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Healthy Skepticism Library item: 2018

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

Jackson L.
Paying the Price
Australian Brodcasting Corporation: 4 Corners 2001 Feb 19
http://www.abc.net.au/4corners/stories/4Cprograms_PAYINGTHE.htm


Full text:

Has the pharmaceutical industry broken the scheme which delivers Australians cheap medicines? Did the Federal Government succumb to industry pressure in dumping its own expert advisers?

These are the questions Four Corners explores in an inside account of how the Government overhauled the controversial Pharmaceutical Benefits Advisory Committee (PBAC), whose job is to advise which drugs should be publicly subsidised.

Four Corners looks behind a high stakes game in which billions of dollars – in taxpayers’ money and industry turnover – rest on the deliberations of this committee.

The cost of subsidising just one drug represents, for example, a new hospital or two in politically disaffected regional Australia. For a drug company, it may mean the difference between expensive loss and windfall profit.

Through interviews with committee members, industry leaders and Federal Health Minister, reporter Liz Jackson traces how the pharmaceutical industry ran out of patience with the committee and cranked up the pressure for change.

She details key meetings and conversations which led ultimately to key committee members being dumped.

“They have a zero tolerance approach to people who criticise them,” says the drug companies’ public enemy number one, ex-committee member Professor David Henry.

The industry insists it’s not all about profit. “This is an industry which is about making you and I and our children, our relatives, better. Getting rid of diseases which they have and making sure they have a longer and better life,” says industry leader Alan Evans.

 

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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