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Pharmaceutical Companies are taking YOUR money!!



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No. 20
from DoctorRN
Old Dec 01, 2003, 10:27 PM

Default AMA has already taken huge steps
Several years ago the AMA took a strong position againt pharm co's giving "gifts" etc to physicians. Conflict of interest was the number one thing sited, it isn't ethical etc.

The fact remains that when these reps bring free lunch to the office staff they also bring a large number of samples of their medications that the physician can then use to give his patients a price break or to supply meds to a patient that could otherwise not afford them.
The pharm company's also all have a program for indigent patients that the physician can get his patient involved in to receive free meds if they can't afford them otherwise.

Yes there are a great deal of things that need to be changed regarding pharm companies and many other aspects about the cost of healthcare in America. Is a nurse refusing to eat lunch going to have an impact on these issues? Not on your life.

Am I as a physician going to refuse to allow drug reps to detail my office and provide lunch for my staff? Not on your life.

I will however not accept inappropriate gifts as outlined by the AMA.

Why not lobby for legislation to make advertising of prescription drugs (which is where the biggest portion of the marketing funds are going anyway) illegal instead of berating the nursing staff?

You might also want to do some research regarding what your webpage has to say about Lipitor.

And don't forget that the biggest step as a country that we could all take to decrease medical cost is to stop smoking and lose some weight!!!
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No. 21
from CCU NRS
Old Dec 02, 2003, 12:34 AM

Default Here Here
Well said and exactly what I was trying to get across with my earlier posts.
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No. 22
from jnette
Old Dec 02, 2003, 06:09 AM

Default Re: AMA has already taken huge steps
Originally posted by DoctorRN
Why not lobby for legislation to make advertising of prescription drugs (which is where the biggest portion of the marketing funds are going anyway) illegal instead of berating the nursing staff?

NOW we're talking !!! THIS has been one of my biggest peeves EVER. It just goes all OVER me to hear these ads telling you to "ask your Doctor about such and such".... I keep thinking since WHEN do patients tell/ask the docs what THEY think would be the proper med, instead of the other way around. And yet due to the inundation of these ads , the "power of suggestion" and suddenly this has become the "norm".

It sickens me. And the big pharm co's are laughing all the way to the bank.

It used to be you'd have a good VARIETY of commercials on TV... seems like the past ten years, however, at least every third ad is some big drug co. pushing what THEY think you MUST HAVE.......

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No. 23
from gauge14iv
Old Dec 02, 2003, 06:48 AM

I wholeheartedly agree with the fact that mass advertising of Rx's needs to be reduced - that is where the whole things needs to start. However, when one rep brings in lunch at least once a week for months on end, then that needs to be looked at too. Occasioanl is another thing. Samples are great too, but they are frequently handed out on a whim and/or utilized for the personal use of staff and their families. (in my experience anyways)

Will one nurse not eating lunch make a difference? No - not to the rep. and not to the drug company. But one thing it has done in my unit is raise awareness of the issue where there previously was none. I don't make a stink about it, I just don't eat it. And I don't take the freebies etc. Sometimes someone will ask why and I will tell them - We don't really see the drug reps in our place as often as we see the formula reps. Babies have to eat and formula is expensive. Yes, everyone should breastfeed but that isn't the reality and we all know it.

It is well known that nearly every medical personnel who works with new mothers can get all the formula they need shipped right to their homes by the manufacturers for as long as they need it at no cost for their own babies. A Perk? Maybe - but hardly a gift costing less than 25.00 which is what my facility says is the maximum we can accept. Who pays for that? We all do - in taxes that pay for higher formula prices to WIC and other governemnt agencies, and in higher formula prices when we buy it ourselves.

It's the utter excess that is an issue with me. Some marketing expenses are reasonable and acceptable, some are out of line, innappropriate and unethical. THOSE are the ones I have the beef with!
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No. 24
from Jas honey
Old Dec 02, 2003, 09:40 AM

Astra Zeneca (and another drug co which I forget already because I was so disgusted) sponsored a major golf tournament which was on TV this past weekend with the usual major golf names in it.....a million dollars was the 1st prize.
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No. 25
from CCU NRS
Old Dec 02, 2003, 10:02 AM

Default Re: Re: AMA has already taken huge steps
Originally posted by jnette
NOW we're talking !!! THIS has been one of my biggest peeves EVER. It just goes all OVER me to hear these ads telling you to "ask your Doctor about such and such".... I keep thinking since WHEN do patients tell/ask the docs what THEY think would be the proper med, instead of the other way around. And yet due to the inundation of these ads , the "power of suggestion" and suddenly this has become the "norm".

It sickens me. And the big pharm co's are laughing all the way to the bank.

It used to be you'd have a good VARIETY of commercials on TV... seems like the past ten years, however, at least every third ad is some big drug co. pushing what THEY think you MUST HAVE.......

Well in the last decade we have been attempting to teach our patients that doctors aren't God and that they should be involved in their care and they should be more active and learn more... so the drug companies are just taking from this new pool of info and encouraging the patients to take an even bigger interest and "ask your physician if new drug x may be right for you" I do not see any problem with this it is still ultimately up to the Doctor.
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No. 26
from CCU NRS
Old Dec 02, 2003, 10:08 AM

Default Breast feeding advocate
Originally posted by gauge14iv
I wholeheartedly agree with the fact that mass advertising of Rx's needs to be reduced - that is where the whole things needs to start. However, when one rep brings in lunch at least once a week for months on end, then that needs to be looked at too. Occasioanl is another thing. Samples are great too, but they are frequently handed out on a whim and/or utilized for the personal use of staff and their families. (in my experience anyways)

Will one nurse not eating lunch make a difference? No - not to the rep. and not to the drug company. But one thing it has done in my unit is raise awareness of the issue where there previously was none. I don't make a stink about it, I just don't eat it. And I don't take the freebies etc. Sometimes someone will ask why and I will tell them - We don't really see the drug reps in our place as often as we see the formula reps. Babies have to eat and formula is expensive. Yes, everyone should breastfeed but that isn't the reality and we all know it.

It is well known that nearly every medical personnel who works with new mothers can get all the formula they need shipped right to their homes by the manufacturers for as long as they need it at no cost for their own babies. A Perk? Maybe - but hardly a gift costing less than 25.00 which is what my facility says is the maximum we can accept. Who pays for that? We all do - in taxes that pay for higher formula prices to WIC and other governemnt agencies, and in higher formula prices when we buy it ourselves.

It's the utter excess that is an issue with me. Some marketing expenses are reasonable and acceptable, some are out of line, innappropriate and unethical. THOSE are the ones I have the beef with!
Maybe you should do more teaching on the importance and benefits of breast feeding and perhaps that would decrease the need and thereby use of Formula in your community and then you will have made a big difference in your little corner of the world at least
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No. 27
from gauge14iv
Old Dec 02, 2003, 12:51 PM

Which is why I'm currently studying to take the international boart cert for lactation in 2005!
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No. 28
from maureeno
Old Dec 02, 2003, 03:12 PM

>>it is my opinion that it may just be the Pharmaceutical companies that are keeping America alive as a free market Nation.<<

no way!
a free market would mean people could buy drugs from Canada
a free market would not hand corporate welfare to the drug companies
a free market would allow the federal government to bargain for reduced prices
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No. 29
from maureeno
Old Dec 05, 2003, 10:14 AM
Updated Dec 06, 2003 at 09:33 PM by maureeno

Default in my work e-mail today
invitations to two DRUG company sponsored dinners

>>_
Two drug company sponsored dinners are coming up for Health Care Professionals only (no guests):
_
1. Dr. J P on controlling manic symptoms at Fire & Ice Restaurant on Dec. 9 at 6:30pm
___ RSVP by Dec. 8 to Ann Adams (425.xxxx) or Randy Greene (425.xxxxx) from Lilly
_
2. Dr. D W on controlling schizophrenic symptoms at The Metropolitan Grill on Dec. 17 at 6:30pm
___ RSVP by Dec. 15 to Ann Adams (xxx) or Randy Greene (xxx) from Lilly <<<


I will not be attending
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