Healthy Skepticism Library item: 4127

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

Venturelli J.
Medical ethics: a dilemma at our doorstep
Annals of the Royal College of Physicians and Surgeons of Canada 1990; 23:335

Abstract:

Gift giving, including providing free meals, is common in interactions between physicians and the pharmaceutical industry and this may lead to unnecessary drug use. Medical schools must take a clear stand on the ethical implications of this interaction. These inducements are banned by the Royal College/Canadian Medical Association guidelines along with those of the Pharmaceutical Manufacturers Association on Canada but since the later document is not binding the practice is continued by many companies.

Keywords:
*analysis/ Canada/ Code of Marketing Practices (Can)/ drug company sponsored meals and travel/ gift giving/ medical education/ Pharmaceutical Manufacturers Association of Canada/ relationship between medical profession and industry/ quality of prescribing/ guidelines, discussion of/students/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSION STUDENTS/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/REGULATION, CODES, GUIDELINES: CONTACT WITH MEDICAL STUDENTS AND HOSPITAL STAFF/REGULATION, CODES, GUIDELINES: HEALTH PROFESSIONAL ORGANIZATIONS/REGULATION, CODES, GUIDELINES: INDUSTRY SELF-REGULATION

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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