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Healthy Skepticism Library item: 4064

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Harvey K.
Pharmaceutical promotion.
Med J Aust 1990 Jan 15; 152:(2):57-8


Abstract:

Promotional material in Australia used to be examined by the Department of Community Services and Health for a two year period after marketing approval had been granted. As a consequence of the adoption of a code of marketing by the Australian Pharmaceutical Manufacturers Association, the Department offered the APMA a two year trial of self-regulation. The Department did nothing to evaluate prospectively the impact of its withdrawal from the regulatory process and did not identify performance indicators by which it intended to judge the outcome of this self-regulatory trial. The APMA code has major weaknesses but improvements have been made in the complaints process. Sanctions for breaching the code do not appear to have deterred companies from repeated violations. Rather than comply with sanctions Smith Kline & French resigned its membership in the Association although the resignation was later withdrawn. Failure of the industry to be able to self-regulate argues in favour of coregulation with the government providing legislative back-up when self-regulation fails.

Keywords:
*editorial/Australia/Australian Pharmaceutical Manufacturers Association/regulation of promotion/Smith Kline & French/REGULATION, CODES, GUIDELINES: COMPLIANCE, SANCTIONS, STANDARDS/REGULATION, CODES, GUIDELINES: DIRECT GOVERNMENT REGULATION/REGULATION, CODES, GUIDELINES: INDUSTRY SELF-REGULATION Advertising/standards* Australia Drug Industry/standards* Organizations

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909