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Healthy Skepticism Library item: 9300

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

Kale MV, Sharp WT, Cady PS, Adamcik BA.
FDA: can it keep up with the times ahead?
1994 Mar; 141:153


Abstract:

This study examines the regulatory process pertaining to the promotion of prescribed medication since changes were initiated in statutes and regulations controlling the promotion of prescription products. The role of the Food and Drug Administration (FDA) and its success with the regulatory process was analyzed using unpublished data from the FDA. Specifically, annual reports, notice of violation letters and regulatory letters issued for advertising violations were examined. The analysis revealed that both the number of notice of violation letters and regulatory letters have increased during the time period between 1975 and 1992 (p\LT/.05). An index of satisfaction developed by the FDA also confirmed an increase in the FDA regulatory process. Trends concerning violations in the regulatory process and the potential lack of enforcement in the regulatory process are included. Future implication for and alternative regulatory strategy are 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