... Few writers are better placed to document this story ... Would-be rebels and reformers should take to heart the cautionary lessons of Health Advocacy, Inc.

- Carl Elliott, Hastings Center Report

In sum, Batt’s is a terrific book, a focused study of a policy area that has many lessons for all concerned with effective democratic policy making and the consequences of public-private partnerships and donor influence. - Peregrine Schwartz-Shea, University of Utah, Journal of Empirical Research on Human Research Ethics

Health Advocacy Inc. is an extremely stimulating and timely book benefitting from the author’s scholarly skills, but also from her particular standpoint as a breast cancer activist. - Grazia De Michele, doctoral researcher in history at the University of Genoa, Somatosphere

Batt has written a compassionate account of the debates among breast cancer activists in Canada and internationally about whether to accept money from the pharmaceutical industry … Now more than ever we need advocates who put drug safety, effectiveness and affordability above the interests of pharma.

- Colleen Fuller, cofounder of Pharma Watch Canada, Alberta Views

Batt’s revelations about the relationship between patient advocacy groups and the pharmaceutical industry are vital and disturbing. - Lisa Cumming, Maisonneuve

[Health Advocacy, Inc.] is not an easy read, but it should be devoured by anyone, from any nation, who wants to put together a similarly formidable argument for transparent and genuine discussion about what we should – indeed, must – do differently to prevent and treat human suffering and disease. - Nancy MP King, Wake Forest University, Indian Journal of Medical Ethics Online

To Batt’s credit, she never falls into the partisan trap of framing the issue as a moralistic struggle of good versus evil. While she stakes out a strong position, she treats the topic with the nuance it deserves. Drawing on a wealth of ethnographic material, she chronicles how decent people and committed organisations struggled to support and represent breast cancer patients over many years, despite financial constraints and funder attempts at co-optation.

- Till Bruckner, The HealthWatch Newsletter

What makes the book stand out from the rest of the vast literature on these dynamics is the wealth of personal vignettes and in-depth case studies…

Academics, funders, policy researchers and campaigners of all political stripes will find a lot to like, learn and think about in this meticulously researched and well-written book.

- Till Bruckner, founder of TranspariMED and advocacy manager for Transparify, On Think Tanks

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