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Healthy Skepticism Library item: 8241

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

Habowski SR, Robinson SM, Kalis D.
Establishing an indigent prescription program in the ambulatory care setting
ASHP Midyear Clinical Meeting 1997 Dec; 32:


Abstract:

The Ambulatory Clinic Pharmacist position was created as a temporary position to promote better utilization of the $200,000 dollars our community health care system spends annually on charity prescription coverage. The pharmacist collaborates with a multidisciplinary team to: procure medications through manufacturer sponsored indigent prescription programs, promote cost effective drug therapy selection, and provide patient counseling and education. After 2.5 months in operation, 49 patients have been enrolled in manufacturer sponsored programs with a projected yearly cost savings of $71,791. Optimal use of samples has resulted in an additional savings of $7,417. Projected yearly cost savings from this program are expected to allow conversion of this position into a permanent position.

 

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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