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Is Your Doctor Being PAID OFF by the Drug Industry?

According to the results of a national survey, virtually all doctors asked reported some sort of financial relationship with medically related industries such as pharmaceutical companies.

The financial connections ranged from free lunches to payments for consulting and lecturing.

The survey was sent to more than 3,000 practicing anesthesiologists, cardiologists, family practitioners, general surgeons, internists and pediatricians, and just over half responded. Some 94 percent of the respondents acknowledged some kind of relationship with the drug industry, although 80 percent of them primarily accepted free food or drug samples.

However, research has shown that even inexpensive gifts can influence behavior.

In addition, more than one-third of the respondents were paid by the drug industry to travel to professional meetings or attend medical education classes. Family practitioners said they met an average of 16 times a month with industry reps, the most of any specialty surveyed. However, cardiologists were more than twice as likely as family practitioners to receive direct payments from industry.

Doctors were more likely to receive payments from industry if they were male, had any role in training doctors or developing medical guidelines, or had few uninsured patients or patients on Medicaid.

New England Journal of Medicine, Vol. 356, No. 17, April 26, 2007: 1742-1750 (Free Full-Text Study)

USA Today April 26, 2007

Washington Post April 29, 2007


Dr. Mercola's Comment:

Many may not realize that I too was a paid consultant for a drug company. I was hired by them to promote the benefits of estrogen replacement therapy, and they flew me around the country to lecture to physician groups and paid me a healthy stipend.

But that was over 20 years ago, well before I found my path onto natural medicine. But the trend certainly continues today with nearly all conventionally trained physicians who are as equally clueless as I was when I first graduated medical school.

Despite some reports to the contrary, this landmark study in the New England Journal of Medicine confirmed what all of us already knew: Drugmakers and medical device manufacturers have bought and paid for your doctors, with incentives ranging from the tiny perks to enormous fees. (Incidentally, one very absurd factoid, among many: Health professionals were sent checks for $20 just for being sent this survey.)

This is a VERY common practice, and I can recall receiving many dozens of these checks or actual currency in the mail. However, I haven't received any in this century that I can recall.

Although some physicians interviewed for various articles about these insane study results disputed any differences in their prescribing patterns, I wouldn't take them at their word based on a study I posted recently about the influence drug reps have on convincing your doctor to prescribe Neurontin for off-label uses. One researcher on that study was amazed at "how effective a very brief visit by a drug representative -- most often less than five minutes -- can be in influencing physicians' choices to use a drug for an unapproved indication."

Drug companies shell out $4 billion each year in the United States to advertise directly to consumers on the television and print media. But that is small potatoes when it comes to what they spend on marketing to physicians. They spend $16 billion each year to directly influence doctors. That is $10,000 for every single physician in the United States.

Meanwhile, the sad fact of the matter is, most of the drugs being prescribed by these compromised doctors are useless at best and outright dangerous at worst, which is why the drug companies have to spend so much money to convince doctors to prescribe them and patients to use them.

A growing number of you have already realized the "shell game" being played with your health. But that having been said, the battle is merely beginning.

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Article's Comment     ( 26 Comments )
 
 
 +48 Points           
 
Author of the Article
BY Christopher Gussa "The Herb Doc"   
  
[ Joined on 11/06 ]
[ Posted on April 30, 2007 ]
Post Reply
 

Thank you Dr. Mercola! I have always known this but it is good to see black and white proof now. I think it is high time we all use this evidence to form a major complaint in some sort of mass conflict of interest law suit!

This needs to be exposed as much as possible! Please let us know  how your legal authorities think we can use this info to further the cause of "Natural health verses forced poison!"

 

 +12 Points           
 
Author of the Article
BY ponzo54   
  
[ Joined on 04/07 ]
Author of the Article [ Posted on April 30, 2007 ]
 
Its not as black and white as we all would like to believe.

As a disclaimer, I do admit to going to lunches, dinners, and conferences that have some sponsorship by the pharmaceutical industry. Some of it is definitely marketing; afterall, pharmaceutical companies are businesses and they are trying to make the millions of dollars back that they spend developing their products. However, a good portion of it is educational, and its unfortunate that its viewed solely as being a conflict of interest.

As a health care practitioner, it is my job to make the most accurate clinical judgment call in treating a patient. For instance, even though I might have eaten a dinner by a company trying to promote or educating me on their product, if it is not appropriate for my patient OR there are better alternatives, then that dinner means nothing to me. My patients come first.

My point here is that I can tell you from my own experience that the physicians I work with are highly credible people and are ethical, and the pharmaceutical companies aren't completely evil. Every so often they try to pull some shady stuff, but its my job to sort through all the bullsh*t and give my patient the best care they can get. So YES, the pharmaceutical industry does wine and dine healthcare practitioners, but they can't but our love!!

Mike

 +8 Points           
 
Author of the Article
BY minnie-me   
  
[ Joined on 02/07 ]
Author of the Article [ Posted on May 02, 2007 ]
 
 
ponzo54, then you may be one of the few mainstream medical practitioners that I would even consider seeing. I realize that there really are a few good, honest professionals out there. I actually had "necessary" surgery done once, and was amazed that this guy truly cared and never pushed unnecessary drugs on me. Unfortunately, that was a one time thing. Before I was dx'd with asthma, I had gone to several Doctors who had me on every big name antibiotic out there...of course, then came the "monostat 7". Then, he tried "Nexum" for acid reflux (????) Obviously, that wasn't going to help a problem that I did not have. Then, they did real tests and pinpointed "asthma." That meant 3 inhalers...none were generic and ALL made me jittery and ill. The ironic thing is, I never developed asthma until I received my first flu shot!!!!  My mother-in law went to her Dr. and complained of laryngitis...no tests done, and she came home with an inhaler. I made her get another opinion...she was off the inhaler in  no time!!!!
 Foot discomfort brought me to a specialist who put me on steroids and pushed cortisone shots...uh, uh!!! Now I see a Chiropractor who practices natural healing through nutrition and supplements and I am 100% healthy, except for a raspy voice that we are working on! This person has not one note pad or pen in his office with a logo. Every other Dr. had posters, pens, note pads, models of ears, nose throats, hearts...all advertising a pharmaceutical company name, and of course, samples for me to try...which one do you think is not on the receiving end?
Keep up the good work...we need more...thousands and thousands more good people like you to set the example to others in the health care field! Thank You for not being influenced....unfortunately, you are in the minority!!!!

 +6 Points           
 
Author of the Article
BY Witch Doctor   
  
[ Joined on 09/06 ]
Author of the Article [ Posted on April 30, 2007 ]
 
ponzo54 makes sense and I see no reason from what he wrote to doubt him.  The problem may be more institutional than personally professional.  A bias builds up in the system over time based n marketing efforts.  But it's the same everywhere else.  Not sure what the better alternative is.  Maybe professional conferences instead of direct marketing to docs?  But professional conferences I've been to seem to have their share of wining and dining, one way or another.  Hopefully they will reconsider the whole way drugs are marketed, based on the appearance of conflict of interest - plausible deniability or not.

 +6 Points           
 
Author of the Article
BY uncleandy   
  
[ Joined on 02/07 ]
Author of the Article [ Posted on April 30, 2007 ]
 
This is not too surprising to me.While at a Dr Whitaker week in California,the good Doctor said,If you remember nothing else this week the Medical profession has very little to do with proper health care,has allot to do with money ,

 +3 Points           
 
Author of the Article
BY