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Healthy Skepticism Library item: 18647

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: news

Taylor L
US patients 'wary of drugmakers' influence over doctors
Pharma Times 2010 Aug 31
http://www.pharmatimes.com/Article/10-08-31/US_patients_“wary_of_drugmakers_influence_over_doctors”.aspx


Full text:

69% of Americans currently taking medication say drugmakers have too much influence over doctors’ prescribing decisions and half say that doctors are too eager to prescribe a drug when other non-drug options are available for managing a condition, according to a new survey.

51% of consumers told the poll – conducted by the US Consumer Reports National Research Center – that doctors do not consider a patient’s ability to pay when prescribing a drug, while 47% believe that gifts from pharmaceutical companies influence doctors’ choices of drugs for their patients and 41% think doctors tend to prescribe newer, more expensive drugs. 45% of Americans take at least one prescription drug on a regular basis and, on average, they take four medications routinely, the survey reports.

It also reveals that US consumers are economising on healthcare in ways that might be dangerous. In the past year, 39% of interviewees said they took some action to reduce costs and 27% failed to comply with prescriptions, while 38% of those aged under 65 and without insurance coverage for prescription drugs said they had skipped filling a prescription in order to save money.

Consumer Reports adds that the findings show that drug companies’ “massive advertising budgets” have an impact on consumers, with 20% of those polled who take a prescription drug saying they have asked their doctor for a drug they saw advertised, and that among them, the majority of doctors had issued the requested prescription (59%).

Patients also want more safety information and details about possible side effects; 87% of those polled said that knowing the safety of a prescription drug was a top priority for them, 79% were concerned about drug interactions and 78% cared about the side effects of a drug.

These findings were welcomed by John Santa, director of the Consumer Reports Health Ratings Center, who said that being attuned to these concerns “can help counterbalance the tremendous influence of the drug companies.”

At least 1.5 million serious, preventable drug errors occur in the US each year, yet research suggests that doctors are quick to dismiss complaints about side effects, he said. Also, the safety information provided in hospitals, at doctors’ offices and at the pharmacy is “hit or miss,” he added.

“When considering a new medication, consumers should ask their doctors about the drug in question, its purported use, how it should be taken, whether certain activities should be avoided, whether drug interactions are possible and the types of side effects that could occur,” said Dr Santa, who urges patients to “speak up – discussing the risks of adverse effects with your doctor will help you prepare for those effects while increasing the chances you’ll stay on the drug you need.”

 

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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