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Healthy Skepticism Library item: 2805

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

Stetler CJ.
Patterns of prescription drug use: The role of promotion
Journal of Drug Education 1973; 3:(4):389-402


Abstract:

Promotional efforts directed to the health professions by pharmaceutical manufacturers, and their alleged association with excessive prescribing and drug abuse are the subject of this paper. The paper contends that claims to the effect that legitimate drug prescribing patterns and promotional efforts merely mirror or even may cause drug abuse are not factually supported. Assertions to the effect that physicians rely primarily on advertising in making prescribing decisions are not borne out by studies of the various factors which bear upon those decisions, the paper points out. It describes the extent of prescription drug promotion, and utilization and notes that physician prescribing of psychoactive drugs has lagged behind overall prescription growth trends, in contrast to the accelerating misuse and abuse of this class of drugs in the community at large.

Keywords:
*analysis/United States/

 

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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