I don't think they lie, you do? I do think there is not such thing as a perfect clinical trial that studies every med or device in every sector of the population with every possible variable studied in detail.
There are side effects in some number of people to virtually every single medical intervention in existence, and so there is always some acceptable level of risk. I for example had complete vestibular loss due to IV antibiotics. For the 5% or so of people who have inner ear damage it sucks to be one of the acceptable risks. But they would argue my risk of dying from sepsis outweighed my risk of the antibiotic screwing with my balance.
All of them all of the time.......no. Is it done or has it been done to push meds and devices on the market that should have been studied further or had more stringent guidelines/clinical trials testing.........Yes.
I understand side effects, and just about any medication/device has a potential and that the risks are weighed against the benefits. The act of taking an Ibuprofen pill can have some potential to harm someone, and I get that. I'm not admonishing the entire industry/med system.............but there are more than a few examples of manipulative marketing/data, clinical trials and push for things to go on the market that result in the harms/potential for harms outweighing the benefits. Look into the entire story of how opioids were marketed to the public and the outcome. There is a lot of information under reputable sources on this as well as Pharma companies finally being held liable for their part in creating it all in the name of getting in on the pain relief action. Using medications they knew were highly addictive and should not be used for long term issues, but were. A lot of doctors were also held liable for their part.
Also, look into how medical device clinical trials and approvals are handled verses medications. There is far less scrutiny in that arena and way more loop holes. That is not to say that there aren't a lot of devices out that are life saving and sustaining, just that the process allows for devices to go through approvals that should not have been introduced and may not have been approved had they gone through more extensive testing, etc. as well as loopholes available that are only supposed to be used in the most extreme circumstances but are used quite frequently to push devices to market IF there is a similar device already on market EVEN if that device was recalled prior due to safety concerns. They just had to say........hey, we fixed that.
With that I will bring up to discussion one particular device known as Essure. Introduced to the public by Conceptus in 2002 after approval by the FDA via PMA (preemption) as a class III device. What is Essure? It was an alternative permanent birth control device for women to give another option versus the standard tubal ligation. It was mostly pushed as the only non-surgical alternative as it consisted of two metal coils that would be inserted into the fallopian tubes via hysteroscopy through the Uterus. The patient could have this procedure done in the office with no general anesthesia, saddle bloc was usually given, some doctors used sedation and other pain blockers. Procedure was supposed to take no more than 20 minutes. Recovery time was advised to be quick, you could be back up and going the very next day. Immediate side effects were listed at the time as mild cramping, bleeding, headaches, upset stomach. Possible complications at time of insertion or prior to your 3 month check up to run a test to confirm correct placement and occlusion of the tubes were - puncturing of the tubes, coil breakage (from procedure), and possible migration - but these were considered extremely rare. There was a small blurb to physicians in the beginning about testing women for metal sensitivities prior to placing, but then that guidance was removed a few years later.
Now, in 2009 I had the Essure placed after a long discussion with my doctor over the pros and cons of the device verses getting tubal ligation. They were backing Essure whole heartedly, and in their defense, the doctors did not know everything that was going to happen to women, the extreme side effects that were occurring outside of the ones listed by Conceptus. As for the metal in the coils, I was told it was titanium and stainless steel and perfectly safe and all the other things that were so much better than getting a tubal. So, hey, I said sure, let's do this. I wish I had not, and IF I had the proper information that came out in 2016 when the FDA forced them to put a "black box" warning on the product with a stringent check list of the actual issues and side effects that could occur I would not have chosen Essure over Tubal. Oh, and the metals in the coils - sure there is titanium and stainless steel, but it also made up with nickel and tin with a coating of PET, which is what prompts an inflammatory response in your tube to cause scarring and the tube to close up. Without going through all of the issues over the years - this past February it was confirmed via CT Scan that the coil from my right tube had migrated into the endometrial tissue of my uterus. I am now having to get a hysterectomy to have the coils removed, because they just can't cut them out or pull them out as it was found out if you do that the coils break and fragments of the metals and PET spread through your body causing hyper immuno responses and life long debilitating health issues. Great huh.
Geez, this is longer than i wanted,...............but a class action was put against Bayer (they bought Conceptus in 2013/14) that was just settled for 1.6B in August 2020 after several years from the date it first started. 39,000 women were part of this suit. What came out of this action was the findings of changed questionnaires by the survey questioners - from women in the clinical study - changing answers from them advising of intense pain to "very good". Women that were dropped from the study that presented issues from the device. The study itself was only a few hundred women over 1 1/2 to 2 years with only 2% of those being followed for 2 more years. There was findings that Bayer withheld reporting over 16,000 adverse events to the FDA, which these things prompted the FDA to more scrutiny and then ordering the black box warning. The device is no longer available, it was discontinued for sales in 2018 but any kits that doctors already had could still be placed in women. The remaining devices that weren't placed by the end of 2019 had to be returned to Bayer. Bayer cites the reasoning behind stopping sales of the product as marketing issues, not safety. They aren't going to admit their product is ****. Of course, even with 39000 in the suit, there are still many women having issues come up, like me, that didn't present immediately. Hell, mine were placed in 2009 and it took to this year to confirm they were an issue. Considering there were still many women that got implanted up until 2019, well think about it.
Ok, I will stop there on that as that is way longer than I ever want to post, and there are a lot more details about the issues with Essure, the fall out, how having them listed as class III hurts further lawsuit - class III is held for what is considered life saving and sustaining - and has preemption which is supposed to protect the manufacturer from liability. Why would that classification be given to permanent birth control - it is also the classification for breast implants......wtf. All of the problems women have faced, deaths, thousands of hysterectomies, debilitating pain, profuse bleeding, autoimmune disorders, endometriosis, extreme fatigue, metal allergic reactions, hair falling out, teeth falling out, and the list goes on. The worst part...............there are so many doctors out there that are dismissive of this, but only because they still believe in the minimal side effects, and others that have no clue about Essure. Thank God there are some out there that know and listen and take care of their patients.
I know TLDR........sorry.