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Healthy Skepticism Library item: 8385

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

Limited list prescribing: Society's comments on Minister's provisional list
Pharmaceutical Journal 1985 Feb 2; 234:146-149


Abstract:

A detailed critical assessment prepared by the Pharmaceutical Society’s Department of Pharmaceutical Sciences highlighting the inadequacies of the British government’s provisional limited list of medicines which would remain prescribable under the National Health Service in certain therapeutic groups is presented in full. Inadequacies of some of the products listed under the headings used to classify the provisional list: antacids; laxatives; inhalations; antitussives; analgesics; vitamins; tonics and bitters; and benzodiazepine sedatives and tranquilizers, are presented. Recommendations for alternative preparations are given. The report also points out the possibility of a 2-tiered system of health provision; immediate savings may be counterbalanced later by increased costs; economic damage that will be caused to the British pharmaceutical industry; and the advantages of encouraging generic prescribing. Recommendations to encourage better prescribing are given.

 

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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