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Healthy Skepticism Library item: 8208

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

Stange KC.
In This Issue: Doctor-Patient and Drug Company-Patient Communication
Annals of Family Medicine 5:2-4 (2007) 2007; 5:(1):2-4
http://www.annfammed.org/cgi/content/full/5/1/2


Abstract:

A content analysis study by Frosch and colleagues1 scrutinizes pharmaceutical television advertisements. While ads present facts and rational arguments, almost all make emotional appeals for their product. The majority of ads portray medication use as socially approved and as a way to regain control over some component of life. Few mention lifestyle approaches as a positive alternative or convey a balance of treatment options.

Editorialists David Kessler, former head of the US Food and Drug Administration, and Douglas Levy note that these ads promote pharmaceutical company profits but do not promote the public health. They emphasize drugs that have little to do with the predominant causes of morbidity and mortality and are not living up to standards of health education that focus on the public good.2

Unsaid in the study or editorial is the tremendous intrusion of such advertisements into the clinician-patient relationship…

 

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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