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Healthy Skepticism Library item: 8107

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

Mehl B.
Pharmaceutical trends: overview of factors responsible for increasing pharmaceutical expenditures
ASHP Midyear Clinical Meeting 1999 Dec; 34:


Abstract:

Past and current status of factors affecting drug cost are described as well as an overview of new drugs and the drug pipelines of major pharmaceutical companies. The effect of wholesaler mergers is discussed, along with major legislation such as the modernization act 1997, and their effect upon drug prescribing is reviewed. The introduction of new technology and the effect of generic drug prescribing and pricing are presented. New legislation, pending or approved, e.g. Medicare, and what could be expected in the future is summarized. Learning objectives: 1. Identify the various factors affecting the cost of prescription drugs. 2. Describe the important sources of information for new drug therapy. 3. Given information, review how it would be used for budgeting purposes. Self-assessment questions: True or False: 1. New drug pipelines would not have any influence on drug cost. 2. The Modernization Fee Act of 1997 had little affect on the manner in which drugs are advertised. 3. Generic drugs have always had a positive effect on moderating total drug costs. Answers: 1. F; 2. F; 3. F.

 

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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