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Healthy Skepticism Library item: 15690

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

Vermont Enacts Sweeping Gift Ban; Affects Drug, Device, Biologics Manufacturers
Pharma Live 2009 May 11
http://pharmalive.com/news/index.cfm?articleID=625708


Full text:

Late Friday night, in the final hours of the 2009 session, the Vermont Senate and House agreed on a sweeping law to close loopholes in the state’s existing gift and payment disclosure law, and to ban many gifts from manufacturers of prescription drugs, medical devices and biological products. The gift ban includes food and free meals.

The bill, S.48, mandates full disclosure of allowable gifts to physicians, health care organizations, non-profit groups and state-funded academic institutions, and insures a higher degree of transparency in the state’s health care system. The legislation is now headed to the Governor for signature.

“The bill allows consumers going to their physician to know whether their doctor is taking money from the pharmaceutical companies,” said President Pro Tem Peter Shumlin (D-Windham), sponsor of the bill. “The bill allows for greater patient and consumer empowerment and in these difficult economic times, it is a good step toward addressing our rising health care costs.”

“With passage of this important piece of public health policy, Vermont has taken another step to take away undue influence on prescribing patterns and to provide our citizens with the most cost effective and efficacious medicines.” said Senator Kevin Mullin (R-Rutland).

Despite heavy lobbying by the pharmaceutial and biotech industries, the legislation received broad bipartisan support in Legislature, and was supported by organizations including the Vermont Medical Society and Vermont Public Interest Research Group.

“This legislation is sweeping and comprehensive. Vermont now joins Minnesota and Massachusetts in tackling head-on the pervasive influence of payments and gifts on medical practititioners through a ban on many gifts,” said Sharon Treat, Executive Director of the National Legislative Association on Prescription Drug Prices (NLARx). “Once again, NLARx members have taken the lead.” Senator Shumlin and Senator Mullin are both NLARx members; Senator Mullin is Vice Chair of the Board, and Shumlin was a founding member of the organization.

Although Vermont already required disclosed many gifts and payments to prescribers, the new law closes a trade secret loophole which resulted in most data being submitted in aggregate form, and with the public in the dark about whether their own providers accepted gifts and payments.

The Vermont legislation is more comprehensive than pending transparency legislation in Congress, sponsored by Senators Kohl and Grassley, the Physician Payments Sunshine Act. Besides Vermont, Massachusetts and Minnesota, other states with transparency laws, none of which are as comprehensive as the new Vermont law, include the District of Columbia and Maine. Legislation similar to the Vermont law is pending in Oregon.

 

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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