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Healthy Skepticism Library item: 2382

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

Hall TS.
Reimagining the learned intermediary rule for the new pharmaceutical marketplace.
Seton Hall Law Rev 2004; 35:(1):193-261


Abstract:

For the past decade, the learned intermediary rule—the rule of tort law that provides that drug manufacturers may satisfy their duty to warn of a drug’s dangers by warning the prescribing physician rather than the end user of the drug—has been the subject of vigorous academic debate. That debate has been largely moot, however, as the courts have proven reluctant to make significant inroads on the protection offered by the Rule to drug manufacturers. This Article proposes a new approach to the Rule. Part I discusses the history and overwhelming adoption of the Rule pursuant to the Restatement (Second) of Torts. Part II argues that changes in the health care delivery system have resulted in a legal system that introduces market distortions by effectively immunizing the pharmaceutical industry from the legal and social consequences of its own actions. Part III then sets forth a reconceptualization of the Rule, which preserves the Rule’s benefits with respect to the drug industry, the health care system, and the goals of tort law, while also strengthening the protection the tort system offers to individuals injured by prescription drugs.

Keywords:
MeSH Terms: Advertising/legislation & jurisprudence Consumer Participation Contraceptives, Oral Drug Industry/legislation & jurisprudence* Duty to Warn/legislation & jurisprudence* Ethics, Medical Humans Legislation, Drug* Liability, Legal* Life Style Marketing of Health Services/legislation & jurisprudence* Mass Immunization Pharmaceutical Preparations/administration & dosage Pharmaceutical Preparations/adverse effects* Physician's Practice Patterns/trends Physician-Patient Relations Physicians United States Substances: Contraceptives, Oral Pharmaceutical Preparations

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.