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Healthy Skepticism Library item: 20489

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

Miller C, Clark B
Medicine ads misleading say lobby group
The Herald 1989 Dec 13


Full text:

False and misleading advertising about drugs was-still common despite attempts by the Australian drug industry at self-regulation, a watchdog group said today. The secretary of the Medical Lobby for Appropriate Marketing, Dr Peter Mansfield, said doctors had to protect patients and themselves by exposing drug companies which used misleading promotions.

“Self-regulation has failed, and the free market is not working properly in pharmaceuticals,” Dr Mansfield said.

“The standards that drug companies are using to justify their claims are poor.

“Because doctors are as vulnerable to advertising as anyone, they must pressure companies to be accurate in all promotions.

“If drugs are prescribed on the basis of misinformation, that can adversely affect patients.”

Dr Mansfield said doctors often didn’t know they were being misled. About 20 per cent or more of drug company promotions were misleading or not able to be substantiated.

The Australian drug industry spends $123 million annually on drug promotions.

Dr Mansfield was critical of drug companies in developing countries which had less stringent advertising controls than Australia and other Western countries.

“In Third World countries, doctors have even less opportunity for independent information,” he said.

Dr Mansfield said vigilance had to be improved rather than relaxed, otherwise standards would deteriorate as advertising became more aggressive.

“However, Governments can’t do all the work,” Dr Mansfield said. “Doctors have a greater potential to alter international marketing behavior.”

With Dr Victoria Wade and Dr Peter McDonald from Flinders University in Adelaide, Dr Mansfield also claimed that 13 clinical trials of commonly prescribed drugs were seriously flawed.

“None of these companies supplied reports that could justify advertising claims and were scientifically valid,” they said in a recent article in The Lancet medical journal.

The chief executive of the Australian Pharmaceutical Manufacturers Association, Mr Kerry Bell, disputed the level of alleged misleading advertising.

Mr Bell said MLAM’s examples were about advertising in countries over which Australia had no control.

“Australia has had the most stringent controls on drug advertising,” he said.

“Over 90 per cent of drug companies belong to the APMA and must comply with our code of conduct. No company can make a claim without sufficient supporting data.”

 

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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