‘Lab rat, guinea pig, disposable hero’

We’ve seen more than a few breathtaking stories in recent years about the kind of treatment veterans receive when they return from Iraq, but this is just astounding.

Mentally distressed veterans from Iraq and Afghanistan are being recruited for government tests on pharmaceutical drugs linked to suicide and other violent side effects, an investigation by ABC News and The Washington Times has found. […]

In one of the human experiments, involving the anti-smoking drug Chantix, Veterans Administration doctors waited more than three months before warning veterans about the possible serious side effects, including suicide and neuropsychiatric behavior.

“Lab rat, guinea pig, disposable hero,” said former US Army sniper James Elliott in describing how he felt he was betrayed by the Veterans Administration.

Elliott served a 15-month tour in Iraq in 2003 and 2004, and was diagnosed with PTSD upon his return. Three years later, he was recruited for the Chantix anti-smoking study, and a few months later, Elliot suffered a breakdown that led to a violent confrontation with police officers.

Three weeks later, the VA advised veterans in the Chantix study about some of the side effects associated with the drug, including “anxiety, nervousness, tension, depression, thoughts of suicide, and attempted and completed suicide.” The VA alert came after three separate warnings from the FDA and Chantix’ maker Pfizer about the possible side effects. (The FAA, citing the drug’s side effects, has already prohibited commercial airline pilots from using Chantix.)

Elliott not only believes there’s a connection between his breakdown and the drug, but also wants to know why the VA didn’t make him aware of the risks. “They never told me that I was going to be suicidal, that I would cease sleeping. They never told me anything except this will help me quit smoking,” Elliott said.

And here’s the kicker: the VA sees no reason to discontinue the Chantix study.

[Dr. Miles McFall, co-administrator of the VA study] said there is no proof that Elliott’s breakdown was caused by Chantix and he sees no reason to discontinue the study. Some 140 veterans diagnosed with Post Traumatic Stress Disorder continue to receive Chantix as part of a smoking cessation study.

Dr. McFall says the VA decided to continue the Chantix study because “it would be depriving our veterans of an effective method of treatment to help them stop smoking.”

A leading bioethicist has a different take.

“How this study continued in the face of these difficulties is almost impossible to understand,” said Arthur Caplan, director of the Center for Bioethics at the University of Pennsylvania. […]

Caplan, one of the country’s leading medical ethicists, said he was stunned by the VA’s decision to continue the Chantix experiment.

“Why take the group most at risk and keep them going? That doesn’t make any sense, once you know the risk is there,” he said.

And the Obama campaign is trying to help bring attention to the controversy.

“It is outrageous and unacceptable that our government would irresponsibly endanger veterans who have already sacrificed so much for our country. Our veterans — particularly those suffering from mental health injuries — should have the very best health care and support in the world, they should never be needlessly exposed to drugs without proper notification of the dangers involved or effective monitoring of the side effects. I will immediately be asking for a full and thorough investigation of how our government could yet again let down our veterans and their families who have given so much to their country, and who have paid so much for the failures of civilian leadership in Washington. It is time to demand accountability and to ensure that this kind of breach of trust never takes place again.”

Stay tuned.

“Lab rat, guinea pig, disposable hero,” said former US Army sniper James Elliott in describing how he felt he was betrayed by the Veterans Administration.

It’s not a good idea to piss off a sniper.

Next thing we know the VA will be selling Vets donuts.

  • I have a serious question. Like a lot of folks, probably, there has been so much outrageous behavior over the years that a lot of stuff just gets lost, forgotten, and blown over. Does anyone have a link to a list, maybe just a list, maybe in spreadsheet format to keep it categorized, of just all the bad stuff, for lack of a better word, that is in one place, preferably with links? That sounds idiotic, I know. I’m thinking of something along the lines of:

    abuse of signing statements
    Abu Ghraib
    various anti-scientific positions
    extraordinary rendition
    attorney firings
    etc. etc. ad nauseum

    Cheers.

  • If there were no other issue — instead of thousands — Obama could defeat Sen. Stockdale on the Veteran’s issue alone. Or, as the old cheer goes:

    “Hit him again
    Harder, harder!”

  • Thanks, jibeaux, for reminding us of the ‘anti-scientific’ positions — remember Deutsch? I hope Obama has the guts to come down HARD on Sen. Stockdale’s support for creationism.

  • I sometimes wonder at the effort it must have taken to assemble the grand web of opportunists, sycophants, and psychopaths that make up the Bush Administration. How on earth did they manage not to employ even a single person with a conscience not borne of profitability? From the very top to the very bottom, these people make me sick and I hope every single one of them is ultimately held to account.

    It’s just plain sad when news such as this doesn’t shock me in the least.

  • Thanks to ABC, I’ve got a feeling that this horror will be discontinued very soon, possibly later today.

    One of the regular commenters here calls himself “too weary for outrage.” That’s the way I’m feeling any more.

    Jibeau, the full list of the abuses, horrors and crimes of this administration probably doesn’t exist yet, but we can be sure than numerous books will start coming out on this subject starting in January.

  • jibeaux- That’s a good idea for a website. I don’t know of one. Various lists would be included like yours which appears to be Bush Administration failings, and Steve Benen’s running tally of McCain’s flip-flops, etc. Categorizing by the severity of the misstep would be useful. Maybe it could be a Wiki. Unfortunately, I don’t currently have the time or ability to do this.

  • First thing that came to mind …

    Bodies fill the fields I see, hungry heroes end
    No one to play soldier now, no one to pretend
    Running blind through killing fields, bred to kill them all
    Victims of what said should be
    A servant `till I fall
    –Metallica, Disposable Heroes

    There really is a special place in hell for whomever decided to treat Soldiers and Marines this way.

  • On the face of it, giving a drug with suspected negative psychological side-effects to PTSD sufferers seems really bad.

    However, I could see other ways that this episode could be interpreted. First, suppose that the VA doctor learned of a still-experimental drug that might help soldiers with PTSD-related syndromes, by helping them cut down on smoking. If the VA doctor got his patients access to the medicine by enrolling them in a trial, that would, potentially, be a good thing by a doctor aggressively trying to help his patients.

    Second, even if the drug offered the soldiers no benefit, it might make sense to use them as a test group for a new drug, IF they were willing and paid and properly informed, bcause it is otherwise quite difficult to get a large group of people with known or controllable habits, diet, known additional medications, extensive medical records, and so forth. (This is partly why prisoners have often been used used as test groups.)

    Nonetheless, testing for expected increases in “anxiety, nervousness, tension, depression, thoughts of suicide, and attempted and completed suicide” in a group of patients that are suffering from PTSD seems as downright stupid as using a cigarette lighter to look for a gas leak.

  • My second point sounded harsher than I intended. Testing new drugs can be a service to society, and can be a way for willing volunteers to earn additional money for themselves and their families. The fact that VA patients are a convenient test population in no way justifies coercing them or tricking them into being guinea pigs for new drugs, but it seems okay to ask for their informed consent and pay them for their work.

  • What next? Dumping them into ice water? Sensory depravation (already tried on hapless “terrorists”)? Having them sit with sun glasses in a desert then detonate an atomic bomb? Oops. That one was already used. I know about that one because an uncle of mine died from cancer six years ago and the army said: “No connection. and besides, for God and Country etc…” When are we going to able to come to grips with the reality that we have become like a third world country where our leaders “mine” their citizens for profit.

    Free speech abounds here. The only problem is that no one is listening. Nauseating…

  • “Dr. McFall says the VA decided to continue the Chantix study because ‘it would be depriving our veterans of an effective method of treatment to help them stop smoking.'”

    So, increasing the risk of committing suicide or acts of violence that could result in the death of others is a worthy tradeoff?

  • Thanks, Danp, that’s a good start.

    I’m amazed this isn’t fleshed out more. My blog is mostly about my kids, but what with all the political blogs out there, someone should’ve done this.

    A bonus list would involve matching McCain’s policies up with the failed Bush policies/scandals.

  • I work in the pharmaceutical industry. This is nothing but a revenue producing ploy, using a chemical that has demonstrated marginal beneficial effects that is pushed through to people with more money spent on the marketing of the drug than actual R&D. The last effective, “block buster” drug Pfizer produced was Viagra(sildenafil citrate), and its about to go off of patent protection so they have to find something to fill the void.

    Its a game of gotcha. Tired of being addicted to one drug? Take another. Side effects from that drug? We can treat that with additional drugs. This is the free market and loose regulation. We are one of two, count ’em two countries in the entire planet that allows direct marketing of drugs to consumers(tv commercials, etc). The other country? New Zealand.

    My sister was going to start chantix today. She talked to a friend who had to discontinue taking it because of extreme sleep disturbances he had while on it. Luckily she opted out. And to do this to OUR veterans, especially ones with fragile psyche’s from PTSD? This is the free market where regulation only interferes with capitalism’s bottom-line.

  • “Why take the group most at risk and keep them going? That doesn’t make any sense, once you know the risk is there,” he [Arthur Caplan, director of the Center for Bioethics at the University of Pennsylvania] said.

    Oh, it makes sense, it makes *perfect* — if perverted — sense. The answer is right here:

    [Dr. Miles McFall, co-administrator of the VA study] said there is no proof that Elliott’s breakdown was caused by Chantix […]

    It’s a case of CYA. The “lab rats” been unstable already (PTSD), so they can’t prove Chantix made them any worse. They can’t prove it, nobody gets sued.

    Dr McFall should change his name to Dr Mengele, the Angel of Death.

  • I dunno, I’m with Kevin on this one. One guy in the trial had suicidal thoughts?

    That’s less than the overall number of vets suffering from suicidal thoughts.

    So I’m more inclined to think this is misunderstanding drugs than misapplication.

  • jl @17: …but what with all the political blogs out there, someone should’ve done this.

    Actually, I used to watch several sites that did that. But so far everyone who’s done it alone got very depressed and pulled back from the radar.

  • The V.A. has failed to diagnose and treat a hypothyroid condition even with indicating labs for years. This is easy to diagnose and I was telling them I felt like it might be a thyroid issue. They refused to treat and I think it was b/c I was a lab rat. I may have never known save further abuse lead me to investigate my medical records.

    I have suffered bait and switch operations, unnecessary pelvic and breast exams while I was under anesthesia by students for the sake of teaching, and even worse yet.

    I have been a lab rat and cadaver for teaching OHSU students, residents, and fellows.

    Of course this abuse caused PTSD, and no help is available for me on that score.

  • BTW female vets get even less mental health care, and we are abused more due to fewer women in the system relative to the number of students that want to learn female specific care. So 8-12 students doing practice pelvic and breast exams on a women under anesthesia is not uncommon. These people always talk about the violent G.I.s; it was a military doctor who violated me, and now the V.A. keeps telling me women will do procedures and after drugging me bringing in men to do practice exams and procedures, leave me with men after the procedures while still under the influence of the anesthesia and then get me raped again, by another doctor. These people are evil.

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