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Healthy Skepticism Library item: 4453

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

Wivell MK, O’fallon DA.
Drug overpromotion: when is a warning not a warning?
Trial 1992; 28:(11):20-27


Abstract:

This article argues that overpromotion of a drug may negate any warnings about its risks that companies supply to physicians. The article gives some examples of excessive promotion. As profit-oriented companies, pharmaceutical manufacturers use the marketing strategies they think are most effective. However, the most effective marketing is often little more than thinly veiled physician bribes. These tactics may seem harmless. However, when strategies like these interfere with physicians’ objectivity and harm patients, the drug companies must shoulder their share of the responsibility for the resultant injuries.

Keywords:
*analysis/United States/safety & risk information/doctors/quality of prescribing/gift giving/ drug company sponsored research/ drug company sponsored meals and travel/ continuing medical education/ corporate funding/ guidelines, discussion of/ American Medical Association/ AMA/ Pharmaceutical Manufacturers Association (US)/ regulation of promotion/quality of information/ETHICAL ISSUES IN PROMOTION: GIFT GIVING/ETHICAL ISSUES IN PROMOTION: PAYMENT FOR MEALS, ACCOMODATION, TRAVEL, ENTERTAINMENT/ETHICAL ISSUES IN PROMOTION: PAYMENTS IN STUDIES/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION DISGUISED: SUPPORT FOR CME/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