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Healthy Skepticism Library item: 2503

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

Health plans keeping drug cost increases in check with programs that promote generics.
Capitation Manag Rep. 2002 July 01; 9:(7):101-3
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12164057


Abstract:

To counter the massive amount of drug company detailing and marketing that is partly responsible for driving up pharmaceutical costs, health plans and some independent practice associations are promoting the use of generics to physicians in their networks. While most physicians in capitated contracts don’t directly benefit from the movement to encourage generics unless they have pharmacy risk, some health plans are paying physicians financial incentives to increase generic prescribing.

Keywords:
Advertising Capitation Fee Drug Costs Drug Industry Drugs, Generic/economics* Drugs, Generic/supply & distribution Health Maintenance Organizations/economics* Humans Independent Practice Associations/economics* Physician Incentive Plans Prescriptions, Drug/economics* United States analysis United States HMO health maintenance organization generics INFLUENCE OF PROMOTION: CONSUMER DRUG COSTS PROMOTIONAL TECHNIQUES: DETAILING VOLUME OF AND EXPENDITURE ON PROMOTION

 

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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