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tv   America Tonight  Al Jazeera  November 6, 2013 4:00am-5:01am EST

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the campaign attracted lots of national attention. president obama and vice president bidden still to comed fostill tostill tstumped forcoue chicuccinelli.
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deblasio took over lhato. illinois will be the 15th state to legalize gay marriage. >> after 20 years of civil war rebels in the democratic congo have laying down their weapons. the u.s. envoy to the country calls the move a critical step in the right direction. those are the hea headlinesf america tonight is up next. ♪
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a decision that grants government agents lethal force against protesters armed with rocks. ♪ >> good evening, and thanks for being with us. i'm joie chen. one of the best names in the treatment of dementia patients sits in a bigger debate, pharmaceutical companies, prescriptions and how doctors choose the medication they provide. johnson and johnson m settled about the government
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from 2002 to 2003 there was an off-labor use of the drug not approved by the fda. it has been since approved for dementia and young patients as well. and it has been an enormously successful product. it had $24.2 billion from 2002 to 2010, but it was the off-label period that raised alarm. the marketing effort including compensation to doctors amounted to reckless endangerment of patients young and old. >> the kick packs undermines adjustment of healthcare providers. it provides incentive to increase the use of drugs potentially putting the health of some patients at risk. the companies put down the risk of risperdol.
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put simply the alleged conduct is shameful and it is unacceptable. it displayed a reckless indifference to the safety of the american people, and it instituted a clear abuse of the public trust. >> joining us in the studio, patrick burns in taxpayers against fraud. this originated with a whistle blower, as it were, who brought it to the government's attention. but didn't quite get the government's attention. why was it a problem, and what does this tell us? >> well, wrestle blowers come to the government for examples of fraud, and the government often doesn't quite understand the fraud. fraud is like a magic act. if it was that obvious everyone would see it, and no one would profit. so the government looks at it. they don't quite understand it. then they start lawyering it.
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what happened in this particular case was the whistle blower realized essentially what was going on here was p a, yola was being paid, this was poisoning for profit. he was very upset about it. he went ultimately to "the new york times." he lost his job. then he went to texas. in texas it went before the jury. the jury started to read all of the e-mails inside the company, and before that case went to jury for consideration the company settled for a very large sum of money. >> in the end this whistle blower was compensated for coming forward. >> yeah, he had spent the winter without heat, after he had been terrified, after he had lost his job. when whistle blowers go into this, when lawyers go into this they have no idea if they're going to be successful or not. the bottom line is that they pay a huge price as the patients do. >> let's go back to the specific
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case. in this particular case, this is--your organization is a taxpayer organization. how can you relit these two things? is this really a stockholder issue rather than the taxpayer issue. the stockholders of johnson & johnson, shouldn't they be upset. >> if the fraud is not caught the people who foot the bill is the taxpayer. if the fraud is caught, the people who are who foot the bill for the fine is johnson & johnson in this case. the people inside johnson & johnson, designed, they got promoted. >> in this particular case in the settlement payment there is are a lot of them, but at no point does it identify any particular individual who is responsible for this. this is a penalty that
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johnson & johnson overall paid $2.2 billion in settlement money but not a particular individual was named as being complicit. >> yes, well the government settled. it's not a strong endorsement of a good deal. the government didn't take this to trial. johnson & johnson didn't take it to trial. the bottom line was this fraud was not a mystery. it was designed and operationalized within johnson & johnson. they were paying kickbacks. that means they were paying cash, payola. they had a whole system to off label market this drug. they were paying the chief pharmacist in pennsylvania, of texas, in order to get them to approve this drug for off label and illegal purpose. this was a cash and carry. this was a gamble, and it was organized and operationalized within johnson & --
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>> the parent company. >> and the people who did that were promoted all the way to the top. >> there were a number of other pharmaceutical companies with off-label use of their anti-psychotic drugs, going forward what happens? are they greater concerns? >> there are greater concerns. first of all, there is patient harm here, patient risk here. the basic gambit of the pharmaceutical industry is that they don't have anything too new to sell. in this case you had risperdol , you either try to grow the pie, which is off label marketing, or you try to get a bigger slice of the pie by paying kickbacks to
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doctors. or if you're johnson & johnson, you do both. >> thank you very much. we're going to bring on board dr. gregory smith, a former anesthesiologist and president of the comprehensive pain relief group. you have produced a documentary because you have concerns. your documentary is "american addict" and it raises the question of how pharmaceutical companies market to doctors. if we could take a look at some of your documentary. >> pharmaceutical representatives are universally attractive. they get recruited from cheerleading squads at big ten schools. >> this is an anti-psychotic medication, it's very popular, it's very expensive. these others are diverted the reason being the medical programs pay a lot of money for these drugs.
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>> what was once a diagnostic manual that was paper then is now a huge book with hundreds of diagnoses in them. >> it's the lawyers fault. we invented corporations . it doesn't have a conscience, you can't put it in jail. >> that is a seg edge of your "american addict" documentary, and going to the idea of using fashion models to lure doctors into using medications. that might be surprising to a lot of patients. >> right, hit will me first say when we started making this documentary i was trying to answer the simple question or fact that we're possibly 5% of the world's population but we utilize 80% of the world's hydrocodone, in many cases
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vicodin and 50% of the world's prescription drugs in general. it's like how is this possible? this is definitely not a begins dense. we'r coincidence. we're only one of two companies that allow direct marketing to patients on media. we're a society with a bill for a problem. if you go to a physician, and if you can't sleep you get a pill. if you feel sad, you get a pill. if you have anxiety, you get a pill. we're not treating the underlying cause, which is why there is abuse of pharmaceuticals right now. >> the fda says you can use this medication for this purpose. that would be the labeled use. some of these companies have marketed them to physicians and said, look, this has been effective in other areas, is that about right?
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>> yeah, i mean, off labeling has been done for a long period of time. and i don't think it's always necessarily a bad thing. when it's abused it's a bad thing. at often it is abuse. these fines are nothing new. these are the largest ever, but it's still not big enough to prevent these big pharmaceutical companies from doing this fraud. when you look at it, $2.2 billion sounds like a lot of money to the average person. and it is. but as you showed earlier in your promo they made over 24 opinionated for just one of the three drugs they got in trouble for today. off label something extremely common, but it's not always a bad thing. but in this case or in the case where they're pushing the drug to make money it is a very bad thing. >> on that point people in your practice, you have used some pharmaceuticals off label, as it were? >> absolutely.
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i do chronic pain and addiction medicine, and very often in private pain it's not the same as regular or acute pain, we use different medications , off label, a lot as i do with nutritional supplements and things of thattor. that's very different from what is going on here. we have big pharmaceutical companies perpetuating the use to expand the marketplace of a medication that it fda approved for a different reason. that's a big problem. >> as a physician did you feel like you are approached on what seemed to be a hard sell or the on the pharmaceutical's part? >> there were people who just got money and gifts to do things. now it's a lot different.
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you get lunches and pens and things like that, but most of the time the reps are trained very hard not to talk about off label uses. the trick is you'll get others in meetings and , to talk about the medications but reps themselves, don't do it. >> dr. greg which smith's film is "the american addict." coming up here, a rift in the ranks. when hazing
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>> while you were asleep, news was happening. >> here are the stories we're following. >> find out what happened and what to expect. >> international outrage. >> a day of political posturing. >> every morning from 5 to 9am al jazeera america brings you more us and global news than any other american news channel. >> tell us exactly what is behind this story. >> from more sources around the world. >> the situation has intensified here at the border. >> start every morning, every day, 5am to 9 eastern with al jazeera america.
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there's more to financial news than the ups and downs of the dow. for instance, can fracking change what you pay for water each month? have you thought about how climate change can affect your grocery bill? can rare minerals in china affect your cell phone bill? or how a hospital in texas could drive up your healthcare premium? i'll make the connections from the news to your money real.
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>> how could this happen in the nfl among adults that we glorify every weekend. but i was at the stadium today. i did talk to troy drayton earlier, and he said the nfl will move forward from this, and he referred to this situation as a tough situation. but he said his team will move forward from this. even so this entire situation hurts for everyone, the fans, the players and the entire dolphin family. >> i think that it's an unfortunate incident. the locker room is a place when you retire it's the place you
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miss the most, it's an unfortunate incident of what is happening here. i think out of all the bad there is going to be something bad that comes out of it. it's unfortunate that, you know, you have this situation happen and you have people hurting. you have a teen hurting. jonathan martin is hurting. and then you have the coach who is hurting. but at some point in time, you know, bullying has no place in anything. i think there's going to be something good that comes out of it. and i think for the nfl, they have a lot of smart people.
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this organization has a lot of smart people. and i think the coach is a smart man. i think it's a hurdle you have to get over. i think it's an isolated incident. because there was a racial under tone to it. but in this situation it's tough. it's a tough, tough thing. when you look at it, these two guys played next to each other. it's tough to imagine that somebody that you were relying on is actually hurting you in some way, shape, or form. that to me is one of those things that is unimaginable. it's a tough thing. it's a tough thing for the dolphins. it's a tough thing for the nfl.
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but like i said, we'll get through it. >> i can't believe its happening in the informal, these are adults. i think you have to move cautiously. you can't forget it. you can't act like it didn't happen, but i think you have to put things in place so that it doesn't happen again. again, it's unfortunate that something like this would happen to anyone because i wouldn't want this to happen to anyone. but i think is slows ugly type of culture , subculture in a sense in the nfl. it doesn't happen on every team, but it happened on my team, and you know, as a former player when you see those types of things happen to another player,
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it hurts. because this is a guy that you supposed be protecting, this is a guy that you love like your family. when you're on that field people don't see name, they see the dolphin, they see the number that you represent. this is unfortunate that this is happening in our house. just like coach philbin said, we're going to clean it up, and we'll move forward. >> and i think he was confident, they're going to move forward. something good will come out of it. he just thinks steps need to be put in place to prevent it, but i don't know if you'll rid of
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the hazing. >> and there is extortion for players to put up money for other players to take vacations and so forth. i noticed he said it doesn't happen on every team. >> he has played on a few different teams, did i ask him about hazing, he almost talked about it as a rite of passage as football players. sometimes you have to pay for meals that other players ordered. he would make other players carry his pads but he has never seen things get this far, especially with this racial element to it. i asked him if there was a racial issue in the locker room, he went to say that it wasn't rampant but he said there are a lot of incentive players that are there that take action when nobody else is looking, and that's unfortunate. but did he say that he glad that jonathan martin stood up and he used his brain not his brawn to address this situation. as a result he thinks something
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really good is going to come out of this, and changes will be made. >> reporting to us from miami. ahead on "america tonight." vulnerable targets with weaker weapons. protesters will look into deadly force coming up next. >> a senator under investigation and only al jazeera america is there. uncovering the corruption opening the files... >> are you going to resign if your're indicted? >> breaking the story real reporting, this is what we do... al jazeera america
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>> while you were asleep, news was
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[[voiceover]] every day, events sweep across our country. and with them, a storm of views. how can you fully understand the impact unless you've heard angles you hadn't considered?
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antonio mora brings you smart conversation that challenges the status quo with unexpected opinions and a fresh outlook. including yours. determining using some sort of subjective interpretation of their policy as to whether or not your particular report was actually abusive, because if it doesn't contain language that specifically threatens you directly or is targeted towards you specifically, they may not consider it abuse. they may consider it offensive. and in that case they just recommend that you block that person. >> i don't want to minimise this, because i mean, there's some really horrible things that are on line, and it's not - it's not just twitter, what has happened through social media
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and the anonymity of the net is that you see websites, hate-filled websites targetting all sorts of groups, popping up. there has been a huge number of those that exist as well. (vo) al jazeera america we understand that every news story begins and ends with people. >> the efforts are focused on rescuing stranded residents. (vo) we pursue that story beyond the headline, past the spokesperson, to the streets. >> thousands of riot police deployed across the capitol. (vo) we put all of our global resources behind every story. >> it is a scene of utter devastation. (vo) and follow it no matter where it leads, all the way to you. al jazeera america. take a new look at news. on techknow, our scientists bring you a sneak-peak of the future, and take you behind the scenes at our evolving world. techknow - ideas, invention, life.
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>> sometimes artists only need a chance, maybe a passing glance, for acts of kindness has made up an entire career. he is not an artist himself but he does know a powerful piece when he sees one. an his talented finds have the most interesting and storied tools. [ whistling ] >> this look like a bunch of material that had been blowing around in the storm or a tornado. >> lonnie turns debris into art. [ singing ] >> art that has been shown in major museums around the country. >> as you saw me go through all of this stuff to expose it, i
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was like an inspector, and in a sense i were acting like an archeologist. >> but just as he finds art others may overlook. >> it was flat like a mirror. you probably see it. >> an unusually kind of curator found him. >> this room is the work of lonnie holly, lonny has always been one of the most important of these african-american artists. >> meet bill arnett, a curator with a cause. >> and if he had been, let's just say white living in new york, he would be a celebrity long ago in my opinion. and he will be anyway, but sometimes it takes longer. >> the art that i'm involved with is art that compares favorbly with any art that has been produced anywhere on earth in the past hundred years or i wouldn't be involved with it otherwise. i'm not fascinated by primitive,
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naive or folky things. i'm interested in the great art of the world, and i spent my life exploring it. >> arnett lived and worked overseas for years where he became one of the great experts on art from many cultures. then he curated for museums across the united states and consulted for museums around the world. >> came to realize that we had something in the south equal to all that, truly, genuinely. i realized there was something here that i didn't know about, and neither did anybody else, and it was just lurking out there in the woods. >> reporter: the 1970s arnett began to travel the back roads of the deep south and discovered art nobody knew about. >> and i discovered here in the south we had this black culture which had, indeed, been making art since the first slaves got off the boat. black people were not allowed to have written language and create things publicly for the people that
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other civilizations do, the way the white civilization did. they made these things secretly and passed on verbally. >> reporter: lonnie holly introduced him to an artist who would become world renown. >> diahl was terribly reluctant to talk to me or talk about his art because he came from a generation that had been taught don't let white people know what you're thinking. just stay out of sight. d iahl pulled a piece out, and it was the most magazine piec magne of art. i asked if he had anything else, and he is just one of these great geniuses that come along very, very rarely. >> if god came down and gave me a choice of what to have in a museum i would have kept that
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. >> reporter: william dreyfuss a prominent collector with his own museum. >> i think this will be a very important painting. it may take a long time to get there, but it should be at the met. >> reporter: louie dreyfuss bought more than 125 of diahl's works . >> arnett has an understanding of what black america is about. i have a lot of admiration for him. >> reporter: bill arnett went on to discover dozens of other artists. >> this is an artist from memphis who died a few years ago. his name was joe light. this is a woman named mary tillman smith who lived in hazel hearse, mississippi. >> reporter: artists in the art establishment failed to notice even though they were hiding in plain sight. >> the next artist we'll come to
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here is pervis young. he began painting in an alley, in a ghetto of miami. >> reporter: and bill found artists in an isolated pocket of rural america in alabama, a place arnett would make famous. >> every day we spent it was a sense of discovery. we would meet a new quilt maker that would show us work that had been made 20, 30, 50 years ago, and here it was seeing light for the first time . >> so we decided to go on a regular basis, and word got around that there were crazy white people paying crazy prices for old tattered stuff. >> reporter: the quilts were
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made from old work clothes that had become too worn to wear. >> some of the most beautiful things i had seen in my life. i could imagine if some art lover had lived in paris, and let's just say had come upon a picasso or matisse or any of these guys in 1910 and recognized, wow, the history of art is about to change big time, and i'm here to look at it. that's the way i felt. that's exciting. i took it to people. i didn't want it for myself. i didn't want to make money from it. i didn't want to control it. i wanted to just disseminate it. i wanted the information to get out. >> reporter: arnett introduced artists like lonnie to art collectors, dealers and gallery owners. >> oh, bill, bill have allowed my works to be on exhibit for the olympics here in atlanta. he put my works in some of the greater institutions
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like the united nations pipe work. my works are in smithsonian because of bill. >> reporter: arnett introduced thornton diahl to the art world. >> i think the work is incredible. >> i think he's work is as great as picasso. >> the extraordinary contributions-- >> reporter: arnett had his critics. those who accused the white art connoisseur who ripped off black artists. >> those who accused me of ripping off black artists or profiting from them hurt me. >> my dad went through many years where it was hard for him to get out of bed. >> reporter: lonnie holly made it clear what he thought of the
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charges against bill arnett. >> bill arnett did not take advantage of myself. as far as i'm concerned no other artist. for me he was coming in our lives. he was giving us more for our works of art than we ever received before. he gave us time to actually develop, and also he was taking the time to take the work to the next level for us. >> reporter: but the rumors scared off the galleries and museums which were about to feature the work that arnett had discovered. >> the next thing you know diahl can't have a show anywhere, it gets canceled. >> reporter: it took years but the accusations faded and the art spoke for itself. >> i didn't quit. that's my best talent, my unwillingness to give up. >> reporter: and bill arnett has
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not given up. the work he has championed is finally getting it's due. articles, museum exhibits, even postage stamps. lonnie holly finally got a new york show. >> i'm trying to make a joy for noise. >> reporter: bill arnett is 74 and stepping back a bit from his life's work but his son matt has picked up the baton still looking out for the artists they discover, still bringing their art to the world. >> i feel really, really, really good about this. >> no kidding we feel pretty good about bill arnett, too. looking ahead on "america tonight" we're going to revisit the dignity colony one of the darkest chapters in latin america history. >> the colony was a criminal pedophile organization, it was
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run like a sect. it was a concentration camp of forced labor and sexual abuses. >> all our families lives have worked and sacrificed here. i have nothing else. so i'm trying to throw out the bad and take advantage of the good because i feel this place is mine. >> reporter: the frightening hotbed, the oppressive leader and survivors working to rebuild their lives. stories coming up on wednesday on "america tonight." till to come, and island's hip-hop. we tune in to young artists in cuba as they rap for change.
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on inside story, we bring together unexpected voices closest to the story, invite hard-hitting debate and desenting views and always explore issues relevant to you. >> audiences are intelligent
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>> finally from us tonight on an
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island is music from a new generation. we report from havana, cuba, is uniquely american. [ hip-hop music ] >> it likes to rap about his life, his family, and cuba. [ hip-hop music ] >> his artistic name means the possession man. he says that his music is perceived as a threat. >> i think that hip-hop is not convenient for the government because our society has had the same system for the last 50 years. our songs can open the hearts and mines of people. we represent what people are silent about. [♪ music ] >> in the land of cha cha cha hip-hop culture arrived in the 1980s through the radio
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stations in miami. but it was only in the 1990s when the government authorized the first rap festival. this is the place where cuban rap was born, a housing project in the peripheries of havana. even though rap is not the most popular type of music in cuba young people tell that's they turn to it to express the frustrations of their daily lives. a graphic designer who thinks for change. he's also a government employee, an example that authorities are more open to criticism when it comes to music. >> hip-hop is a culture of protest that is difficult to develop here for obvious reasons. even though there is a government agency and we get a little help from them. i have to do everything myself. the big problem we face is lack of information. there is almost no internet, and that is a big problem for young people.
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>> in spite of the criticism and the lyrics rap is hardly a threat to the government. mainly because it lacks promotion. he's trying to change that. >> in cuba everything is difficult. there are obstacles all the time. we built this studio with a lot of effort. i'm working so that wrappers c wrap--rappers can get more promotion and rap can be herald all around the island. >> that's what people would like to see so that young people here can use rap to get their message out. >> teresa reporting. that's it for us here on "america tonight." if you would like to comment on our stories log on to our website at tonight. and enjoy the conversation with us on twitter or at our facebook page. tonight we'll have more "america tonight" tomorrow.
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>> this is al jazeera 678. >> the in democratic of congo they defeat the rebels. >> this is the highest point of what was the rebels final hideout. the vo view from here is


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