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Healthy Skepticism Library item: 19230

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

Silversides A
Tight regulation of French drug reps mean French doctors get more balanced information than doctors in the US
BMJ 2010 Dec 3; 341:
http://www.bmj.com/content/341/bmj.c6964.full


Abstract:

Limits placed by French authorities on what can be said and done by drug company sales representatives mean doctors in France receive more balanced information than their counterparts in the United States and Canada, a meeting on the regulation of drug promotion and the protection of public health was told.

Drug sales representatives in France provided information on harmful side effects of drugs in 60% of their encounters with doctors, but their counterparts in the US and Canada provided this information in fewer than 40% of encounters, according to results from a three country study of interactions between family doctors and drug sales representatives.

The French doctors were also rarely offered free samples (4% of them compared with 75% of doctors at the Vancouver site), and only 0.2% of French doctors were offered lunch or other food, compared with 23% in Vancouver and 24% at the US site …

 

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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