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Healthy Skepticism Library item: 18231

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: news

Goozner M
Inside The Pfizer Marketing Machine
GoozNews 2010 Jun 14
http://web.archive.org/web/20101011043601/http://gooznews.com/node/3372


Full text:

This morning I spun by the annual Washington conference of the Drug Industry Association to listen to a session devoted to industry-physician relationships in the wake of the new disclosure law. Starting in 2013, every company will be required to record every payment to every physician over $100 in a publicly available database. Needless to say, the session was well attended.

Cole Werble, a journalist whose father started The Pink Sheet empire (full disclosure: I now freelance for that publication) and who is now running an independent research shop, used as his text the corporate integrity agreement attached to the Pfizer-government $2 billion settlement. He took all the data in the public disclosure required by that agreement, put it in his own spread sheet, and came up with the following analysis:

In the last six months of last year, Pfizer made over $20 million in payments to more than 4,800 physicians;
Most of the payments — 58 percent or $12 million — went for speakers bureau fees, which the Institute of Medicine’s task force on managing conflicts of interest in medicine considered the most troubling form of industry-physician interaction since it is almost always related to drug-specific marketing; and
The average fee per physicians was $3,400, but 7 percent of speakers made over $10,000. In other words, a relatively small number of company-paid “thought leaders” made off with most of the cash, while most of the physicians in the list received a few hundred dollars.
Werble’s reaction to his own analysis of the report: “Elections have walk around money; this felt like talk around money.”

 

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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