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Healthy Skepticism Library item: 2820

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

Nelson G.
New laws are needed to regulate the drug industry
Journal of Drug Issues 1974; 4:243-248


Abstract:

Senator Nelson, the chief Congressional critic of pharmaceutical advertising, charges that the promotion of prescription drugs is the principal reason for irrational prescribing and over-medication. He believes that the increase of drug indications through advertising for non-medical conditions and intensive promotional campaigns all contribute to fostering the development of a drug-oriented society. He is particularly critical of the use of detail men and their uncontrolled promotional practices. The passive stance of the American Medical Association and the Federal government, he believes, permits profit-oriented drug companies to determine the quality of health care throughout the country. In his presentation, he questions the ethics of both the drug industry and the medical profession in permitting such collaboration and asks, “Is drug advertising really necessary?”

Keywords:
*analysis/United States/promotion costs and volume/quality of information/quality of prescribing/medicalization of problems/ad revenue/American Medical Association/AMA/regulation of promotion/sales representatives/drug misuse and abuse/ATTITUDES REGARDING PROMOTION: REGULATORS AND GOVERNMENT/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/EVALUATION OF PROMOTION: GENERAL QUALITY OF INFORMATION/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/REGULATION, CODES, GUIDELINES: DIRECT GOVERNMENT REGULATION/SPONSORSHIP: HEALTH PROFESSIONAL ORGANIZATIONS

 

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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