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Healthy Skepticism Library item: 20548

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

Kleinke JD, Gottlieb S
Is the FDA approving drugs too fast?
BMJ 1998 Oct 3; 317:(7163):899
http://www.bmj.com/content/317/7163/899


Abstract:

Debate in the United States about the optimal amount of time required by the Food and Drug Administration for adequate testing of new drugs has raged since 1962, when Congress established formal criteria for proving drug safety and effectiveness. Through much of the past decade the FDA has been accused of delaying drug approvals: now it is accused of acting too hastily in approving drugs that have later had to be withdrawn.

The height of the initial criticism came in 1995, with the election of a Republican majority in Congress that favoured full privatisation of all healthcare matters. The Republican speaker of the House of Representatives, Newt Gingrich, referred to the FDA as “job killers”: its excessive reviews, he claimed, delayed the launch of new drugs and thereby forestalled growth for the pharmaceutical industry.1

Although the agency disputed that its reviews were excessive, the FDA had already argued that the increase in the number of drugs seeking approval had stretched the agency beyond its means and was indeed …


Notes:

Probably not—but drug recalls have sparked debate

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963