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Healthy Skepticism Library item: 7831

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

Ellen EF.
Visits From Pharmaceutical Reps
Psychiatric Times 2001 Jan; 18:(1):
http://www.psychiatrictimes.com/p010121.html


Abstract:

Visits from pharmaceutical representatives to psychiatrists have increased over the past two years. So have marketing budgets and the number of industry-sponsored events that feature doctors as guest experts.

Sales calls on psychiatrists rose 5% from October 1998 to October 1999 and are expected to rise roughly 3% this year, according to Jody Fisher, a product manager with the independent pharmaceutical marketing firm Scott-Levin. Translated into drug company revenue, psychiatrists are projected to generate approximately $8.2 billion in retail prescription sales, up from $7.4 billion the previous year.

According to company figures, psychiatrists were the fifth most detailed specialty in a field of 31 doctor groups surveyed in 1998 and 1999. Drug companies spent more than $335 million on details to psychiatrists in 1999, up from nearly $300 million in 1998 and close to $265 million the year before. Detail-related spending on psychiatrists ranked fourth overall…


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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