The familiar setup plays out again: a woman stares into a mirror, her reflection tired and somber. Then, as she starts an antidepressant, her life magically transforms. Her corgi prances at her feet, and her family reunites joyfully—all while a voice rattles off chilling side effects: suicidal thoughts, strokes, or even death.

Logan H. Merrill, writing for Freedom Magazine, highlights this practice in a recent investigation, calling out the nearly $40 billion psychiatric drug industry for its mastery of distraction. For years, Big Pharma has relied on these tactics to downplay the risks of their products. But new FDA rules, effective November 20, 2024, aim to change that.

Cracking Down on Cuddly Distractions

As Merrill explains, the updated FDA rules require drug ads to present side effect warnings in a “clear, conspicuous, and neutral manner.” This nine-page guideline, more than a decade in the making, bans manipulative visuals and soothing audio designed to distract viewers.

Merrill describes a recent Rexulti commercial as a prime example: while the voiceover warns of side effects like permanent muscle disorders, coma, or death, the screen fills with heartwarming scenes of corgis and family picnics. Such ads, Merrill writes, have historically flouted earlier FDA rules by disguising their warnings in happy imagery.

But under the new guidelines, the days of glossing over grim realities with adorable pets and warm lighting may be numbered.

Big Pharma’s Legal Gymnastics

However, Merrill astutely notes that pharmaceutical companies are unlikely to roll over. Instead of compliance, they’re likely searching for ways to exploit loopholes. In Freedom Magazine, Merrill envisions a scenario in which corporate boards, faced with these new rules, quickly call in their legal teams to strategize a workaround.

One glaring loophole, as Merrill outlines, lies in the rules’ limited scope: the regulations apply only to television and radio ads. They don’t touch social media, telehealth companies, or online influencers—channels that have become central to modern advertising.

The Rise of Influencers and Telehealth

Merrill warns that Big Pharma has already begun shifting its marketing efforts online, where the FDA’s oversight doesn’t reach. Social media influencers, in particular, are becoming key players in promoting psychiatric drugs. These influencers are often viewed as more relatable and trustworthy than traditional ads, which Merrill sees as a dangerous trend.

Adding to the problem, telehealth companies are now partnering with drugmakers to promote medications under the radar. As Merrill writes, these platforms—free from the same advertising restrictions as the manufacturers—offer yet another avenue for Big Pharma to sidestep transparency.

Congress Takes Aim at Loopholes

In response to this growing concern, Merrill reports that Senators Dick Durbin (D-IL) and Mike Braun (R-IN) have introduced the Protecting Patients from Deceptive Drug Ads Online Act. This bill aims to close the loopholes by holding not just drug manufacturers but also influencers and telehealth companies accountable.

As Merrill explains, if the legislation passes, anyone promoting prescription drugs online would be required to disclose who is paying them. Such a move could force transparency across the board—a direct challenge to Big Pharma’s current practices.

A Battle for Truth

Throughout Freedom Magazine’s exposé, Merrill emphasizes the urgency of addressing these loopholes. While the FDA’s new rules mark a step toward accountability, they leave significant gaps that allow pharmaceutical companies to continue their manipulative tactics unchecked.

Merrill’s reporting makes one thing clear: the battle for truth in drug advertising is far from over. As the industry pivots to the unregulated digital frontier, the stakes for consumer safety and transparency couldn’t be higher.

Big Pharma, as Merrill deftly highlights, has built its empire on distraction. Whether it can be forced into genuine accountability remains to be seen.

Every year, millions of women and girls in the world are subjected to the procedure “female circumcision.” In the process of this dangerous practice, women have part or all of their external genitalia removed. Among the victims are also residents of the North Caucasian republics of Russia, and the Russian authorities do not punish the execution of the violent procedure.

How this violent religious-ritual tradition exists in modern Russia, do the authorities and the clergy try to fight it – reveals the Russian publication of Verstka.

What is “female circumcision”

Female circumcision is a procedure that is accompanied by either trauma or partial or complete amputation of the external genitalia. As a result of the procedure, sensitivity is reduced and the woman may lose the ability to have an orgasm.

Not for medical reasons

The procedure is not performed for medical reasons, but for ritual or religious reasons to suppress female sexuality. That is why in the international medical community this term is not used, but is called “female genital mutilation operations”. International law considers them an attack on the health of women and girls, a form of violence and discrimination.

Victims

Victims of female circumcision are girls up to the age of 15. According to data from the World Health Organization (WHO), in 2024, more than 230 million women in the world suffered from such operations. They are mostly carried out in African, Asian, Latin American and Middle Eastern countries. But there are also victims of female circumcision in Russia among the residents of the North Caucasian republics – Dagestan, Ingushetia and Chechnya.

Injuries

The procedure has serious negative consequences for women’s health – from serious injuries to death due to blood loss. In addition to physical trauma and the shock of pain, female circumcision disrupts the natural functioning of the body. Women and girls may suffer from infections, their genitourinary system may be damaged, they may experience pain during sexual intercourse, menstrual disorders may occur, and the risk of complications during childbirth and death of the mother and the newborn increases by 50%.

Why do they do it?

The “necessity” of such operations is justified by honoring traditions or religious motives. In some cultures, it is part of the rite of female initiation or entry into adult life. Female circumcision is often associated with Islam, including in the Russian Federation.

Prevents lust

In the words of Dagestan journalist Zakir Magomedov, “in the local religious press, which is issued by the official clergy, articles are published in which it is written that female circumcision has a beneficial effect on a woman and protects her from lustful thoughts and desires, and is even beneficial for a woman.”

Female circumcision is performed by people without medical training, and old pocket knives or cattle shears are used as tools.

Control over female sexuality

In almost all cases, the purpose of the procedure is defined as control over female sexuality: “not to be hoika”, “not to freak out”. The official clergy of Dagestan include female circumcision in religious duties, although it is not mentioned in the Koran. Some Muslims, in addition to the Koran, are also guided by the Sunnah – traditions from the life of the Prophet Muhammad and statements of authoritative religious figures. Therefore, in some cases, female circumcision among Muslims can be interpreted as permissible, desirable and even mandatory.

Officially, the Russian authorities are against it

“All women should be circumcised so that there is no debauchery on Earth, to reduce sexuality”, this is how the head of the Coordination Council of Muslims of the North Caucasus, Ismail Berdiev, reacted to the revelations of the “Legal Initiative” organization in 2016, which confirmed the existence of practice. Later, Berdiev clarified that “he did not call for female circumcision”, but only spoke about the “problem of debauchery”, with which “something must be done”.

The Russian Ministry of Health condemns the procedure, and the prosecutor’s office of Dagestan conducts an investigation and finds no confirmation of the facts presented in the report of “Legal Initiative.”

The deputy of the State Duma from “United Russia” Maria Maksakova-Igenbergs proposes to introduce the concept of “women’s discrimination on religious grounds” into the Penal Code, and that the punishment for “female circumcision” be 10 years in prison. The Ministry of Justice of Russia does not support Maksakova’s initiative, clarifying that the procedure falls under the Criminal Code of the Russian Federation, and more precisely under the paragraphs on “deliberately causing severe, medium and light harm to health, as well as causing harm to carelessness.”

North Caucasus

According to the “Legal Initiative” organization, in the middle of the last decade in Dagestan, at least 1,240 girls were subjected to the procedure annually. The majority of the men surveyed were categorically against the ban on female circumcision, explaining their motive not only with Islam, but also with local traditions and the desire to control the morality of women. Part of the respondents expressed an opinion against the procedure, arguing that the lack of sensitivity in women lowers the quality of sex in men as well.

And in Moscow

In 2018 one of the Moscow medical clinics announces the service of “female circumcision” for ritual and religious reasons for girls from 5 to 12 years old. On the clinic’s website, it was noted that “the operation should be performed not at home, but in a medical clinic.” After a wide public response, the clinic removed the information from its website, but an investigation was carried out, which found the existence of the procedure and other violations. A warning has been issued and the clinic is still open!

First conviction without penalty

Despite the fact that in its second report the organization “Legal Initiative” notes the disappearance of the practice in Chechnya and Ingushetia, the inhabitants of these regions remain in danger. In the spring of 2020, the father of a 9-year-old girl invited him to Magas (the capital of Ingushetia) for a visit and took him to a vaccine clinic. There, female circumcision was forcibly performed on the child. The value of the “service” is 2000 rubles. The little girl, in her bloodstained dress, was then put on a bus back to Chechnya, where she was hospitalized for severe blood loss. The father explains his motive as follows: “So that he doesn’t get excited.”

A criminal case has been opened against the gynecologist who performed the circumcision for intentionally causing minor harm to health. The case has been going on for a year and a half. The judge called on the parties to reconcile, adding that “the girl cannot be helped anyway”. In the end, the doctor was found guilty and fined 30,000 rubles, but was released from serving the sentence due to the statute of limitations. No criminal proceedings have been initiated against the clinic.

In the same year, the mufti of Dagestan issued a fatwa and recognized the removal of the external genitalia as forbidden in Islam, but clarified that “female circumcision” meant only hudectomy — the removal of the foreskin of the clitoris. This is also a crippling procedure, human rights defenders insist.

Iranian authorities have executed end of October four people convicted of selling illegal alcohol, which poisoned and killed 17 people last year. More than 190 people who consumed the dangerous drink were hospitalized.

The death sentence against the accused in the case was carried out in the Karaj Central Jail.

According to human rights organizations including Amnesty International, Iran carries out the highest number of executions per year after China.

After the Islamic Revolution in 1979, Tehran banned the production and consumption of alcoholic beverages. Since then, the sale of illegal alcohol on the black market has flourished, leading to mass poisonings. The latest case, reported by Iranian media, has killed around 40 people in northern Iran in recent months.

Only Iran’s recognized Christian minorities, such as the country’s Armenian community, are allowed to produce and consume alcohol, but discreetly and only at home.

Illustrative Photo by Amanda Brady: https://www.pexels.com/photo/elegant-champagne-coupes-in-sunlit-setting-29157921/