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Healthy Skepticism Library item: 10548

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

Hilli R, Groop T.
Generic Substitution - The proposed procedure for the presciption of pharmaceuticals in Finland
EPC--European Pharmaceutical Contractor 2002; 101-103


Abstract:

As a result of the discussions surrounding the pricing of pharmaceuticals in connection with the budget year 2003, the Finnish Government has suggested a procedure for generic substitution which, if approved by Parliament, will mean that pharmacists, as a rule shall exchange the pharmaceutical prescribed for the cheapest bioequivalent alternative. The purpose of the suggested procedures is to curtail the rising costs of pharmaceutical products by supporting the use of cheaper generic pharmaceuticals. The Finnish pharmaceuticals market has traditionally been one where original pharmaceutical products have a strong foothold and the market for generic products, when introduced, has not taken as significant a portion of the market as in several other European countries. This situation may change through the new initiative.

 

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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