Healthy Skepticism Library item: 5164

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

Lexchin J.
Physicians and drug companies interact.
Can Fam Physician 1993 Sep 01; 39:1881-2

Abstract:

A partial review of the literature shows that general practitioners accept a variety of information of interactions with the pharmaceutical industry and the result of these interactions is often less appropriate prescribing.

Keywords:
*letter to the editor/*nonsystematic review/Canada/ quality of information/ sponsored symposia & conferences/ sales representatives/ quality of prescribing/ primary care doctors/attitude toward promotion/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS/ETHICAL ISSUES IN PROMOTION: GIFT GIVING/EVALUATION OF PROMOTION: DETAILING/EVALUATION OF PROMOTION: GENERAL QUALITY OF INFORMATION/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS

Notes:

Reply to: Tony Dixon, Canadian Family Physician 1993;39:1298-1300.
Reply from: Tony Dixon, Canadian Family Physician 1993;39:1882.

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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