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Healthy Skepticism Library item: 4317

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

Bleidt B.
Recent issues and concerns about pharmaceutical industry promotional efforts
Journal of Drug Issues 1992; 22:407-415


Abstract:

Promotional efforts put forth by pharmaceutical manufacturers have accomplished their intended purposes-greatly expanding demand. The strategies and tactics employed are ethical, in most circumstances; however, questions are frequently raised about the possible unscrupulous nature of some methods. Inquiries have been made recently about just how moral some of these activities are and regulatory actions takne against those found to be unacceptable. The drug industry uses many unique promotional techniques that have been evolving over the past several decades. Discussed in this article are such powerful tools as video news releases, “pseudo-scientific” sessions, information exchange programs, using multiple sales forces, and self-competition, among others. The resulting furor over these operations has brought about changes in order to counter the abuses that have occurred. In the realistic view, though, due to the high stakes involved, promotional evolution will continue and new approaches developed, raising different, yet similar, questions. The answer lies within the target markets, prescribers and other practitioners through questioning and maintaining the normal adversarial nature expected in a fiduciary relationship.

Keywords:
*analysis/United States/relationship between medical profession and industry/ doctors/ press conferences and releases/American Medical Association/AMA/Pharmaceutical Manufacturers Association (US)/regulation of promotion/sponsored symposia & conferences/sales representatives/patent status/gift giving/conference speakers/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/ETHICAL ISSUES IN PROMOTION: PAYMENTS IN STUDIES/PROMOTION DISGUISED: APPOINTMENTS AND RETAINERS/PROMOTION DISGUISED: COMPANY SPONSORED SPEAKING TOURS AND CONFERENCE SPEAKERS/PROMOTION DISGUISED: POSTMARKETING RESEARCH/PROMOTION DISGUISED: PRESS CONFERENCES AND PRESS COVERAGE

 

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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