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Healthy Skepticism Library item: 17606

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

Huckman M
The Funny Business Of Selling Drugs
CNBC Blog: Pharma's Market 2010 Apr 12
http://www.cnbc.com/id/36425501/The_Funny_Business_Of_Selling_Drugs


Full text:

With a nod to my colleague Jane Wells’ “Funny Business” blog and at the risk of getting armies of pharma sales reps mad at me, I am sending out a DVR alert for Episode 15 from the second season of an HBO animated comedy called, “The Life And Times Of Tim.”

The show is a bawdy, hilarious send-up of doctors’ offices that are overrun by so-called “Meals on Heels.” That’s industry slang for the stereotypical short-skirted, wheely-bag toting, lunch-catering drug sales reps.

I’m not gonna give away the entire bizarre storyline, but after sitting in the waiting room while his doctor, ahem, “meets” with two cleavage-bearing pharmaceutical salespeople, Tim dons a swag t-shirt emblazoned with the logo of a fictional drug “Exoneral,” followed by the tagline “Is who I am!”

One of the sales reps is a former stripper, by the way, who ends up giving the title character a lift back to Manhattan as she pops the product as if they were breath mints. Again, folks, it’s a comedy.

But the practice the show sends up is serious business. In recent years some states have outlawed swag, medical schools have banned sales reps, drug companies have drastically downsized their sales forces and the industry has started self-regulating the giveaways. Patient advocacy groups strongly encourage people to quiz their docs about why one drug is being prescribed over another.

When I did a lengthy report on all this a few years ago for the CNBC program “Business Nation” one former sales rep said he had a physician who flat out told him whoever got him tickets to a sporting event would be the painkiller he’d give to his patients that week. And whoever came through with good seats for the following week’s hot ticket would be the drug he’d switch to or keep prescribing.

Drug prescribing should be based on the science and clinical trial data. For a lot of patients, it’s also a function of which product is the most affordable. But in reality, I’ve been told it sometimes comes down to whether a doctor prefers blondes or brunettes. “The Life and Times of Tim” is a cartoon.

Or is it?

 

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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