Handy hints for getting along with your drug company

Pity the poor pharmaceutical industry, much maligned by those concerned about marketing-based medicine. Ray Moynihan is one of the most vocal watchdogs of the industry.  He’s the Australia-based co-author with Alan Cassels of a compelling book called Selling Sickness: How the World’s Biggest Pharmaceutical Companies Are Turning Us All Into Patients.

His work on disease-mongering has intrigued me for years, and now he offers these handy hints for physicians on how to get along with your friendly neighbourhood drug or medical device company.  These hints are in response to a British guideline for physicians written by a multinational stakeholder group, including the Association of the British Pharmaceutical Industry (ABPI). Neither the group’s membership nor funding is declared in the guidelines or on the ABPI website.

Here’s Moynihan’s cheeky advice* in the British Medical Journal for doctors who are reading this guidance: Continue reading

Paying celebrities to shill your drugs

Allergan’s Latisse is an eyelash-growing drug prescribed to treat a condition called hypotrichosis. This is a condition of no hair growth (not to be confused with the condition of alopecia, which describes hair loss where formerly there was hair growth).  That’s not how Allergan chose to describe the condition of hypotrichosis on its Latisse Patient Information sheet:

“Hypotrichosis is another name for having inadequate or not enough eyelashes.”

But as John Mack astutely notes in Pharma Marketing News:

“I imagine asking a woman if she has ‘adequate’ or ‘enough’ eyelashes is like asking a man if he has a ‘big’ enough or ‘hard’ enough penis. It is unlikely, therefore, that any woman wouldn’t want to try Latisse at least once.”

How then to get more women to ask more doctors to help sell more of this eyelash-growing drug?  Hire a famous person to pitch your product! Enter professional celebrity-for-hire (Volkswagen-Ford-Coppertone-LaZBoy-Colgate-Tupperware) Brooke Shields, who explains on her Latisse video diary how she also became a paid shill for this Allergan drug:      , Continue reading

Are you being “over-diagnosed”?

According to a trio of widely published American researchers, many of us are “over-diagnosed” by being labelled with a medical condition that will never cause us any symptoms or premature death. We are, they tell us, mistakenly swallowing the popular conviction that early detection of everything is always for the best.

Their book, Over-diagnosed: Making People Sick in the Pursuit of Health, claims that over-diagnosis is in fact one of medicine’s biggest problems, causing millions of people to become patients unnecessarily, producing untold harm, and wasting vast amounts of resources in the name of disease mongering. Continue reading

There’s a pill for that!

No matter what ails you, there’s a pill for it. And if nothing ails you, just wait. Pharmaceutical companies are working on drugs right now that just need a disease to treat. So let’s invent one!  It’s what Big Pharma watchers call disease-mongering. For example, we used to call it laziness, but now we know that it’s really a medical condition called Motivational Deficiency Disorder. And don’t even get me started on Hypoactive Sexual Desire Disorder!

Need to take a pill for something, anything? We’ve got drugs for everything.

The term ‘disease-mongering’ was first coined by author Lynn Payer in the 1992 book Disease Mongers: How Doctors, Drug Companies and Insurers Are Making You Feel Sick. Ray Moynihan, Iona Heath and David Henry then wrote this in April of that same year in the British Medical Journal:

“Pharmaceutical companies sponsor diseases and promote them to both prescribers and consumers.

“There’s a lot of money to be made from telling healthy people they’re sick. Some forms of medicalising ordinary life may now be better described as disease mongering: widening the boundaries of treatable illness in order to expand markets for those who sell and deliver treatments.

“The social construction of illness is being replaced by the corporate construction of disease.” Continue reading