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Healthy Skepticism Library item: 17572

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

Edwards J
The Big Pharma Transparency Report Card: Congratulations, Merck. Lilly? Needs Improvement
BNet 2010 Apr 1
http://industry.bnet.com/pharma/10007516/the-big-pharma-transparency-report-card-congratulations-merck-lilly-could-do-better/


Full text:

Pfizer (PFE)’s disclosure that it paid $20 million to 4,500 doctors in consulting and speaking fees is a welcome development, but it’s not perfect. A comparison of Pfizer’s disclosure with those of
Merck (MRK), GlaxoSmithKline (GSK) and Eli Lilly (LLY) shows that the way Pfizer has provided the information makes it difficult to download and impossible to see why doctors received the fees they did.

That information was provided in Merck’s disclosure of the same information – proving that it can be done. Merck’s list is the most transparent so far. Lilly’s list – published as an image so the text within it cannot be copied – is the least transparent.

Here’s a ranking of how transparent the disclosures are, based on whether the lists
are searchable, downloadable or sortable:

Merck
Downloadable? Yes
Searchable? Yes
Sortable? No
By brand? Yes
GSK
Downloadable? Yes
Searchable? Yes
Sortable? No
By brand? No
Pfizer
Downloadable? No
Searchable? Yes
Sortable? No
By brand? No
Lilly
Downloadable? No
Searchable? Yes
Sortable? No
By brand? No
(Note: the designation “by brand” includes whether the disclosure lists the business or disease category in which the doctor consulted.)

The disclosures are important because patients don’t realize that most doctors in the U.S. have a financial relationship with a drug, device or healthcare company. Companies want financial relationships with doctors because they work – friendly ties influence prescribing behavior, which can make or break a blockbuster brand.

Non-sortable or downloadable disclosures make it extremely difficult to sift the data for specific doctors or patterns in drug company payments. It is impressive, for instance, that the St. Petersburg Times found two Tampa surgeons who were involved in a botched surgery that killed a high school teacher and one who brain damaged a patient during sinus surgery, leaving the patient paralyzed and blind. The paper’s investigation required comparing Lilly’s list with stated medical board records. Not an easy task.

All four companies should be praised for publishing these lists. But why have only four companies bothered? One reason is healthcare reform. Buried within President Obama’s bill is the Physician Payment Sunshine Act, which requires a national online database of all this information by 2013. An unintended consequence of the act may be that most companies will look at that deadline and conclude, “We’ll get to it in three years.”

 

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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