VOL. LIII, NO. 88
California State University, Long Beach March 12, 2003
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Ourview

Doctors exchange gifts for drugs


We have all seen them. They have become just as much a part of our lives as Pepsi commercials. Prescription drug advertisements have joined the thousands of images that manufacture our desire for whatever they want to sell us.

The market for prescription drugs is huge. Families USA, a national nonprofit group dedicated to providing information about health care, reported “The ‘research-based’ pharmaceutical industry spends more on marketing and administration than it does on research and development.” This means that prescription drug companies spend more money on making you feel like you need their drug than on research to make their drugs safer or more useful.

Not only are the pharmaceutical companies targeting the consumer with their obscure advertising tactics, but doctors have also been lured into the companies’ marketing schemes.

A bill pending in the legislature would force prescription drug makers who give millions of dollars worth of gifts each year to doctors to publicly list the gifts and who took them for public scrutiny. Any gift from a pharmaceutical company worth more than $25 given to doctors, pharmacists, hospital administrators or anyone authorized to write a prescription would need to be reported to the state Board of Pharmacy. Violators could be fined up to $10,000.

Vermont has the nation’s only gift disclosure law for drug manufacturers and Connecticut, Maryland and Washington are considering similar laws.

Of course, the pharmaceutical companies are fighting this potential glitch in their marketing machine by complaining that the “proposed law would force them to disclose trade secrets.”

Merrill Jacobs, a lobbyist for the Pharmaceutical Research and Manufacturers of America, called the practice of bribing doctors part of important “confidential marketing strategies.”

It is one thing to have confidential marketing strategies when Pepsi is trying to outsell Coca-Cola, but prescription drug marketing strategies is a scary prospect. The drugs that are being offered as fix-all remedies on television and subversively through our trustworthy doctors may affect our lives and our health. This is not simply a preference issue, it is a life issue. And life is too precious a thing for pharmaceutical companies to apply terms like “confidential marketing strategies” to.

The Los Angeles Times reported “A March 2002 national survey published by the Henry J. Kaiser Family Foundation found that 61 percent of doctors reported having received meals, tickets to events or free travel from the drug industry.”

Does conflict of interest fit anywhere in the picture here? These companies want to sell us their drugs, we can’t just go to the store and buy their drugs, we need a doctor to recommend a certain type of medication and then to give us the okay with a prescription. The doctor is the most important part of the equation, he or she is the mediator between the machine and the consumer. It makes sense on the drug companies’ part to target the doctor, it makes sense for us to have access to whom is receiving gifts from what company.

It is a sign of the times that our health has become a viable market and our prescription choice a commodity. Doctors receiving gifts should want to show that they have nothing to hide. Surely they have our best interests at heart as they enjoy a live Laker’s game at the drug companies’ expense.



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