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Healthy Skepticism Library item: 8108

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

Stein GC.
Current federal regulatory trends
ASHP Midyear Clinical Meeting 1999 Dec; 34:


Abstract:

New and ongoing federal regulatory issues will be discussed. The primary focus will be the impact on health-system pharmacy of: (1) FDA and HCFA efforts at preventing medication errors; (2) implementation of the FDA Modernization Act; (3) HCFA’s Hospital Conditions of Participation; (4) reimbursement for pharmacists, services; (5) prescribing and dispensing drugs over the Internet; and (6) Y2K readiness of the pharmaceutical distribution system. Learning objectives: 1. Describe the Principles of Understanding that the FDA has developed in regard to the Internet prescribing and dispensing of drugs. 2. Describe HCFA’s latest position regarding its Hospital Conditions of Participation. 3. State the FDA’s position on drug stockpiling due to concerns over Y2K. Self-assessment questions: True or False: 1. The pharmaceutical industry has had major difficulties in assuring that prescription drugs will be available as the date changes to the year 2000. 2. New information about the important role of pharmacists in hospitals has been submitted to HCFA. 3. Federal courts have determined that FDAMA’s requirements for the distribution of information on unlabeled uses of drugs are unconstitutional. 4. The FDA is the only federal agency that has authority to deal with Internet pharmacies. 5. Under the Patients’ Rights standard of the Hospital Conditions of Participation, drugs cannot be used to restrain patients. Answers: 1. F; 2. T; 3. T; 4. F; 5. 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