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Healthy Skepticism Library item: 581

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

Wolfe S.
Drug advertisements and prescribing
Lancet 1997; 348:1452-1453

Keywords:
*letter to the editor United States FDA Food and Drug Administration quality of prescribing quality of information journal advertisements attitude toward promotion ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS EVALUATION OF PROMOTION: GENERAL QUALITY OF INFORMATION INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE REGULATION, CODES, GUIDELINES: DIRECT GOVERNMENT REGULATION


Notes:

Angel resorts to false and misleading statements. The criticisms of the Wilkes study (Michael S. Wilkes et al, Annals of Internal Medicine 1992;116:912-919) is valid and is backed up by other work. The Food and Drug Administration rarely reviews drug ads in advance, with the exception of when a drug is launched. The reply from Angel also omits any mention of the focal point of the commentary which is that advertising does promote inappropriate prescribing.

 

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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