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Healthy Skepticism Library item: 17910

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

Spurgeon D
Doctors accept $50 a time to listen to drug representatives
BMJ 2002 May 11; 324:(7346):1113
http://www.bmj.com/cgi/content/extract/324/7346/1113/a


Abstract:

A new American company called Time-Concepts LLC is offering doctors $50 (£34; 55) each time they listen to a short sales pitch from a drugs company representative in their office.

The new company receives $105 from the drug manufacturer each time it secures a consultation, $50 of which goes to the doctor, $5 of which goes to a charity that the doctor selects, and $50 of which it keeps.

Doctors are accepting the payments, despite the fact that guidelines from the American Medical Association specify that they should not accept cash payments from drug companies.

Dr Neal Moser, a pulmonary and critical care physician with a 13-doctor group in Edgewood, Kentucky, for example, told amanews.com, the American Medical Association’s newspaper for physicians, that he signed up because the plan lets him control when and how he talks to sales representatives. He said that it gave him a more efficient . . .

 

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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