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Healthy Skepticism Library item: 8222

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

Wechsler J.
Final reform bill modernizes FDA, permits dissemination of off-label and economic data
Formulary 1997 Dec; 32:1253-1254


Abstract:

The final U.S. Food and Drug Administration (FDA) reform bill that codifies many new FDA regulations, revises agency policies, updates a number of outdated FDA practices, reauthorizes the Prescription Drug User Fee Act of 1992 (PDUFA) for another 5 yr, and permits drug companies to disseminate information that primarily discusses off-label drug uses and distribute data regarding the economic consequences of a drug product to sophisticated purchasers such as managed care plans and formulary committees is discussed.

 

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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