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Healthy Skepticism Library item: 15102

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

Greene JA.
Attention to ‘Details’: Etiquette and the Pharmaceutical Salesman in Postwar American
Social Studies of Science 2004 Apr 1; 34:(2):271-292
http://sss.sagepub.com/cgi/content/abstract/34/2/271


Abstract:

This paper provides a sketch of the emerging role of the pharmaceutical salesman, or ‘detail man’, in the growth years of the American post-World War II pharmaceutical industry. Using training manuals, trade literature, in-house company newsletters, memoirs, and a variety of other published sources, the paper follows the delicate tactics employed by salesmen and their managers in their attempts to recast drug salesmanship as a ‘professional service’ fulfilling vital functions within medical education. As they worked to legitimate their presence in the nation’s hospitals and clinics, particular emphasis was given to precise management of the etiquette of doctor–salesman interaction. Ultimately, the techniques employed by mid-century salesmen and their managers were to prove successful in generating a widespread acceptance of the industry representative within the clinical spaces of hospital and clinic. Indeed, many of the practices of market research and market strategy employed across the pharmaceutical industry today have their origins in the practices of the individual detail man. Exploration of the postwar pharmaceutical salesman as an overlooked historical ‘type’ provides significant insights into the intersection of medicine and the consumer marketplace during the later 20th century.

Keywords:
consumerism • drug industry • history of medicine • influence • marketing • salesmanship

 

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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