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Healthy Skepticism Library item: 17529

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: Journal Article

Moynihan R
US drug manufacturers will have to disclose payments to doctors
BMJ 2010 Mar 23; 340:c1648
http://www.bmj.com/cgi/content/extract/340/mar23_2/c1648


Abstract:

New rules forcing drug and device manufacturers to disclose all payments to doctors look set to become law in the United States, after the historic healthcare reform bill was passed by the House of Representatives this weekend (BMJ 2010;340:c1635, 22 Mar, doi:10.1136/bmj.c1635).

The “Sunshine Act” was first proposed as standalone legislation three years ago, but its provisions were incorporated into the wider reform bill now close to being signed into law. Under the new law all manufacturers of drugs, devices, and biologicals will have to provide details to the government of all payments they make to doctors and teaching hospitals, which will then be made publicly available.

The names of receiving doctors and how much they received will have to be made accessible on a searchable website in a “clear and understandable” format that can be easily downloaded.

Under the new rules companies will have to disclose . . .

 

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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