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The Iron Grip of Pharmaceutical Companies. David Chelnick. Ask your doctor about…. How do drug companies influence doctors & patients, and what can be done?.
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The Iron Grip of Pharmaceutical Companies David Chelnick
How do drug companies influence doctors & patients, and what can be done?
Although legislation exists to disclose financial relationships, additional regulation is required to mitigate the adverse affects of over-prescribing drugs.
Overview 1 2 3 4 • Drug companies’ power over doctors • Drug companies' power over patients • Consequences of over-prescribing • How to resolve the issues at hand
1 2 3 4 Influence on the Physician
Pharmaceutical Companies' Influence 25% of doctors are paid by drug companies for lectures and endorsements
Pharmaceutical Companies' Influence 66% of doctors receive free meals from drug company representatives
Disclosure… Sunshine Laws The Patient Protection and Affordable Care Act (PPACA) “Obamacare”
Sunshine Laws • Obama Administration: • About 1,100 drug and device makers must report payments to doctors • $10,000 fine
Disclosure so far…? $761.3 million As of April 2012
$31,647,101 • Nexium • Crestor • Symbicort
$85,263,683 • Advair • Paxil • Zofran
$176,247,405 • Celebrex • Lipitor • Lyrica • Viagra
Influence on the Patient 3 4 1 2
Power over the patient 33% of patients who have seen ads have spoken to their doctor about an advertised drug.
Power over the patient Of those consumers, 28% asked for prescriptions
Power over the patient 80% of such requests were granted
Journal of the American Medical Association: Up to 60% of all prescriptions in the U.S. are written for drugs being used in a fashion other than their approved purpose
Antibiotics… 20% are prescribed for sinus infections (viral or bacterial)
Be careful! More antibiotics= more antibiotic resistant bacteria
Dr. Margaret Chan, director general of the World Health Organization: “This will be a post-antibiotic era…things as common as strep throat or a child’s scratched knee could once again kill”
Can we solve our problems? 4 1 2 3
A simple solution More regulation of money given to doctors by drug companies
A simple solution Continue to disclose any financial relationships (At least keep this part of the healthcare bill!)
A simple solution If we must… Regulate prescribing doctors