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Healthy Skepticism Library item: 9200

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

Garattini S.
Cultural shift in Italy's drug policy.
Lancet 1995 Jul 1; 346:(8966):5-6


Abstract:

The impact of a cultural shift in the drug policy in Italy resulting from a law aimed at rationalizing drug classification and reimbursement by the National Health Service is discussed. It was noted that changes have been qualitative as well as quantitative, as seen by the first 50 most sold drugs by value. This shift has created several problems because it has ruptured a long-established relation between the pharmaceutical industry, doctors, and patients. However, after initial difficulties, there was a consensus by consumer movements and trade unions. Many doctors welcomed the changes too, seeing them as a way to rationalize drug prescriptions.

Keywords:
Cultural Characteristics* Drug Industry Drug and Narcotic Control/legislation & jurisprudence Health Policy* Italy National Health Programs Pharmaceutical Preparations*/classification Pharmaceutical Preparations*/economics

 

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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