Healthy Skepticism Library item: 3994

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

Prescriptions for profit
1989 Mar 28;

Abstract:

The show looks at promotion techniques of pharmaceutical companies such as celebrity endorsements, running disease oriented television commercials and flying doctors to resorts for meetings. It looks at the way that Eli Lilly promoted Oraflex (benoxaprofen) and the way that McNeil promoted Zomax (zomepirac) including how McNeil reacted when it heard about side effects from Zomax and what it told its sales representatives to say and not say. It also examines the relationship between drug companies and doctors who do research for them and act as paid consultants.

Keywords:
*analysis/United States/Eli Lilly/ Opren and Oraflex/ McNeil/ drug company sponsored research/ drug company sponsored meals and travel/Zomax/Ciba-Geigy/Voltaren/ endorsements/ relationship between researchers, academic institutions and industry/ broadcast advertisements/ DTCA/ direct-to-consumer advertising/ sales representatives/ nonsteroidal anti-inflammatory drugs/ NSAID/ATTITUDES REGARDING PROMOTION: CONSUMERS/PATIENTS/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/ETHICAL ISSUES IN PROMOTION: PAYMENT FOR MEALS, ACCOMODATION, TRAVEL, ENTERTAINMENT/EVALUATION OF PROMOTION: DETAILING/EVALUATION OF PROMOTION: DIRECT-TO-CONSUMER ADVERTISING/INFLUENCE OF PROMOTION: CONFERENCE SPEAKERS/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION BY THIRD PARTIES: HEALTH

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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