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Healthy Skepticism Library item: 6041

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

Little bigger, little better.
Lancet. 1994 Sep 3; 344:(8923):627-8


Abstract:

Pharmaceutical companies producing biosynthetic recombinant hormone adopted aggressive marketing techniques with a view to recouping their enormous investment. Charges have been brought against the sales and marketing deparment of one of the companies, Genentech. The drug distribution company Caremark and one its doctors were charged with “kickback schemes”-the awarding of thousands of dollars to doctors for doing little more than prescribing the drug. There is also the allegation that Genentech’s marketing practices included payments for surveys to pinpoint short children and channel them to doctors willing to prescribe growth hormone.

Keywords:
*editorial/United States/Genentech/growth hormone/ criminal charges/ drug company sponsored research/ bribery/ marketing strategies/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION DISGUISED: CLINICAL TRIALS/PROMOTIONAL TECHNIQUES: FALSE SCREENING PROGRAMS

 

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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