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Healthy Skepticism Library item: 16843

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: Report

Promotional Spending for Prescription Drugs
Congressional Budget Office 2009 Dec 2
http://www.cbo.gov/ftpdocs/105xx/doc10522/12-02-DrugPromo_Brief.pdf


Abstract:

Pharmaceutical companies’ efforts to promote prescription
drugs have attracted the attention of policymakers
because such activities may affect the rate at which different
drugs are prescribed and consumed, the total amount
spent on health care, and, ultimately, health outcomes.
Those promotional activities-usually undertaken on
behalf of brand-name, rather than generic, drugs-may
influence consumers and health care professionals through
a variety of channels. For example, advertisements for prescription
drugs that are aimed at consumers may prompt
individuals to seek medical treatment they might otherwise
have delayed. Such advertisements may also influence
individuals to request a specific drug that is higher or
lower in price or that is more or less effective than one
they had previously used. Promotional efforts aimed at
physicians may help them keep abreast of the latest drug
therapies and improve their ability to treat patients. Those
efforts may also lead doctors to prescribe brand-name
medications that are more expensive than alternatives.

 

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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