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Healthy Skepticism Library item: 4262

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: news

The world according to Ernest: the ethics of marketing drugs
The Economist 1991 Apr 668


Abstract:

The Economist interviewed Ernest Mario, the chief executive officer for Glaxo, on his view of drug company marketing. The laws of the marketplace now apply as much to pharmaceuticals as to anything else. While a new drug is being developed, Glaxo holds costly symposiums to which it invites experts. Glaxo uses these symposiums to gauge market potential. After a drug is approved Glaxo uses public relations firms to work out how to create demand. Glaxo should not be responsible for telling doctors about unfavourable reports on its drugs. That is the job of the drug regulators. Post-marketing studies are not unethical even though doctors are being paid to participate in them.

Keywords:
*interview/Glaxo/ postmarketing research/ public relations firms/ sponsored symposia & conferences/ marketing strategies/ marketplace research/ safety & risk information/ doctors/ATTITUDES REGARDING PROMOTION: INDUSTRY/ETHICAL ISSUES IN PROMOTION: PAYMENTS IN STUDIES/EVALUATION OF PROMOTION: DRUG SAFETY/PROMOTION DISGUISED: CONFERENCES AND MEETINGS/PROMOTION DISGUISED: POSTMARKETING RESEARCH

 

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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