Healthy Skepticism Library item: 4085

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

Noble RC.
Physicians and the pharmaceutical industry
Annals of Internal Medicine 1990; 113:408

Abstract:

The guidelines developed by the American College of Physicians are inadequate. Money for promotion drives up the price of drugs. Doctors should pay the full cost of their continuing medical education. The question “would you be willing to have these arrangements [with the pharmaceutical industry] generally known?â€, is also inadequate. Physicians should not take gifts from the pharmaceutical industry.

Keywords:
*letter to the editor/United States/attitude toward industry/gift giving/ continuing medical education/ American College of Physicians/ relationship between medical profession and industry/regulation of promotion/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS/ETHICAL ISSUES IN PROMOTION: GIFT GIVING/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/REGULATION, CODES, GUIDELINES: HEALTH PROFESSIONAL ORGANIZATIONS

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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