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Healthy Skepticism Library item: 17896

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

Marwick C
US tackles drug company gifts to doctors
BMJ 2002 Oct 12; 325:(7368):795
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1169556/


Abstract:

The US government has joined the American Medical Association and the drug industry in efforts to control drug company handouts to the medical profession.
The recommendations, however, are voluntary. They shy away from any attempt at regulation or enforcement, except in so far as some practices may violate existing statutes, such as those dealing with fraud and abuse.
The 44 page compliance guidance was issued at the end of September by the inspector general’s office of the Department of Health and Human Services.
Essentially the guidance warns drug manufacturers against practices such as paying or otherwise encouraging doctors and pharmacists to switch patients from the products of one company to those of another, offering entertainment, travel, or other benefits for attending drug information programmes, and providing financial incentives to large scale purchasers of drugs.


Notes:

Comment on USA guidelines, said to be accessible at www.oig.hhs.gov

 

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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