TIME

How Much Money Does Your Doctor Get From Medical Companies?

Use this search tool to find out

Doctors received $3.5 billion from pharmaceutical companies and device makers over a five month period in 2013, according to figures the federal government released this week. The massive dataset includes 4.2 million individual payments made to physicians (including dentists) for things like meals, consulting fees and royalty payments for devices they have helped invent. The new data includes 360,000 doctors by name.

In the days leading up the release of the information, physician groups mobilized to argue that the data, which the 2010 Affordable Care Act mandates be disclosed, is incomplete and misleading. For their part, the Centers for Medicare and Medicaid Services, which oversaw the release, states that, “Just because there are financial ties doesn’t mean that anyone is doing anything wrong.” CMS withheld the names of the recipients on 40 percent of the payments over concerns about data quality.

Using the following tool, you can search for any physician in the database by last name and see any gifts, consulting fees, paid travel, or other payment he or she received between August and December of 2013.

Critics of this sort of disclosure are quick to point out that there are many positive benefits to relationships between drug and device companies, which produce new life-saving treatments every year, and the doctors who get those treatments to patients who need them. Meanwhile, some research suggests that even cursory relationships with industry do affect a doctor’s behavior.

Among those doctors who were identified, orthopedic surgeons were by far the most compensated. They account for 11 of the 18 physicians who received over $1 million over the five covered months in the data:

Name Specialty Location Amount
Stephen S Burkhart Orthopaedic Surgery San Antonio, TX $7,356,276
Chitranjan S. Ranawat Counselor New York, NY $3,994,022
Thomas S Thornhill Orthopaedic Surgery Boston, MA $3,921,410
Richard Scott Orthopaedic Surgery Boston, MA $3,849,711
Neal Selim Elattrache Sports Medicine Los Angeles, CA $2,413,281
Lawrence A Lynn Counselor Columbus, OH $2,338,790
Timothy A Chuter Surgical Critical Care San Francisco, CA $2,304,899
Roger P Jackson Orthopaedic Surgery of the Spine North Kansas City, MO $1,764,704
Steven B. Haas Orthopaedic Surgery New York, NY $1,752,797
John Satterfield Fordtran Counselor Dallas, TX $1,715,554
Richard Edward Jones Orthopaedic Surgery Dallas, TX $1,457,517
Regis William Haid JR. Neurological Surgery Atlanta, GA $1,252,971
Amar S. Ranawat Counselor New York, NY $1,216,534
Michael D. Ries Orthopaedic Surgery Carson City, NV $1,185,840
Douglas Edmund Padgett Counselor New York, NY $1,139,670
Carlos Jesus Lavernia Adult Reconstructive Orthopaedic Surgery Miami, FL $1,116,854
Roy W Sanders Orthopaedic Surgery Temple Terrace, FL $1,021,282
Thomas A Russell Orthopaedic Surgery Germantown, TN $1,017,736

While the reason for the prominence of orthopedic surgeons at the top of the list varies for each doctor, orthopedic surgery often involves cutting edge devices for things like knee and hip replacements, many of which are exceedingly expensive. In some cases, doctors are receiving thousands of dollars in royalties for these devices because they have a stake in the intellectual property rights. (This is separate from owning part a stake in the company itself, which is reported separately.)

The picture of which pharmaceutical company pays doctors the most is less clear because payments are often recorded under the name of the subsidiary company making the payment. DePuy Synthes, a subsidiary of Johnson & Johnson that manufactures orthopedic and neurosurgery devices, tops the list of companies making payments to doctors during the period with $34.5 million. Arthrex, Inc., a manufacturer of orthopedic surgical supplies, came in second with $15.5 million. Astra Zeneca and Pfizer are also among the top 10 with $15.3 million and $10.01 million respectively. This analysis does not include anonymized payments.

Company Total Payments State
DePuy Synthes Sales Inc. $34,542,816 Massachusetts
Arthrex, Inc. $15,506,504 Florida
AstraZeneca Pharmaceuticals LP $15,385,817 Deleware
Janssen Pharmaceuticals, Inc $13,778,926 Pennsylvania
Smith & Nephew, Inc. $12,020,808 Tennessee
Forest Laboratories, Inc. $10,398,208 California
Pfizer Inc. $10,017,632 New York
Allergan Inc. $9,709,723 California
Biomet, Inc. $9,675,365 Florida
Otsuka America Pharmaceutical, Inc. $9,238,383 Maryland

Of all payments, $109 million is documented as “compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program.” Consulting fees accounted for $91 million. Food and beverages accounted for $57.4 million, and travel and lodging accounted for $45 million. Because the disclosures require that the location of travel be disclosures, we are able to build a picture of where companies like to fly doctors for conferences, speeches, meetings, and other events:

City No. of Payments Total Payments
Chicago 7098 $2,182,736
New York 5757 $2,100,144
Dallas 5453 $1,333,772
Atlanta 4087 $1,056,913
Miami 3081 $930,366
San Diego 2751 $717,280
San Francisco 2696 $1,022,034
Las Vegas 2503 $750,983
Philadelphia 2478 $597,493
Houston 2368 $623,391

Data that was withheld because of unresolved disputes will be published in future disclosures.

TIME interactive

Inside the Secrets of Hollywood’s Calendar

Superheroes save June. Princesses reign in May. And Nazis usually invade in February. Here's a visual guide to strange patterns that populate the big screen

What do you call a thong-clad scientist paired with a chainsaw-toting cheerleader? Answer: the perfect summer movie.

It’s no secret that the movies follow an unofficial calendar: Summer is for action heroes and explosions, while dark themes and delicate plots visit in the winter, readying for the Oscars. But what about some of the less familiar patterns that popular Hollywood seasons? To study the secrets of the cinema calendar, TIME gathered data on the 8,298 movies in IMDB that made at least $100,000 in inflation-adjusted dollars, all the way back to 1913. By correlating the keywords for each movie to the month that it was released, we were able to find highly seasonal topics for each month of the year.

For all the highs and lows of the Hollywood calendar, check out this chart.

Some of the more surprising highlights: People are saddest in January. The tag “melancholy” is most popular in the beginning of the year. See “Sideways” and “The Hours.” February is a great month for World War II. “Nazis” too. Drug lords come out in the summer. August to be specific. In fact, the second-highest grossing movie of the moment is Lucy, in which a woman (Scarlet Johansson) works as a mule for a Korean drug kingpin.December is lethal for main characters. That’s when they die most often. See “Titanic.”

Methodology

The keywords on IMDB are submitted by users so the data is not perfectly consistent, but across thousands of movies one sees clear and sensible pattern. Each keyword was measured according to the total number of movies it appeared in each month of the calendar year, regardless of which year the movie appeared. These figures where then converted to percentages according to the keyword’s total volume. Since movies come out in different volumes in different months–October is a particularly popular type to release a film regardless of topic, for example–the data was then normalized according to the total number of films released in a given month.

TIME Hillary Clinton

How Hillary and Bill Clinton Raised $1.4 Billion

Together, the Clintons have become two of the most impressive fundraisers in American history. Use the interactive graphic to see the many ways their supporters' money has been collected over the years.

There are great American political fundraisers. And then there are Hillary and Bill Clinton, the first couple of American political fundraising. Few in American history have collected and benefited from so much money in so many ways over such a long period of time. Since they arrived on the national political scene 32 years ago, the Clintons have attracted at least $1.4 billion in contributions, according to a review of public records by TIME and the Center for Responsive Politics.

That sum helps illustrate Hillary Clinton’s enormous advantage should she decide to run for President in 2016. Much of the money, raised through two Senate and three Presidential campaigns, was gathered together in small checks by an extensive network of donors and fundraisers. Other donations came in the form of six-figure “soft money” donations from wealthy individuals during Bill Clinton’s presidency. A third category includes money the couple has raised for the Clinton Foundation, the family’s global non-profit, through speaking engagements for Bill Clinton, and through outside political spending that benefitted the Clinton efforts.

The records also show a select group of top donors who have given in multiple ways to the Clintons over the years. Many of these same donors, including people like S. Daniel Abraham, founder of diet supplement company Slim Fast, and Susie Tompkins Buell, founding of the clothing company Espirit, have formed personal friendships with the Clintons, even as they have continued to pursue public policy campaigns around issues like U.S. relations with Israel and the Keystone XL pipeline.

Through the years, the Clintons have adjusted over time to the changing rules that govern political contributions. Craig Smith, a longtime adviser to the Clintons who is now helping to organize the Ready for Hillary PAC, estimates that a Hillary 2016 candidacy could cost as much as $1.7 billion, including the money raised and spent on her behalf by outside groups. That would make the effort about 150% more expensive than the 2012 Obama effort, an increase in line with historical norms.

[See profiles of the top donors.]

The data for this analysis is drawn from three broad categories.

Campaign contributions: Direct giving to Hillary and Bill Clinton’s campaigns for the Senate and the Presidency going back to 1992, as reported to the Federal Election Commission. It includes both individual contributions and money from other PACs given to either the leadership committees or joint fundraising committees of the Clintons. These figures also include “soft money” contributions to the Democratic National Committee during Bill Clinton’s 1992 campaign and his presidency. Those donations were later eliminated by the 2002 campaign finance reform law.

Non-political contributions: Speaking fees collected by Bill Clinton up to 2008, and contributions to the Bill, Hillary, and Chelsea Clinton Foundation. Figures for Bill Clinton’s speaking fees are based on filings from Hillary Clinton’s tenure in the Senate. The foundation has only released a list of donors grouped by the contribution ranges, so in all cases the interactive assumes that each donor gave the smallest amount possible in that category. The range of contribution, from all foundation donors, as reported by the foundation, could go as high as $1.3 billion.

Outside spending: Independent expenditures on behalf of the Clintons, as well as contributions to Ready for Hillary PAC, an independent super PAC created to support Clinton in 2016, which she has told friends she grateful to have organized on her behalf.

Additional reporting by Becca Stanek.

TIME

Inside the Changing American Diet

An interactive look at what Americans eat--and how much of it--from 1970 to today.

As Bryan Walsh notes in this week’s magazine, the decades-long vilification of fat has driven people to eat more sugar and carbohydrates, which new research suggests may be the chief drivers of rising obesity and Type 2 Diabetes. Here’s a look at how what fills the American plate has evolved over the last 40 years.

Slide the year below to see how consumption patterns have changed. Select each food group to see the changing make up of each over the years.

The data shows that Americans have greatly increased their consumption of poultry in lieu of red meat. In 2004, chicken overtook beef as the most consumed meat in the country. Similarly, dairy products declined markedly in popularity as vegetable and grain consumption increased.

Methodology
Data for food consumption is provided by the United States Department of Agriculture’s National Nutrient Database. Figures represent the “loss-adjusted availability” of a given type of food per capita, a measure of how much of that food is available per person. Data for change in rice consumption is unavailable for 2011, 2012, so 2010 figures are used.

TIME

What Country Do You Drink Like?

Use the sliders below to see which country most closely matches your alcohol consumption

The average person 15 years and older consumes 6.2 liters of pure alcohol a year, the World Health Organization reported last week. That comes out to about one drink a day.

The figures for each country in the response do not include those who have never consumed alcohol, which is sometimes a majority of the population. For example, in Chad, the Central African country of 10 million people, fully 73.7 percent of the population are lifetime abstainers. Those who do drink there partake in great excess: 33.9 liters of pure alcohol a year, or five drinks a day. You can click the name of the country in the response to see the WHO’s detailed report on that nation’s habits.

According to the National Institute on Alcohol Abuse and Alcoholism, men are at risk for alcohol-related problems if their consumption exceeds 14 drinks per week or four drinks per day; women are at risk if they exceed seven drinks per week or four drinks per day.

Methodology

A drink of any kind is assumed to have 0.6 fluid ounces of pure alcohol, as specified by the NIAAA, which comes out to 0.017 liters. Populations with a lifetime abstention rate of over 75 percent are not included in this interactive.

TIME

Every Execution in U.S. History in a Single Map

 

Read “Lethal Injection’s Fatal Flaws” from the May 26, 2014 issue of TIME.

Before his lethal injection was delayed at the eleventh hour by a federal appeals court Tuesday, Robert James Campbell was scheduled to become the 1,231st person to be executed by Texas since it joined the Union in 1845.

As Josh Sanburn writes in the magazine this week, capital punishment in the United States is at a crossroads as some states are having a difficult time finding the chemicals required for lethal injections.

The map above shows every legal execution by a state since 1776. Drag the red triangle to view the data at any point in time, or hit play to watch the map animate. Shrewd readers will note that the total figure in the lower righthand corner is significantly lower than the total in TIME’s chart of executions by method. This map only shows executions administered at the state level, not those implemented by the federal government or the military. Michigan, for example, has never executed someone since attaining statehood, but was the site to one federal execution.

Data for historical executions through 1976 are derived from research conducted by M. Watt Espy and John Ortiz Smykla. Data since the end of the hiatus come from the Death Penalty Information Center.

The source code for this project is available on Time’s GitHub page.

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