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Healthy Skepticism Library item: 9219

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

Bohmer K, Feinberg JL.
Rose by any other name: kickbacks vs cognitive services
Consultant Pharmacist 1994 Dec; 9:1400-1401, 1405-1406


Abstract:

An overview of recent state and federal law enforcement actions against pharmaceutical companies who have made payments to pharmacists and pharmacies as part of pharmaceutical manufacturer-sponsored programs is presented. Pharmacists are finding themselves caught in a megabattle between pharmaceutical manufacturers, who are paying the pharmacists to switch patients from 1 drug to another, and government authorities, who are finding this practice to be illegal. The Department of Health and Human Services Office of Inspector General’s recently issued fraud alert concerning prescription drug marketing schemes and the Medicare and Medicaid anti-kickback statute are also discussed.

 

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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