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Healthy Skepticism Library item: 9399

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

Griffin JP, Teeling-smith G.
View of the pharmaceutical industry on cost-effective prescribing
International Pharmacy Journal 1992 Mar-Apr; 6:58-64


Abstract:

Examples are presented to demonstrate that money spent on medicines gives good value and that the cheapest medicine is not always the most cost-effective. Expenditure on pharmaceuticals in prevention of disease or the complications of disease presents real savings to the rest of the National Health Service in England and the British national economy. A variety of examples are given to illustrate this point. First, the use of prophylactic medicines to prevent disease is cost-effective. Second, the new high tech medicines may be more effective than older and cheaper medicines. Examples of cost-effective therapy include the prophylactic use of antibiotics in surgery, vaccination for hepatitis B, cimetidine for duodenal ulcers, and antineoplastic therapy with more expensive versus less expensive drugs. The quality of life is also considered in the discussion.

 

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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