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Healthy Skepticism Library item: 18264

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

Burton B
Changing prescription software to favour generics could save Australia £40m a year
BMJ 2003 Jan 25; 326:(7382):184
http://www.bmj.com/cgi/content/extract/326/7382/184/b


Abstract:

A requirement by the Australian government that the default in doctors’ software be set to prescribe generic drugs has sparked opposition from the largest pharmaceutical industry body and doctors’ groups.

The existing software-which is sponsored by the manufacturers of brand name drugs-automatically ticks the “not for substitution” box. From 1 February a prescription must not be prepared by software with the default stating that generic drugs cannot be substituted for a brand name drug.

Doctors will be able to select brand name drugs but they will have to uncheck the default box. The government estimates that the change will save the government funded Pharmaceutical Benefits Scheme A$111m (£40m; $64m; €61m) over four years.

Martyn Goddard, senior health policy officer at the Australian Consumers Association, supports the measure: “It is outrageous that the prescriber software-that is sponsored by the drug companies-directs doctors to the brand . . .

 

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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