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Healthy Skepticism Library item: 17406

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
Grassley Tells PBMs To Disclose Ties To Pharma
Pharmalot 2010 Mar 12
http://www.pharmalot.com/2010/03/grassley-tells-pbms-to-disclose-ties-to-pharma/


Full text:

In his latest attempt to probe the pharmaceutical industry, US Senator Chuck Grassley has written two big pharmacy benefit managers, as well as a trade group, asking them to provide information about their financial relationships with drugmakers. This week, he sent letters to Express Scripts, CVS Caremark and the Pharmaceutical Care Management Association (click on name to see letters).
In explaining his action, Grassley – who is the ranking Republican on the Senate Finance Committee – wrote that the Medicare Payment Advisory Commission (MedPAC) recommended in a report last year that Congress should require drugmakers to report their financial relationships with pharmacy benefit managers, pharmacies, health plans, and others, but not rebates or discounts (look here). And so he asks for details about steps taken that would enhance transparency of “financial benefits” that may be provided by drugmakers.
He added that MedPAC’s proposal also covers payments or transfers of value, such as gifts, travel, honoraria, consulting fees, and investment or ownership interests, and both exclude the reporting of rebates and discounts. And Grassley likened the requirement to the stipulations found in the Physician Payments Sunshine Act, which he and Senator Herb Kohl, a Wisconsin Democrat, introduced and that requires drug and device makers anything of value given to doctors and post the info on web sites.

 

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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