Healthy Skepticism Library item: 4361

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

Kawachi I.
Where’s the bite?—Six case studies of the voluntary regulation of pharmaceutical advertising and promotion
1992269-287

Abstract:

The first part of this chapter reviews the success and failures of voluntary regulation of pharmaceutical promotion in six countries: Australia, Canada, New Zealand, Sweden, United Kingdom and United States. The conclusion is that self-regulation has failed to curb promotional excesses. There is no country yet in which promotion is satisfactorily controlled by self-regulation. The second part of the chapter outlines some general recommendations for further improvements in regulating promotion. The first step is to set up a code that is comprehensive in its coverage of promotional practices and that is subject to amendment on a regular basis. Monitoring of compliance with the code must be done on a proactive basis rather than waiting for complaints about violations to arrive. Sanctions for code violations have to be effective in detering future violations. Finally, the public has to be involved in the disciplinary process.

Keywords:
*analysis/Australia/Canada/New Zealand/Sweden/United Kingdom/United States/regulation of promotion/ monitoring of compliance/REGULATION, CODES, GUIDELINES: COMPLIANCE, SANCTIONS, STANDARDS/REGULATION, CODES, GUIDELINES: DIRECT GOVERNMENT REGULATION/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