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Healthy Skepticism Library item: 11506

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

NJAG Milgram Announces Task Force to Study the Influence of Gift-Giving to Physicians by Pharmaceutical Manufacturers, Medical Device Makers
PharmaLive 2007 Sep 18
http://pharmalive.com/news/index.cfm?articleID=476588&categoryid=9&newsletter=1


Full text:

TRENTON, Sept. 18, 2007 – Attorney General Anne Milgram announced today that she has convened a task force to explore the issue of pharmaceutical companies and medical device makers giving gifts and other compensation to physicians, and to determine what impact, if any, such practices have on patient care in New Jersey.

Known as the Attorney General’s Advisory Task Force on Physician Compensation, the panel is scheduled to meet for the first time on Wednesday. The task force includes New Jersey Department of Health and Senior Services Commissioner Fred Jacobs, members of the State Board of Medical Examiners, practicing physicians, industry representatives and consumer advocates.

According to Milgram, the task force will study the impact of gift-giving and compensation practices on the physician-patient relationship and the extent to which such arrangements legitimately advance the medical profession’s knowledge of new therapies and devices.

The task force will also examine potential steps to prevent and identify abuses in the area of physician gifts and “incentives” including public disclosure of data, direct physician disclosure to patients, and/or a limitation on payments accepted by these professionals.

“As regulators of health care professionals in New Jersey, we want to ensure that patient care is guided by the unbiased exercise of the physician’s best judgment,” Attorney General Milgram said.

“It is critical that patients have confidence they are getting the best, most objective medical advice they can get, and that they be able to make fully-informed decisions about their own care,” said Commissioner Jacobs.

As part of its work, the Attorney General’s Advisory Task Force on Physician Compensation will examine the manner in which other states have addressed the gift-giving issue.

To date, reporting laws related to payments made to physicians by pharmaceutical and medical device providers have been enacted in four states – Vermont, Maine, Minnesota and West Virginia – and the District of Columbia.

In approaching its mission, the Attorney General’s task force will have an opportunity to review data concerning those who have acknowledged receiving substantial gifts and compensation.

Over the summer, for the first time, the State Board of Medical Examiners began asking New Jersey physicians whether they have accepted gifts or other benefits from medical device or pharmaceutical manufacturers.

Attorney General Milgram said input from the task force members will be important in developing follow-up questions for those medical professional who have acknowledged receiving compensation or benefits. Data collected by the task force will also assist the panel and the Board of Medical Examiners in determining whether policy reforms and/or regulations should be developed to assure that physician judgment is being exercised in the best interest of patients.

“The facts gathered by the task force and the Board of Medical Examiners will be critical in deciding whether additional reforms are needed to eliminate conflicts and provide greater transparency,” said Milgram.

 

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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