Healthy Skepticism Library item: 4099

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

Roeg N.
The other drug trade
Adbusters 1990; 1:(4):80-87
www.adbusters.org/adbusters/

Abstract:

The article documents promotional practices used by the pharmaceutical industry including giving away computers and other smaller gifts, sales representatives and allowing doctors to claim continuing medical education credits for reading promotion. The author wonders whether promotion is prompting doctors to use drugs when they are not necessary. The author also discusses the influence that drug companies have on the editorial contents of some medical journals and how it influences the course of medical research.

Keywords:
*analysis/Canada/United States/continuing medical education/CME/gift giving/quality of prescribing/sales representatives/promotion costs and volume/editorial freedom/drug company sponsored research/ research priorities/ relationship between medical profession and industry /ATTITUDES REGARDING PROMOTION: INDUSTRY/ETHICAL ISSUES IN PROMOTION: GIFT GIVING/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/ETHICAL ISSUES IN PROMOTION: PAYMENT FOR MEALS, ACCOMODATION, TRAVEL, ENTERTAINMENT/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS/PROMOTION DISGUISED: CLINICAL TRIALS/PROMOTION DISGUISED: SUPPORT FOR CME/SPONSORSHIP: RESEARCH/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