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Healthy Skepticism Library item: 1044

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

NZMA calls for ban on DTCA
2003 Apr 9


Full text:

The NZMA is calling on the Government to prohibit Direct to Consumer Advertising (DTCA) of prescription medicines in New Zealand.

‘The NZMA has been reviewing its position on DTCA of prescription medicines and has now decided that the disadvantages outweigh the benefits,’ says NZMA Chairman Dr Tricia Briscoe. ‘We believe it is time for the Government to move into line with most other countries in prohibiting DTCA.’

‘This is a change in our position, but our previous reluctant acceptance of DTCA was always based on the need for stronger self-regulation and the principle that pharmaceutical companies must not test the boundaries of self-regulation.’

‘Indeed, our policy read: “…our support for continuing but enhanced self-regulation is conditional on the industry that it is meticulous in its application of self-regulation…there is no room in the DTCA regimen for ‘testing the boundaries”. If the NZMA cannot be sure that industry self-regulation protects the health and safety of New Zealanders, we will reconsider our position.”

‘In our view,’ says Dr Briscoe, ’The pharmaceutical industry, the advertising industry and the Ministry of Health have had plenty of time to make the changes recommended by the 2001 Ministerial Review of DTCA, but have failed to take action. In some instances, pharmaceutical companies have continued to “test the boundaries”.’

‘We no longer have confidence that self-regulation is sufficient to protect the interests of either patients or doctors, nor do we feel that greater government regulation would provide adequate protection. We have therefore come to the conclusion that DTCA of prescription medicines should be prohibited.’

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.