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Healthy Skepticism Library item: 2884

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

Schwartzman D.
Promotional expenditures
The Johns Hopkins University Press 1976; 182-211


Abstract:

This chapter evaluated the case against the promotional activities of the pharmaceutical industry. There is no basis for the argument that promotion has led to overprescribing and to harmful treatment of patients. Promotional efforts in this industry have provided essential informational service to doctors. The cost of promotion was considered and it was not found to be excessive. The apparently high ratio of advertising expenditures to sales can be explained by the special need for information in this industry, and by the large number of companies, doctors, and products. From the standpoint of the benefits of information to doctors and patients, a reasonable case can be made for the position that the expenditures on promotion by the industry have been inadequate rather than excessive.

Keywords:
*analysis/*mathematical modeling/United States/value of promotion/promotion costs and volume/quality of information/quality of prescribing/doctors/general public and consumers/EVALUATION OF PROMOTION: GENERAL QUALITY OF INFORMATION/INFLUENCE OF PROMOTION: HEALTH AND HEALTH CARE/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS/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