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Healthy Skepticism Library item: 4039

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

Ethical responsibilities of physicians in their dealings with pharmaceutical companies
Annals of the Royal College of Physicians and Surgeons of Canada 1990; 23:45-48


Abstract:

In light of increased public demand for ethical behaviour in business, politics and the professions, physicians are challenged to maintain their leadership role in professional ethics as new developments arise in their relationships with patients, other health professionals, and society in general. One emerging problem area that deserves the attention of physicians is their interaction with pharmaceutical companies. The ethical dimensions of this interaction have been noted in several recent articles. The time may be ripe for the development of guidelines that will define the responsibilities of Canadian physicians in this matter. In this discussion paper, the Biomedical Ethics Committee of the Royal College examines this issue and offers suggestions for its resolution.

Keywords:
*analysis/Canada/Royal College of Physicians and Surgeons of Canada/ relationship between physicians in training and industry/ bioethics/ agency role/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/INFLUENCE OF PROMOTION: PROFESSIONALISM/REGULATION, CODES, GUIDELINES: 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