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Healthy Skepticism Library item: 10225

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

Cresswell A.
Medics concerned at loss of faith in drugs process
The Australian 2007 May 28
http://www.theaustralian.news.com.au/story/0,20867,21803522-23289,00.html


Full text:

HEALTH Minister Tony Abbott has been warned the Government is risking the independence of the body that decides which new drugs should be subsidised by the taxpayer.
AMA Victoria President Mark Yates, a geriatrician appointed by Mr Abbott to the Pharmaceutical Benefits Advisory Committee, used a question-and-answer segment at the AMA national conference to express concern in a loss of “faith in the independence” of the PBAC if plans went ahead to make drug companies pay for its running costs.

The Government plans to recover $11 million in running costs from pharmaceutical companies, which make the applications to the PBAC for their drugs to be subsidised under the Pharmaceutical Benefits Scheme.

Mr Abbott defended the planned cost recovery as being not unique to health.

“This idea that the (pharmaceutical) companies will ‘own’ the PBAC I just don’t think is real-world — the PBAC, as any of you who know the members will be aware, is a very tough-minded and independent-spirited body.”

Dr Yates caused laughter when he started his question from the floor by telling Mr Abbott that he stood at the microphone “in some trepidation, I suppose, as your appointee on the PBAC”.

While he said he believed “some aspects of the process can be cost recovered”, he added: “I implore you to consider … the risks that we face if it’s determined that the industry is actually buying a service from the PBAC’.” Mr Abbott asked him if he could be “bought”, to which Dr Yates replied that “it’s not my process that’s being bought — it’s the process of the PBS and the PBAC’s process”.

 

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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