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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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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.