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Healthy Skepticism Library item: 680

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

Guyatt G.
Guidelines for interaction with the pharmaceutical industry
CMAJ 1995; 152:1041-1042

Keywords:
*letter to the editor Canada guidelines, discussion of relationship between physicians in training and industry gift giving source of information ideology ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS EDUCATING ABOUT PROMOTION: PHYSICIANS IN TRAINING ETHICAL ISSUES IN PROMOTION: GIFT GIVING INFLUENCE OF PROMOTION: PROFESSIONALISM


Notes:

The goal in developing guidelines for the interaction between residents and the pharmaceutical industry was to reach a position that the majority of residents were comfortable with and that was achieved. Colby implies that industry gift giving is a form of promotional activity and that if industry is denied the opportunity to give gifts that this threatens industry interests and therefore industry is entitled to withdraw support. The pharmaceutical industry is unwilling to admit that its gift giving is a form of promotional activity and that it is entitled to withdraw support when its interests are challenged. To do so would admit that physicians are “on the take.” Instead industry prefers to present its gift giving as philanthropy. Physicians should refuse industry gifts and look to sources other than the industry for guides to drug prescribing.

 

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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