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Healthy Skepticism Library item: 4021

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

Wilkes MS, Shuchman M.
Pitching doctors.
N Y Times Mag 1989 Nov 5; 88, 90, 126, 128-129


Abstract:

This article is a broad survey of the methods used by pharmaceutical companies to promote their products. It covers topics such as gift giving, sales representatives and sponsoring continuing medical education programs. Some professional organizations such as the Infectious Disease Society of American have developed ethical guidelines but have little power to enforce them. Research money from drug companies is used as an entry to get doctors to request that hospitals add drugs to their formularies. The industry has also been accused of using its advertising power to control the content of some medical journals.

Keywords:
*feature story/United States/regulation of promotion/guidelines, discussion of/Food and Drug Administration/FDA/gift giving/sales representatives/continuing medical education/corporate funding/drug company sponsored research/formularies/hospitals/editorial freedom/ad revenue/doctors/ETHICAL ISSUES IN PROMOTION: GIFT GIVING/ETHICAL ISSUES IN PROMOTION: PAYMENT FOR MEALS, ACCOMODATION, TRAVEL, ENTERTAINMENT/EVALUATION OF PROMOTION: DETAILING/INFLUENCE OF PROMOTION: FORMULARY INCLUSION/INFLUENCE OF PROMOTION: MARKET SHARE/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/INFLUENCE OF PROMOTION: PUBLICATION/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS/PROMOTION DISGUISED: SUPPORT FOR CME/REGULATION, CODES, GUIDELINES: DIRECT GOVERNMENT REGULATION/REGULATION, CODES, GUIDELINES: HEALTH PROFESSIONAL ORGANIZATIONS/SPONSORSHIP: RESEARCH/VOLUME OF AND EXPENDITURE ON PROMOTIONMeSH Terms: Advertising Biomedical Research Conflict of Interest Drug Industry* Economics* Editorial Policies Ethics, Medical Federal Government Financial Support Government Government Regulation Hospitals Humans Information Dissemination Information Services Motivation* Patient Care Pharmaceutical Preparations* Physicians* Publishing Research Scientific Misconduct Social Control, Formal United States United States Food and Drug Administration Universities

 

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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