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Healthy Skepticism Library item: 17701

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
VA Proposes Rule To Limit Access To Sales Reps
Pharmalot 2010 May 11
http://www.pharmalot.com/2010/05/va-proposes-rule-to-limit-access-to-sales-reps/


Full text:

The US Veterans Administration, which runs a vast network of hospitals and healthcare facilities, is concerned about the influence the pharmaceutical industry has on treating patients. And since sales reps have “heavy interaction with local VA staff,” the VA has published a new rule to “ensure that (reps) do not negatively affect the quality of patient care.”
The new rule would require a pharmacy chief or other responsible official to “approve educational programs and materials” presented by reps to ensure materials focus on “clinician education as opposed to marketing.” Company names and logos, for instance, will not be permitted as part of educational material. And reps would be denied access to patient care areas – such as operating rooms and nursing stations, among other places – to ensure patient privacy and would be required to make appointments as opposed to having open and unresticted access.
Reps won’t be allowed to attend a medical center conference where patient-specific material is discussed or presented. And reps would also be prohibited from providing any food to VA staff or gifts above a “de minimis” value specified in the standards of ethical conduct for federal employees, and would prohibit VA employees from personally accepting drug samples. Any violations could result in suspending or permanently barring a sales force from VA facilities. You can read the complete proposed rule here.

 

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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