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Healthy Skepticism Library item: 15577

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

Gram D.
Vt. House working on expanded drug disclosure bill
Forbes.com 2009 May 1
http://www.forbes.com/feeds/ap/2009/05/01/ap6367240.html


Full text:

Vermont lawmakers want to make it much tougher for drug company sales representatives to court doctors with free lunches and other perks designed to get their products into patients’ medicine cabinets.

They are considering a bill that would impose stricter limits on drug companies’ direct sales pitches to health providers and require public disclosure whenever sales reps makes their rounds.

The House Health Committee on Thursday put its finishing touches on a Senate-passed bill that would toughen a disclosure bill first passed in 2002.

The work came two weeks after Attorney General William Sorrell’s office issued its annual report on drug marketing efforts in the state. The report said drug companies spent nearly $3 million in Vermont in consulting fees, meals, gifts and similar expenses directed at doctors and other prescribers in the year ended June 30.

One doctor received more than $15,000 worth of free meals during that year, according to the report. More than 200 doctors received more than $500 worth of free food each, it said.

But under a “trade secrets exemption” in the 2002 law, the attorney general couldn’t say who was paying for or getting the food, cash payments and other gifts.

“It makes sense that Vermonters be able to see how much, if any, individual doctors are receiving in cash payments and from the manufacturers of which particular drugs,” Sorrell said.

The attorney general said the gifts create at least the perception of a conflict of interest.

 

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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