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Healthy Skepticism Library item: 14020

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.
Brazil Relaunches Probe Into Formulary Scheme
Pharmalot 2007 Jul 15
http://www.pharmalot.com/2008/07/brazil-relaunches-probe-into-formulary-scheme/


Full text:

The Sao Paulo Civil Police have relaunched an investigation into alllegations of improprieties by the Brazilian units of several big drugmakers, including Wyeth, Abbott, Novartis, Serono and the Benatti wholesaler, Estadao.com reports.

The investigation began after an anonymous letter was sent last year to the Ministry of Health by two people who identified themselves as former Wyeth employees. The text of the letter outlined a scheme by which the drugmakers were financing patients lawsuits against the government health system to force state agencies to pay for expensive and imported meds not on the government formulary.

The scheme was allegedly being done indirectly with drugmakers giving wholesalers either substantial discounts or extended payment plans, in exchange for the wholesalers paying law firms for legal services on behalf of patients seeking specific high-cost drugs. In Brazil, citizens can take legal action against government health systems to require they provide meds not on formularies.

In 2007, as a result of successful patient lawsuits, the Sao Paolo state government spent about $250,000 to buy non-formulary drugs, more than double the amount spent in 2005. The former president of a support group for arthritis patients in Sao Paolo told authorities she received help from Abbott in 2005 in filing a lawsuit to require the state to buy Humira to treat her rheumatoid arthritis.

The drugmakers declined to comment on the investigation, but all denied any involvement in improprieties, according to the paper.

The translation was provided by Joana Ramos of Cancer Resources & Advocacy

 

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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