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Healthy Skepticism Library item: 15031

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

Wilson A.
Bill keeps medication records private
The Olympian 2009 Feb 4
http://www.theolympian.com/legislature/story/747688.html


Full text:

Legislators considered a bill Tuesday that would ban drug companies from buying people’s prescription records and using them for marketing purposes.

“Patients rightfully assume that their prescriptions are private. They are given their prescription in a private room, and when they go to the pharmacy to fill it, others are required to wait several feet away,” Dr. Rupin Thakkar said. “As soon as the patient walks away, their prescription information can be sold.”

Drug makers can buy lists of prescriptions and use the information to contact selected patients, encouraging them to refill prescriptions or move to a newer drug.

Joana Ramos told members of the House Health Care Committee that drug marketers contacted her shortly after she moved from a $70-a-month name-brand asthma drug to a $5-a-month generic drug.

The letters asked her to switch to a new version of the drug, for which there was no generic equivalent, she said. But her doctor advised against it.

“We need to keep our prescriptions private,” said Ramos, who testified on behalf of the Washington Coalition for Prescribing Integrity.

Several drug companies and associations oppose the bill, including the Pharmaceutical Research and Manufacturers of America.

Cliff Webster, representing the manufacturers, said the bill unfairly singles out name-brand products but appears to allow marketers to call patients and suggest generics or other services.

Calling patients and reminding them to refill their prescriptions is an important part of maintaining a treatment plan, opponents also said.

Rep. Bill Hinkle, a Cle Elum Republican who scoffed at last year’s proposal to shield doctors from similar marketing, supports the patient-oriented marketing ban.

“I’m great with my pharmacist calling me – multiple times, if they need to, because I’m kind of thick,” Hinkle told Webster. “But I don’t want your company calling me.”

A coalition of health care associations, advocacy groups and unions were unsuccessful last year when they pushed to end marketing strategies directed at doctors. This year, they centered their efforts the use of people’s personal histories.

“This is something much more simple, and much more nefarious,” said Rep. Jamie Pederson, D-Seattle, who is sponsoring this year’s bill, House Bill 1493.

 

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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