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Healthy Skepticism Library item: 16535

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

Metherell M
Medical companies on notice
The Age 2009 Sep 24
http://www.theage.com.au/national/medical-companies-on-notice-20090923-g2oc.html


Full text:

MEDICAL device companies accused of lavishing doctors with inducements to win business have been warned by Health Minister Nicola Roxon to desist or face tougher government regulation.

In a stern address to a medical technology conference, Ms Roxon has also warned health professionals against the unquestioning use of the ‘‘flashiest’‘ new gadgets – a practice contributing to the surge in health costs.

In the wake of revelations in The Age, Ms Roxon said she was keen to see leadership from the industry in how it responded to the reports that some medical device companies were offering inducements in return for the purchase of the company’s products.

She said it was incumbent on the industry to follow the highest standards in its interaction with doctors.

The Government supports self-regulation in the industry through codes of conduct.

‘‘I am not currently inclined to move towards government oversight, but it remains an option if standards are not kept to the highest level,’‘ Ms Roxon said.

The parliamentary secretary for health, Mark Butler, has called for further investigation into the marketing tactics of some companies.

Medical devices including drug-eluting stents to fix diseased arteries and artificial joints have also come under scrutiny for, in some cases, costing significantly more but offering little or no advantage over cheaper, older models.

Ms Roxon said one of the main drivers in the steadily rising expense of health services was the increasing cost of medical technology. ‘‘Yet the community and health professionals can often be drawn to the flashiest technologies.’‘

The Government wanted patients to have the best, but value for money was essential.

‘‘At present, value for money for the Government or health insurers is often not a consideration when medicines or technologies are being chosen.’‘

She said the Government did not want to intervene in clinical decision-making, but all heavily funded professions had to exercise responsibility in guiding their clinical choices.

 

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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