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Healthy Skepticism Library item: 9295

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

Novitch M.
Implications of global drug development for health care and patients
Drug Inf J 1993; 27:(4):1083-1087


Abstract:

The impact of globalization on drug development issues related to approval of critically important prescription drugs, patient information, and orphan drug research is discussed. The need for quicker approval of therapeutic breakthrough agents has grown considerably through the use of treatment investigational new drugs (INDs) and with regulatory and pharmaceutical efforts to combine Phase II and III studies. The risk to benefit ratio applies to patients and to pharmaceutical firms who may spend up to $230 million on drug development and may afford fewer and fewer failures. Patient education issues must be reviewed by policy makers to examine the existing mechanisms for conveying information to patients. The U.S. Food and Drug Administration has proposed orphan drug rules that would look beyond the molecular structure of new drugs to determine uniqueness and that describe the handling of potential exclusivity.

 

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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