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The fish rots from the head: conflicts of interest at Partners and Harvard Medical School

One of my favorite sayings is: "The fish rots from the head."

This is because leadership is important and a bad leader inevitably leads to rot throughout the corpus of an institution.

Allison Bass has an interesting post:

Much has been written about prominent doctors who fail to disclose their lucrative financial ties with pharmaceutical and medical device companies. Yet there has been less focus on hospitals and other leading institutions who have similar conflicts of interest -- until now. In The Boston Globe Sunday, long-time investigative reporter Steve Kurkjian turns the spotlight on the enmeshed relationships between the long-time chairman of Partners, New England largest health-care company, and the pharmaceutical industry.

Kurkjian's eye-opening account reveals that Partners failed to disclose that its long-time chairman, Jack Connors, has owned several lucrative businesses that profited from their close ties both to Partners' teaching hospitals and Harvard Medical School, which provides the faculty and residents that staff Partners hospitals

Indeed, as Kurkjian notes, Connors' company, M/C Communications, "profited hugely from an exclusive commercial relationship it maintained with Harvard Medical School." But Partners didn't think it important to disclose that enormous conflict of interest to its own board or the public. Nor did Partners disclose the fact that Connors (after he sold M/C Communications in 2004 for a whopping $450 million) founded another for-profit home-care company that has solicited business from Partners hospitals.

If that's not a conflict, I don't know what it is.

In this case, Connors' undisclosed conflicts of interest are emblematic of the larger flaws that exist in health care today. The kind of profitable and conflicted relationships that he symbolizes go a long way toward explaining why both Partners (which owns Mass. General Hospital) and Harvard Medical School have been so loathe to strengthen their own conflict of interest policies and take action against compromised doctors like Joseph Biederman (a big gun at MGH), despite pressure from students and some faculty.

After all, if Partners' own chairman is allowed to get away with undisclosed conflicts of interest, how honest can the folks at the helm of either institution be?

Who was it that said the fish rots from the head?

[Any resemblance to other institutions, living or dead, is purely coincidental.]

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