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Healthy Skepticism Library item: 13824

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

Silverman E.
AMA Declines To Support Gift Ban
Pharmalot 2008 Jun 17
http://www.pharmalot.com/2008/06/ama-declines-to-support-gift-ban/


Notes:

http://www.ama-assn.org/ama1/pub/upload/mm/471/refcomccb.doc


Full text:

Here’s what the resolution specified: The AMA should “support federal policy seeking mandatory disclosure of financial relationships between physicians and pharmaceutical interests, with limited exceptions. The resolution also asks the AMA to support policy that would require pharmaceutical companies and device manufacturers to report all payments, gifts, honoraria, or other emoluments with a value over $100.”
Why did the AMA’s house of delegates not adopt the resolution? Testimony was “generally unfavorable,” according to the AMA’s summary of events. There was also debate about the pending Physicians Payments Sunshine Act, which has recently garnered support among some drugmakers, after the reporting threshold was raised from $25 to $500.
“There were concerns raised about how and to whom financial information would be disclosed and regarding the logistical difficulties associated with reporting of gifts over $100,” the AMA summary states. “According to testimony, legislation surrounding the issue of pharmaceutical grants and gifts to physicians is pending and may serve to answer many of these questions, therefore (the) reference committee recommends that this resolution not be adopted.” (Here is the summary; please see pg. 18).

 

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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