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Healthy Skepticism Library item: 15208

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

Dobson R.
Roche’s vouchers to patients breach regulatory code
BMJ 2009 Mar 3; 338:(7694):b899
http://www.bmj.com/cgi/content/extract/338/mar03_3/b899


Abstract:

The pharmaceutical giant Roche has breached the British drug industry’s code of conduct with a scheme that provided shopping vouchers to young patients as an incentive to use one of the company’s products.

The scheme was described as “unacceptable” by the code of conduct panel of the Association of the British Pharmaceutical Industry, which found that Roche breached the code of practice in an adherence and incentive scheme for its cystic fibrosis drug dornase alfa (marketed as Pulmozyme).

“The panel was very concerned about a pharmaceutical company in effect providing cash as an incentive to patients to use its medicine,” says a report on the ruling, which followed a complaint from an anonymous Roche employee.

“The panel considered that once enrolled into the programme, and knowing about the £10 [11; $14] vouchers, patients would be likely to ask their doctor to prescribe Pulmozyme, and thus a breach of the . . .

 

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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