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Healthy Skepticism Library item: 17337

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

Attorney General Urges Disclosure And Limitations On Drug Company Gifts To Doctors
Office of the Attorney General 2010 Mar 1
http://www.ct.gov/ag/cwp/view.asp?Q=456322&A=3869


Full text:

Attorney General Richard Blumenthal today urged legislation requiring strict limitations and strong disclosure of pharmaceutical drug company gifts to doctors that may improperly influence health care decisions.

Blumenthal — who has handled several major investigations and settlements involving drug company influence over doctors — testified on the legislation today with Connecticut Center for Patient Safety Executive Director Jean Rexford and others familiar with drug company sales policies. Pharmaceutical drug companies spend billions of dollars — some estimates include $23 billion annually of which $7 billion is spend on ‘direct-to-physicians’ marketing — to market prescription drugs. “This proposal recognizes that health care providers and pharmaceutical companies should interact and exchange ideas and experiences — but in the sunshine of transparency and disclosure,” Blumenthal said. “Addicted to profits, pharmaceutical drug companies focus relentlessly on practitioners, seeking enhanced sales and profits. “While certain pharmaceutical drug companies may be taking steps toward self-reform, we cannot rely solely on such efforts to break an industry attraction — some might say addiction — to such practices. A state law readily enforceable by our state agencies would protect the physician-patient relationship from drug company influence. Rexford said, “This bill provides simple solutions that will help the health care consumer. Transparency and accountability are key components of this legislation.” Specifically, the legislation would include:

· requirements that pharmaceutical and medical device companies adopt a code of conduct — and training and monitoring to ensure compliance with the code;
· Annually report all authorized payments or other economic benefits provided to health care providers that are individually in excess of $50; and
· Prohibitions against direct payments or other compensation by pharmaceutical companies to health care providers, unless in exchange for a bona fide service.

The legislation prohibits most of the egregious gifts and forms of compensation while allowing drug and medical device representatives to provide: (a) reasonable compensation to health care providers for services; (b) peer-reviewed academic, scientific and clinical journals; © medical device demonstration and evaluation units; (d) rebates or discounts; and (e) modest food and beverage when associated with an office visit regarding the provision of product information.

 

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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