PDA

View Full Version : First Step to Ban Gifts to Doctors from Drug Companies


MSQueen
January 19th, 2008, 06:10 PM
http://money.iwon.com/jsp/nw/nwdt_rt_top.jsp?news_id=ap-d8u8u5c80&

Minn. Health System Purges Drug Trinkets

Saturday January 19, 6:42 AM EST

MINNEAPOLIS (AP) — When a Duluth-based operator of hospitals and clinics purged the pens, notepads, coffee mugs and other promotional trinkets drug companies had given its doctors over the years, it took 20 shopping carts to haul the loot away.

The operator, SMDC Health System, intends to ship the 18,718 items to the west African nation of Cameroon.

The purge underscored SMDC's decision to join the growing movement to ban gifts to doctors from drug companies.

SMDC scoured its four hospitals and 17 clinics across northeastern Minnesota and northwestern Wisconsin for clipboards, clocks, mouse pads, stuffed animals and other items decorated with logos for such drugs as Nexium, Vytorin and Lipitor.

Trinkets, free samples, free food and drinks, free trips and other gifts have pervaded the medical profession, but observers say that's starting to change.

"We just decided for a lot of reasons we didn't want to do that any longer," Dr. Kenneth Irons, chief of community clinics for SMDC, said Friday.

So SMDC put together a comprehensive conflict-of-interest policy that, among other things, limits access to its clinics by drug company representatives. Employees suggested the "Clean Sweep" trinket roundup, Irons said.

Ken Johnson, a spokesman for the Pharmaceutical Research and Manufacturers of America, had heard of hospitals and clinics banning promotional items before, but said SDMC's purge was unprecedented.

"I've never seen nor heard of a systematic roundup of pens and coffee mugs before," Johnson said. "It's a bit draconian. But the onus is on us now to do a better job of explaining the job and the importance of marketing representatives. Unfortunately there are a lot of cynics in America who want to think the worst."

SDMC's effort was motivated by a desire to show patients that its 450 doctors were serious about keeping prescription drug costs down and making unbiased medical decisions, Irons said.

The backlash against the cozy relationships between doctors and drug makers gained steam from article in the Journal of the American Medical Association in 2006. It said research had shown that even cheap gifts, such as pens, can affect doctors' prescribing decisions.

The Prescription Project, funded by the Pew Charitable Trusts, was founded to promote the JAMA article's recommendations for countering aggressive marketing to physicians by the pharmaceutical and medical device industries.

Marcia Hams, assistant director of the project, said she too hadn't heard of a roundup like SDMC's, but hopes other health organizations follow its lead.

"This seems like a pretty aggressive way to kick off a policy like that," she said. "It sends an important message, I think, for how a strict policy can be implemented in an effective way."

Kaiser Permanente, the country's largest HMO, Veterans Affairs hospitals and medical centers at several universities have recently adopted strict conflict-of-interest policies, such as gift bans, Hams said.

Many of SMDC's items will be going to the health system of the Evangelical Lutheran Church of Cameroon, which has three hospitals, and several rural health centers.

Irons said there shouldn't be a conflict of interest in Cameroon because the advertised drugs aren't available there.

I know, this is small potatoes, but I think it is a move in the right direction for the medical profession. I hope it catches on in other places soon and continues to grow and become more of the "norm" for the pharmaceutical companies to actually have to "sell" their products to its "customers" (the medical profession)!

TheCapitalist
January 19th, 2008, 07:17 PM
During and after my illness, i went to the doctor a lot. More often than not, drug reps went in before me, and were almost always there. One wished to "Sit in" on my visit. Having just had my head opened up, i was not receptive to this, and stated so. I heard the well-dressed little prick make some comment in the hall. It was MY HEAD, and my doctor visit. Private and none of his business.

In the same vein, why are there even drug commercials on tv? Marketing to the public, telling you to tell the doctor what to prescribe. "Ask your doctor about Brand X".

At UAB, we were treated to some fine lunches and a seminar every Tuesday. Complements of the drug co. of the day. Complete with trinkets.

BassCatter
January 19th, 2008, 10:08 PM
All it's going to do is make the Drug Companies give gifts directly to the Doctors that they would want to take home rather than leave at the hospital or clinic. It's like putting a Silk hat on a Pig.

countrygirl
January 20th, 2008, 06:32 AM
They start when the docs are right out of med school, or even before...Free dinners at nice restaurants, food brought in for the whole clinic staff, ect.

Pinky
January 20th, 2008, 07:00 AM
The doctors offices sure get the loot-and my money!!!!

I've hinted numerous times at doctor's office that my class room could sure use some of those free pens and post its. So far, no takers.:shrug:

Hawkeye
January 20th, 2008, 12:09 PM
A few facts:

Drug company reps are usually called "Detail People" I guess because they're supposed to have the details of what a drug is supposed to treat and this saves the doctor having to do his own research.

Detail people are almost always people that could also work as models. The have long-legged blonds in tight, short clothing for the heterosexual male docs and GQ types for the female and bisexual/gay docs.

Detail people are authorized to spend tons of dough on docs, and even employee junkets. I know as I catered the H'burg Clinic golf tournament several years in a row and know where the money came from. It was top of the line food and most of the nice prizes were paid for by drug companies.

There are 3 high paid lobbyist in Washington for every Senator and Congressman.

Drug companies pay more for lobbying congress and TV commercials than they do on R & D and production of the new drugs they tout. Only in America.

The major drug companies are public traded companies who's primary interest is higher profit margins, garnered primarily on the backs of Americans. Their share prices are controlled more by what new so-called miracle drugs are in the pipeline than what is currently in production and what really works.

Most of the R&D is done my privately owned of new IPO bio-labs, started by college professors who did most of their research using tax-payer funded grants. If a drug shows promise, only then will the major drug companies buy the patent of buy out the bio-lab, outright. So, most of their argument about super high development cost is BS and lies.

We all know new drugs must go through 3 phases of clinical trials. We are the guinea pigs, of I should say the poor and desperate are the guinea pigs.

The major drug companies devote as much or more TLC to the FDA regulators as they do the doctors, once a drug passes phase III trials. Ex-FDA employees often go to work for drug companies very much similar to why ex-congressmen become lobbyist and ex-IRS accountants are hired by tax preparation and mediation companies, and retired military generals go to work for weapon manufactures.

Only in America do we see the non-stop TV commercials for symptoms you never gave a second thought to, and only here do people go to the doctor and tell him what they want prescribed.

None of the major drug companies are American owned or controlled. Look to Germany, France, Switzerland, and others. Once a drug's patent has or is about to expire, one of two things happen; (a)It becomes a generic which is more likely to be manufactured in India, China, or Turkey than any other place in the world. (b) One molecule is changed and it is called something else and marketed at higher prices on a protected patent that the company acquired at the same time they acquired the patent on the original form of the drug when it was first introduced. No better example of this than with "Prilosec", the purple pill that became "Nexium" overnight by adding 3 gold stripes and slightly higher dosage of the exact same ingredients. Prilosec became OTC at around 30 cents per pill while the new Nexium is prescription for what $5 or more per pill? They could have just called it "Next"and left off the "ium". I like "NexiDuh".

This is already too long but finally. How is it that I can buy the exact same brand name med from Canada for 60-66% cheaper than I can locally, even if I had medicare drug plan? Are you telling me that the drug manufactures aren't making a profit off the Canadian pharmacies and the Canadian pharmacies, themselves, aren't also making a profit on exports to me?

I can only surmise that the principals to blame for this rip-off of American seniors and citizens in general, are the US Congress.

Drug companies would much rather find and market high profit crap like dich hardeners and pimple cream than cure serious diseases. And side effects, don't even talk to me about what the FDA lets them get away with.

I lmao listening to the quiet, sexy, rapid voice at the end of those commercials. "diarrhea, vomiting, fainting, suicide, fatigue, death, etc"

Hawkeye
January 21st, 2008, 08:12 AM
Its position was this: Why should pharmaceutical companies get their samples from developing countries, develop patented products based on them and then price them out of reach of poor nations, including the original providers of vital information?

Pandemics on our horizon?

http://www.bloomberg.com/apps/news?pid=20601039&sid=aw5Boby0aaZc&refer=home

TheCapitalist
January 21st, 2008, 11:04 AM
"If you have an erection lasting more than 12 hours...."

Hawkeye
January 21st, 2008, 11:25 AM
"If you have an erection lasting more than 12 hours...."......you will have a worn out cooter and blisters :D

I think they add that warning as a camouflaged plus :D