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Healthy Skepticism Library item: 16013

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

Choudhry N, Lee J, Agnew-Blais J, Corcoran C, Shrank W.
Complexity, Lack Of Transparency Hinder Patient Assistance Programs
Journal of Health Affairs 2009 Jul 14
http://www.reducedrugprices.org/read.asp?news=3961


Full text:

Drug company-sponsored patient assistance programs (PAPs) provide access to brand-name medications at little or no cost. However, in a 2007 survey, Harvard Medical School Assistant Professor Niteesh Choudhry and colleagues found several features of PAPs that could limit their usefulness. The researchers report in the May/June 2009 issue of Health Affairs that application processes were generally complex and most programs covered only one or two drugs. Moreover, only 4 percent of surveyed PAPs disclosed how many patients they had directly helped, and more than half would not reveal their income eligibility criteria. The authors suggest several possible steps to increase transparency in PAPs, including calling for greater collection of information to help better understand the role of PAPs in assisting patients whose coverage is inadequate.

In Perspectives, Ken Johnson of Pharmaceutical Research and Manufacturers of America (PhRMA), http://content.healthaffairs.org/cgi/content/abstract/28/3/835, and Myrl Weinberg of the National Health Council, http://content.healthaffairs.org/cgi/content/abstract/28/3/839, take issue with many of Choudhry and coauthors’ conclusions, and Choudhry and colleagues respond. http://content.healthaffairs.org/cgi/content/abstract/28/3/843.

 

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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