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Healthy Skepticism Library item: 13553

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

O'Brien J.
Blumenthal gripes to state lawmakers about pharmaceutical industry
Legal Newsline.org 2008 Apr 22
http://www.legalnewsline.com/news/211224-blumenthal-gripes-to-state-lawmakers-about-pharmaceutical-industry


Full text:

In formal testimony before the state’s Legislature Monday, Connecticut Attorney General Richard Blumenthal asked for help against influence wielded by prescription drug makers.

Blumenthal wants to make it illegal for drug companies to give gifts or other benefits to doctors that may influence their health care decisions despite a code of ethics the industry has already adopted.

Blumenthal said the code is meaningless and unenforceable.

“As multi-national, sophisticated, profit-driven companies, drug companies spend billions of dollars on relentless direct marketing to health care providers, seeking to increase sales and profits,” he said.

The International Federation of Pharmaceutical Manufacturers and Associations passed measures last year that prevent any of its members from paying for expensive gifts or trips for physicians. IFPMA members include industry giants Pfizer, GlaxoSmithKline, Sanofi-Aventis, Eli Lilly, AstraZeneca, Merck and Novartis.

Blumenthal said drug companies spend more than $11 billion every year to market their prescription drugs, and that research has found gifts influence health care provider decisions. He has filed lawsuits over the issue.

Specifically, Blumenthal proposes that Connecticut law:

-Prohibit any gifts, scholarships or other items in exchange for prescribing products, a commitment to continue prescribing products or to otherwise interfere with the independence of a health care provider’s prescribing practices;

-Prohibit any gifts for the personal use of a health care provider;

-Prohibit any gifts to a health care provider for business use except for items of minimal value such as post-its, note pads, etc;

-Limit gifts for patient benefit to free samples of prescription drugs and items valued under $100;

-Prohibit any gifts or payments to health care providers for attending conferences but allow financial sponsorship of such conferences if the benefit of the sponsorship is distributed evenly among all attendees through reduced conference fees;

-Regulate payments to health care providers to serve as consultants, requiring written contracts, documentation of the criteria and the selection process for such consultants, articulation of the legitimate need for such consultant services; and

-Require all recipients of scholarships and other financial educational assistance to be selected by the participating academic or training institution and not the pharmaceutical company.

 

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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