Healthy Skepticism Library item: 4154

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: news

Kawachi I.
Pharmaceutical advertising and promotion—options for action
1990 Sep

Abstract:

The workshop covered topics such as: the scope of pharmaceutical advertising and promotion; the benefits of promotion; the question of why promotion should be regulated; the evidence that pharmaceutical promotion affects prescribing; who regulates pharmaceutical promotion in New Zealand; a discussion of what’s wrong with pharmaceutical promotion; options for action; and potential conflicts arising from regulating pharmaceutical promotion.

Keywords:
*analysis/New Zealand/continuing medical education/corporate funding/ drug company sponsored research/ value of promotion/ source of information/ doctors/ regulation of promotion/ promotion costs and volume/ quality of prescribing/ market share/ relationship between medical profession and industry/ direct-to-consumer advertising/ DTCA/EVALUATION OF PROMOTION: DIRECT-TO-CONSUMER ADVERTISING/INFLUENCE OF PROMOTION: MARKET SHARE/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION DISGUISED: SUPPORT FOR CME/REGULATION, CODES, GUIDELINES: HEALTH PROFESSIONAL ORGANIZATIONS/REGULATION, CODES, GUIDELINES: INDUSTRY SELF-REGULATION/SPONSORSHIP: RESEARCH/VOLUME OF AND EXPENDITURE ON PROMOTION

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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