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Healthy Skepticism Library item: 6770

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

Margolis LH.
Personal use of drug samples by physicians and office staff.
JAMA 1997 Nov 19; 278:(19):1567


Abstract:

The use of drug samples by physicians is unethical because it violates at least three duties of physicians. The duty to do no harm is violated because samples raise the cost of care to patients. The duty of fidelity is transgressed because the acceptance of samples for personal use makes the physician agent of the pharmaceutical companies that provide them. Physicians have a duty to uphold justice. It is hardly fair for physicians to take “gifts” from their patients when patients have not freely chosen to make those gifts. With even a simple understanding of the ethics of this issue, physicians should reject the use of samples.

Keywords:
*letter to the editor/United States/ Advertising* Drug Industry* Drug Utilization* Ethics* Gift Giving* Humans Interprofessional Relations Medical Staff* Physicians* Risk Assessment United States

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.