Currently viewing the category: "pharmaceutical companies"

Congratulations medicine, you’ve done it!  You’ve now helped drugs pass traffic fatalities as a cause of death in the U.S.  Bravo!  That’s right, pushers–37,485 people die every year from prescription drug overdoses, according to preliminary data from the Centers of Disease Control and Prevention.

While most other causes of preventable death are declining, drug deaths continue to rise.  Many blame the increases in prescriptions for pain pills and anxiety medications.  Well intentioned doctors, wanting to spare their patients from pain and suffering, have doled out these meds for years in a sort of illogical haze.  As a result, prescription drug deaths have double over the last decade, with a person overdosing every 14 minutes.

Back in the day when I was a coming up, celebrities and rock stars were ODing on heroin, cocaine, speedballs, barbiturates, and other illicit drugs, but not today!  Oh no, the new millennium is the era of Oxycontin, Vicodin, Xanax and antidepressants like Zoloft, Prozac and Paxil.  And we musn’t forget the legalized speed, Ritalin. 

Public health experts are now calling the current prescription drug trends “epidemic.”  Well no shiitake mushrooms–’bout time!  Pain killers and anti-anxiety meds are highly addictive and especially lethal when combined with other drugs, like alcohol.  And users (abusers) span every demographic from elderly ladies (like my patient on daily Fentanyl patches–100 times more potent than morphine) to children (known to get into their parents stash with tragic results).  Prescription drugs kill more people than heroin and cocaine combined.  Booyah!  Something we can all be proud of…

Why what do you mean, Campos?  Nobody is off the hook on this one: Yes, doctors are to blame because they dole out these drugs like candy.  Yes, the pharmaceutical industry is to blame because they have aggressively marketed drugs to doctors by incentivizing high prescription volumes with trips and other gifts, as well as to the public through direct-to-consumer adds in magazines and on television.  And yes, the public is the most to blame because they’ve been asking for these drugs by name.  Why?  Because it’s an easy way to get high.  And who doesn’t like getting high?

But the most important lesson to be learned from all this is that everything comes with it’s flip side.  So yes, your doctor can help you get high…or stay out of pain…or fool you into thinking you’re happy all the time…but not without a price.  And that price is often life.  Your game, your choice–the newest numbers just show how many people are playing.

Ha ha ha…nothing like the naivety of youth.  Take medical students for example–they actually think they cannot be influenced by gifts or trips provided by pharmaceutical manufacturers.  Silly little doctors-to-be; it’s like one of my teachers in chiropractic college said, “You think you know exactly what you’ll do until you have trouble paying the rent, your daughter needs braces, and college for your son is right around the corner.”  Ha ha ha…exactly.

Researchers at Harvard Medical School analyzed published studies that included a total of 9,850 students at 76 medical schools in the United States. The investigators found that most of the students had some type of interaction with drug companies and that this contact increased during the clinical years, with up to 90% of clinical students receiving some form of marketing materials from drug makers.

Among the students queried, most believed there was no ethical problem in accepting gifts from drug companies. Their justifications included financial hardship or pointing out that most other medical students accepted such gifts.

Nearly two-thirds of the medical students claimed that drug company promotions, gifts or interactions with sales representatives did not affect their impartiality regarding drug makers and their products.

Yeah, everyone thinks they are above such influence.  I personally think commercials are useless against my steel will, but who’s the fool?  Bottom line: Drug companies wouldn’t waste their time and money on aggressive marketing if it didn’t work.  And going after medical students is a strong step toward successful indoctrination.  Heck, if it works for Coke and Pepsi with the pre-schoolers, why not for Big Pharma and the med-schoolers?

The drug companies have even begun to target their marketing efforts to individual doctors.  They can buy biographical data from the American Medical Association (AMA) and analyze individual doctors personal and prescribing habits.  They can learn which drugs doctors lean toward, and they can even find out a doctor’s taste in dining, hobbies and travel.  Imagine an all expenses paid trip to Hawaii, from your friendly neighborhood pharmaceutical company.  And you think you wouldn’t buckle…now who’s the fool?

Listen, marketing influences consumers…even doctors.  No matter how much a doctor thinks, as a scientist, he is above basic marketing techniques, truth is he is influenced like the rest of us.  One study showed that doctors’ prescribing rates doubled and tripled for certain drugs following an all-expenses paid trip.  But that was just coincidence.

Get smart, med students–you will be influenced by pharmaceutical marketing.  It’s not a problem as long it’s in the best interest of the patient, the public health and the person paying the bills.  Until your profession lays down some regulations limiting contact between med students and pharmaceutical sales reps, you’ll just have to humble yourself to the power of marketing…and keep mind of your post-contact habits.

Copyright © 2013 Dr. Nick Campos - All Rights Reserved.