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Healthy Skepticism Library item: 19412

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

Edwards J
See No Evil: How Too-Detailed Expense Reports Allegedly Got an Amgen Sales Rep Fired
BNet 2011 Mar 21
http://www.bnet.com/blog/drug-business/see-no-evil-how-too-detailed-expense-reports-allegedly-got-an-amgen-sales-rep-fired/7671


Full text:

Amgen (AMGN) fired a sales rep because he was too detailed on his expense reports, according to a lawsuit filed in a California state court. The case isn’t just about expense reports, of course. Rather, as a former Amgen employee alleges, it’s about what Amgen’s management knows and doesn’t want to know about how its salesforce promotes the kidney drug Aranesp. Amgen denies the claims and is fighting the case.

Expense reports are the rabbit holes of corporate life: Each one tells a story in which the author arranges a narrative of events in the most convincing way possible. Of course those apple martinis were work-related! Normally, accounts payable departments are eager for as much detail as possible on employees’ expense reports in order to ensure staffers aren’t subsidizing their personal lives with the company dime. Similarly, anyone who racks up personal expenses paying for work-related stuff knows that it’s wise to document everything in order not to subsidize your employer.

Ignorance is bliss

Except, that is, at Amgen, according to former sales rep Donald Hanks.

Hanks worked for Amgen between 1989 and 2007, and claims the company uses a variety of illegal methods to promote Aranesp, including rebates, off-invoice discounts, volume discounts, free goods, extravagant dinners and lavish retreats for doctors. The company also allegedly priced its drugs so that a “margin” or “spread” accrued to doctors or hospitals — all of which are potential violations of the federal Anti-Kickback Statute, Hanks claims.

Amgen also paid medical staff in a position to influence prescriptions “honorariums” for “roundtable discussions” on a sliding scale, Hanks alleges:

Doctors: $1,000
Pharmacists: $750
Nurses: $500
Office billing staff: $350
Amgen declined to comment. The allegations aren’t unique. Similar claims have been made in at least two other suits, one of which was dismissed. Hanks’ twist is that he claims he described exactly what he was spending his expenses budget on, and Amgen didn’t want to know in case the feds found out (click to enlarge):

Shortly after that Hanks was fired because he represented a “risk” to the company, he claims. Amgen declined to comment.

 

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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