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Healthy Skepticism Library item: 15840

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: media release

ANA Mobilizes Members To Preserve Tax Deductibility of Prescription Drug Advertising Costs
ANA 2009 Jun 18
http://www.ana.net/content/show/id/1823


Abstract:

ANA Urges Members to Reach Out to House Ways and Means Committee and
Senate Finance Committee to Avert a Serious Threat to Increase the Cost of Advertising


Notes:

Link to a copy of ANA’s letter to the House and Senate tax writing committees http://www.ana.net/advocacy/getfile/15253


Full text:

The nation’s largest advertisers are mobilizing to prevent Congress from imposing restrictions on the tax deductibility of the cost of advertising prescription drugs.

Leading members of the House Ways and Means Committee are considering a proposal that would eliminate the tax deductibility for prescription medications, while a similar proposal is gaining traction in the Senate Finance Committee.

“Denying the tax deduction for advertising costs for one industry would be unprecedented, and would raise very serious First Amendment concerns,” said Dan Jaffe, Executive Vice President, Government Relations, ANA. “The Supreme Court has made clear that differential taxes on the basis of the content of an ad are unconstitutional.” Jaffe emphasized that, “Consumers benefit greatly from prescription medication advertising, as it informs them about life-threatening diseases such as high blood pressure, strokes, diabetes and asthma and encourages them to consult their physician about available treatments.”

Proof that DTC Advertising Works

Several studies indicate that medical advertising directly benefits consumers. The Center for Disease Control (CDC) has said that advertising helps reduce undiagnosed and under-treated medical conditions. This includes the 6 million Americans who suffer from diabetes but have not been diagnosed and the 18 million Americans who are unaware that they are suffering from the “silent killer” high blood pressure.

Health Affairs reported on the important role of the physician during visits prompted by seeing a prescription medication ad:

57 percent of the visits resulted in diagnostic tests
52 percent resulted in a recommendation for a lifestyle change
32 percent of the patients were referred to a specialist
Prescriptions were written by the physician in 72 percent of the visits

Restrictions on advertising for medications limit the ability to educate the public on health conditions. Out of 3,000 patients in a Massachusetts General study, 35 percent discussed an ad for a medication during their appointment. Of that population 25 percent received a new diagnosis. Approximately 43 percent of the new diagnoses were for “high priority” conditions such as hypertension, diabetes, depression and high cholesterol.

A 2004 survey conducted by Prevention found 65 million patients spoke to a physician as a result of seeing an ad for a prescription medication. Almost half that number of patients spoke to a physician about a specific medical condition for the first time because they saw an ad.

The ANA’s Call to Action

The ANA is encouraging its 360 members who collectively spend more than $200 billion in marketing communications and advertising, to take their case to members of the House Ways and Means Committee and Senate Finance Committee and express their strong opposition to any restrictions on the deductibility of marketing costs for prescription drug products.

“Eliminating advertising tax deductibility for one industry could be the beginning of a dangerous slippery slope that would potentially imperil many other product categories,” said Bob Liodice, President and CEO, ANA. “In these challenging economic times, it would be incredibly counterproductive to make any form of advertising more expensive by taxing it. Advertising is critical to the economic recovery of our nation. It helps generate $6 trillion in economic activity annually and supports more than 21 million jobs.”

A copy of ANA’s letter to the House and Senate tax writing committees is available here.

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963