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Healthy Skepticism Library item: 15839

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

House puts Sunshine Act in health reform bill
Post Script Blog 2009 Jun 19
http://blog.prescriptionproject.org/?p=677


Full text:

This afternoon, three House committees released their joint health care reform bill. The product of careful coordination by the Energy and Commerce, Education and Labor, and of Ways and Means committees includes Physician Payments Sunshine Provisions, a stronger version of the Physician Payments Sunshine Act (S.301).

The House bill is stronger in a number of ways. First, it would require the reporting of payments not only to physicians, but also to physician group practices, other prescribers, pharmacists and pharmacies, health insurers and health plans (including employees), pharmacy benefit managers, hospitals, medical schools, sponsors of continuing medical education programs, patient advocacy and disease groups, health care professional organizations, and biomedical researchers. It also would require reporting of ownership interests in hospitals and other entities that bill Medicare.

The bill would replace the $100 aggregate reporting threshold set in S.301 with a $5 per payment reporting threshold. Like the Senate bill, the House allows a delay for reporting research payments until drug approval or two years, whichever comes first.

The House’s bill would also require that information (excluding value) about drug samples provided to prescribers be reported, though it would not be made public. The bill has no state preemption, and would explicitly allow state attorneys general to enforce the provisions of the law with the permission of the Secretary of Health and Human Services.

 

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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