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Healthy Skepticism Library item: 16783

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: Electronic Source

Silverman E
Drugmakers Place Caps On Speaker Fees: Study
Pharmalot 2009 Nov 2
http://www.pharmalot.com/2009/11/drugmakers-place-caps-on-speaker-fees-study/


Full text:

As the controversy rages over speaker fees given to physicians, some drug and device makers claim they have instituted annual compensation caps, at least according to a new survey of some 40 companies. To wit, 71 percent of drugmakers and 67 percent of device makers say they have taken this step, according to Cutting Edge Information, a research firm. Its survey also shows all large drugmakers have instituted a cap, but only 56 percent of smaller ones have done so.
Large and small was defined based on rankings by Pharmaceutical Executive magazine. In any event, the average large pharma cap is is $69,000, almost $25,000 more than the average annual cap of $44,800 for all drugmakers. Interestingly, small drugmakers have the next highest cap at $57,000. Mid-size companies maintain a cap of $33,000, on average. Device makers have a similar annual cap as mid-size companies, with an average of $30,000. Biotechs have an average annual cap of about $44,000, according to the survey
Not surprisingly, there is considerable variance among companies, which weren’t named. One drugmaker has a cap of $10,000 while another allows physicians to make up to $100,000. And 85 percent of all drugmakers participating in the study apply their compensation caps for physician activities companywide.
Another nugget: 80 percent of those with specific caps apply them only to speaker program spending on physicians. The other 20 percent of responding companies have caps that apply to all physician dealings with marketing, in which most speaker programs are included. Note: this cap will not apply to any medical ad boards or consultation that a thought leader may perform for the company, according to the research firm which, we must point out, is selling this info to prospective clients.
Cool photo courtesy of Dr. Jerome Kassirer, author of ‘On The Take’

 

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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