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Healthy Skepticism Library item: 11910

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

Parnell K.
Confession: I use drug rep pens
6minutes 2007 Nov 2
http://www.6minutes.com.au/kerri_blog/blogposts.asp?postid=555


Full text:

I can see it now:

“What are you in for?”, a prisoner asks his cellmate.
“Eating duck a l’orange”, replies his fellow inmate, a medical man whose just been nabbed for accepting the largesse of a pharmaceutical company.

Sounds crazy to me, but apparently not to pharma critic, Ray Moynihan, who is calling for doctors to be “charged” if they accept dinners and other “bribes” from drug companies.

According to yesterday’s Sydney Morning Herald, Moynihantold
a congress of the world’s consumer groups in Sydney that while the ACCC had made a good start by forcing companies to disclose their events, more needed to be done.

“What we don’t know is the names of the doctors attending these events, and that’s one of the next steps”, he said. “There’s no reason that patients shouldn’t get access to all that information about their doctors.”

The next step is to criminalise these “bribes”, Moynihan reportedly said.

On the issue of transparency, I wouldn’t argue with him, and have no objection to any pharmaceutical company going public with a list of the prolific gifts they regularly shower me with as long as there’s no paperwork involved at my end.

In fact I’ll go on the record right now and admit that as I write I’m eating a Micardis mint I recently got at a conference along with several pads and pens, a stress ball and a tiny torch I gave my son.

Seriously though, while I wonder if Moynihan’s gone a bit far, the man’s got a point.

There’s plenty of evidence that doctors are influenced by pharma gifts, whether they realise it or not, and whether or not actual harm occurs as a result.
So by all means, go public with my menu choices and pens.

But please don’t lock me up.

NEJM 2007; 357; 1796 – 7.

 

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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