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17 comments

Drug Companies Want to Be Taken Seriously

Posted July 21, 2008 12:00 AM by Sharkles

When I was in high school, I had the coolest pen – it was silver, sleek, and wrote smoothly. On one side, however, there was the logo for a prescription drug. I had no idea what the drug was or what it did, but it had come from a friend whose mother was a nurse. Years later, I dated a guy whose mother was also a nurse. She would come home with pens, hats, electronic organizers, bags, and more from the various pharmaceutical companies that visited her office.

While I thought these trinkets were fun, I hadn't given much thought to the pharmaceuticals that they represented. I guess I was part of the problem, because now the Pharmaceutical Research and Manufacturers of America (PhRMA) are concerned that giving out these freebies can foster misconceptions that drug companies aren't interested in informing physicians about scientific and medical issues. The PhRMA has even established a voluntary code of conduct that now prohibits these "non-educational" items.

In Minneapolis, a Duluth-based operator of hospitals and clinics –SMDC Health System – purged the trinkets that had been given to the hospital over the years. It took 20 shopping carts to take all of the stuff away! SMDC's efforts were designed to show patients that their doctors are serious about controlling costs and making unbiased decisions. The backlash against free gifts and food is the result of 2006 article from the Journal of the American Medical Association (JAMA), which claimed that receiving even cheap gifts can affect how a doctor prescribes medication.

From the JAMA article, "The Prescription Project" was born. This project is funded by the Pew Charitable Trusts in an effort to counter aggressive marketing campaigns to physicians by the pharmaceutical and medical industries. Marica Hams, director of the Prescription Project, hopes that other medical facilities follow the lead of SMDC Health System. ""This seems like a pretty aggressive way to kick off a policy like that…it sends an important message, I think, for how a strict policy can be implemented in an effective way", she said.

Although the Pharmaceutical Research and Manufacturers of America aren't asking all hospitals to take this "clean sweep" approach, the PhRMA isn't opposed to it either. As spokesman Ken Johnson says, "the onus is on us now to do a better job of explaining the job and the importance of marketing representatives."

Like some of the organizations mentioned in this article, I think the "clean sweep" method is very aggressive. However, I can see the purpose behind it. Most people like free things, and providing pens, toys, etc. is just another way to get a company name or drug nestled in the back of people's minds. What do you think?

Resources:

http://well.blogs.nytimes.com/2008/07/11/for-doctors-no-more-drug-company-trinkets/index.html

http://www.msnbc.msn.com/id/22756905/

http://www.boston.com/news/nation/articles/2008/01/19/minn_health_system_purges_drug_trinkets/


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Commentator

Join Date: Jul 2008
Location: Chatham, Ontario, Canada
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#1

Re: Drug Companies Want to Be Taken Seriously

07/21/2008 1:35 PM

"...purged the trinkets that had been given to the hospital over the years. It took 20 shopping carts to take all of the stuff away! SMDC's efforts were designed to show patients that their doctors are serious about controlling costs and making unbiased decisions. The backlash against free gifts and food is the result of 2006 article from the Journal of the American Medical Association (JAMA), which claimed that receiving even cheap gifts can affect how a doctor prescribes medication."

twenty shopping carts of free stuff? I wonder how much they spent buying name brand 'stuff' to replace the free stuff?

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#2

Re: Drug Companies Want to Be Taken Seriously

07/21/2008 11:51 PM

These pharmaceutical companies are mostly publicly traded corporations, and management would be in serious trouble with their shareholders if they were found to be giving away 'trinkets' and getting nothing in return. They do it because they know it works, or to put it more kindly, not doing it doesn't work.

Describing the trinket side does however seem to trivialize the issue. My wife has worked in medical offices for years, and I see the endless supply of pens and scratch pads as a kind of 'natural' bounty. But it is also common practice to have a drug rep bring lunch for the whole office, to eat while they listen to or watch the reps presentation.

And then there is the travel...

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#3
In reply to #2

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 8:11 AM

I actually got to listen to my doctor tell off a drug rep when the guy tried to talk to the doc about some pill while I was there. But I view all drugs companies as a somewhat more scientific version of the 1800s snake oil salesmen. They will push a treatment for any condition so long as the lawyers OK the side effects risk. The new push to put kids on cholesterol treatments is another good example of drugs companies meddling with accepted medical practice.

So take them seriously - yah, I do. They are a serious threat to my health and the public medical expenses as well!

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#4

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 12:27 PM

What do I think? I think I am not an MD, so cannot write myself prescriptions for medicines. So why am I innundated past annoyance by advertising on TV, in magazines, on radio, etc. for Rx medications? Advertise to my DOCTOR! Many of these ads instruct me to tell the physician of my choice about the product. Educate my DOCTOR! Pens, notepads, and little stuffed figure paperweights do not bother me at all. Neither do the occasional bag of doughnuts or Chinese take-out for the staff who listen to the pitch. What bothers me is the fantastic waste of money to buy advertising to sell ME, who cannot prescribe the stuff, on prescription drugs.

What does that do other than raise the cost? And my dander...

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#5
In reply to #4

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 12:55 PM

What the drugs companies have found, or so I have read, is that advertising to the patient does work because a) the patient gets educated about the syptoms and can go parrot them back to the doctor who will b) get tired of hearing from the patient that this will work and then c) just writes the perscription to get rid of the patient knowing that insurance will pick it up.

So advertising to the doctor is good but priming the patient works very well too.

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#6
In reply to #5

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 1:46 PM

Dang it! I keep forgetting to not use myself as a yardstick...

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#7
In reply to #6

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 1:50 PM

Yes, if you hold others to your standards you're going to be disappointed every time and get your fur all matted....

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#12
In reply to #6

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 4:19 PM

From a recent "Reader's Digest" and reported this afternoon on "Fox News"

"We've heard from a lot of doctors about that one," said Bain. "Obviously you want a well-educated patient, but what they say is frustrating is when they sit down with a patient, go through a whole treatment plan and then get a call saying I heard online that they have this shark fin oil. I want you to put me on shark fin oil."

"Fox News" website, 22 July 2008

This is why the drugs companies advertise, make long lists of symptoms, and give you an 800 number and a web site to go to.

It is also why this does need to be re-regulated.

Don't get me wrong, I'm all for free speech. But if you aren't allowed to yell "fire" in a crowded theater and cause panic why should you be allowed to say "wonderful results" and cause excess expense in the health care system?

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#8
In reply to #4

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 3:04 PM

It wasn't always this way. Those of us who are old enough remember a time when pharmaceuticals and lawyers were not allowed to advertise on TV (over the counter 'medicines' were allowed). But our conservative friends, bankrolled by insurance, banking, pharmaceuticals, etc. went on a deregulation bender. No doubt from their perspective many burdensome and unnecessary regulations where removed, but from my perspective many wise and useful regulations were also lost.

It's one thing for politicians to stand up and say that a regulation is unfair, that it is not serving its purpose, or that it is having unintended consequences. Its another thing when politicians attack the idea of regulation, and try to put the government out of the regulation business altogether. Regulation of business dealings has always been one of the primary functions of government.

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#9
In reply to #8

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 3:50 PM

AMEN, brother! I'm one of those of us old enough to remember those days. How I miss not having lawyers on my TV! Some regulations are indeed useful, while others are absolutely necessary. So long as people are more motivated by greed than what is right, regulations will be needed.

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#10
In reply to #9

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 4:00 PM

"So long as people are more motivated by greed than what is right, regulations will be needed."

Smart man, this envirodude!

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#11
In reply to #9

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 4:17 PM

...And as long as businesses are moved by greed they will use friendly lawmakers to tailor the regulations to their benefit. We seem to live in an era a lot like the 1890's, where the alliance between powerful corporations and the government has again brought us up hard against the bad side of the free market: crony capitalism. Last time around it took Republican Teddy Roosevelt to pull us back from the cliff, but I don't think we can count on them for much help this time.

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#13
In reply to #11

Re: Drug Companies Want to Be Taken Seriously

07/22/2008 4:50 PM

Nope, no Bull Moose left there, I'm afraid...

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#14
In reply to #9

Re: Drug Companies Want to Be Taken Seriously

08/15/2008 10:47 AM

EnviroMan,

I will second that Amen...

How do you answer your pre-teen child when they ask you what the commercials for Viagra, Cialis & Levitra are for???

Seems like they advertise these a lot during all televised sporting events...

I too am old enough to remember the good old days of TV - Before Infomercials, and commercials for Pharms.

From my recollection, the TV ads I seem to recall most were for cigarettes, hard liquor & alka-seltzer! Ah, the good old days...

At least you didn't have to explain to your kids what those were for...

But, I have to say that I sometimes do get a chuckle listening to the end of these commercials, when they slip in the potential side effects,, quietly, all in one breath. "May cause dizziness, fainting, coma, and death".

Sounds like acceptable risk to me.....

===============================================================

Just my $0.02...

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#15
In reply to #14

Re: Drug Companies Want to Be Taken Seriously

08/15/2008 12:48 PM

"...slip in the potential side effects..."

Yeah, those are some acceptable risks! The sleep aid commercial that warns the product "may cause drowsiness" - like I'd use it otherwise!

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#16
In reply to #15

Re: Drug Companies Want to Be Taken Seriously

08/15/2008 1:02 PM

EnviroMan,

You mention sleep aids...

Do you recall the commercial they had a while back for Ambien.

Side effects could include temporary amnesia, hallucinations, "sleep-eating" and even better, "sleep driving".

==============================================================

Just my $0.02...

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#17
In reply to #16

Re: Drug Companies Want to Be Taken Seriously

08/15/2008 1:10 PM

Yes, and they had good reason, I understand. Having had lawsuits filed by people who had done those extracirricular activities overnight and had no recollection of them the next morning...

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