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Healthy Skepticism Library item: 8094

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

Troy T.
Clinical independence meets demands of government, health care users
Managed Healthcare 1999 Feb; 9:30


Abstract:

Concerns regarding pharmacy benefit management companies (PBMs) and formularies restricting consumer access to prescription medication and of the relationship between pharmaceutical manufacturers and their subsidiary PBMs in terms of constituting an unfair marketing advantage are addressed, including a discussion of how these relationships might be beneficial to the managed care industry in terms of providing value for the health care consumers.

 

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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