Healthy Skepticism Library item: 3136

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

Barker C.
The Mozambique pharmaceutical policy.
Lancet 1983 Oct 1; 2:(8353):780-2

Abstract:

(Limited to parts of article dealing with promotion.) Before Mozambique became independent there were about 100 sales representatives in the country. There are now less than a dozen. Representatives are no longer allowed to approach individual doctors and have to deal with the appropriate government officials involved in the tendering and purchasing procedurees and with the pharmacies. Some companies have persisted in attempting to advertise to the medical profession-even mailing literature from Switzerland.

Keywords:
*analysis/Mozambique/developing countries/sales representatives/doctors/PROMOTION AND HEALTH NEEDS: PROMOTION IN DEVELOPING COUNTRIES/PROMOTIONAL TECHNIQUES: DETAILING Cost-Benefit Analysis Health Policy/trends* History, 20th Century Humans Mozambique Pharmaceutical Preparations/supply & distribution Pharmaceutical Services/economics Pharmaceutical Services/history Pharmaceutical Services/organization & administration* Pharmacy and Therapeutics Committee/organization & administration Prescriptions, Drug/economics

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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