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Healthy Skepticism Library item: 14568

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: Journal Article

Mitka M.
Direct-to-Consumer Advertising of Medical Devices Under Scrutiny
JAMA 2008 Nov 5; 300:(17):1985-1986.
http://jama.ama-assn.org/cgi/content/extract/300/17/1985?etoc


Abstract:

The increasing use of direct-to-consumer advertising of medical devices is making some physicians and legislators uneasy.

They question whether the public can truly comprehend, based on 60-second television commercials, ad pages in newspapers and popular magazines, or Internet pages, the benefits and risks of such device-based medical interventions as a total hip replacement or the use of stents in a percutaneous coronary intervention. They also are raising questions about how the US Food and Drug Administration (FDA) will handle its regulatory role over device advertising.

These concerns were highlighted in a Senate Special Committee on Aging hearing on September 17 called by committee chairman Sen Herb Kohl (D, Wis). Kohl has convened a series of oversight hearings exploring medical device and pharmaceutical marketing. “As with direct-to-consumer drug ads, the FDA has raised concerns about advertising restricted [not over-the-counter] medical devices; specifically, about whether appropriate risk and safety information . . .

 

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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