Comments on: Big Pharma, are you ready for your close-up? https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/ Marketing Ethics for the Easily Swayed Fri, 26 Aug 2016 00:40:50 +0000 hourly 1 http://wordpress.com/ By: Carolyn Thomas https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-39150 Fri, 29 Jun 2012 19:59:35 +0000 http://ethicalnag.org/?p=8461#comment-39150 Oh, Jeffrey – indeed, where have you been? The influence of Big Pharma on the medical profession is so pervasive that it’s been called “marketing-based medicine”. For examples, try reading Does The Medical Profession Need to Wean Itself From Its ‘Pervasive Dependence’ on Big Pharma Money?

Like

]]>
By: Jeffrey Lee https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-39149 Fri, 29 Jun 2012 19:13:47 +0000 http://ethicalnag.org/?p=8461#comment-39149 Doctors getting kickbacks for prescriptions? Where have I been? It is certainly against the Hippocratic Oath, and should be a violation of the AMA Code of Ethics. I guess if they will not police themselves, we need to pass a law, either to have multimillion dollar fines to pharmaceutical companies or take away the medical licenses from doctors that accept cash rebates.

Like

]]>
By: Bev https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-27928 Mon, 20 Feb 2012 09:34:09 +0000 http://ethicalnag.org/?p=8461#comment-27928 I was kidding, Carolyn. Sorry that wasn’t at all clear. I couldn’t see how anyone could know if someone else was ethical. Cave has added to the body of general knowledge, though. Thanks, Cave.

And yes! Not being numb is definitely better! Better to pay close attention, as well as to just still be alive and in the game!

Like

]]>
By: Carolyn Thomas https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-27902 Mon, 20 Feb 2012 00:02:32 +0000 http://ethicalnag.org/?p=8461#comment-27902 Thanks Cave for sharing this crash course (courtesy of UCSF) on beneficence and non-maleficence (which are clearly NOT the same thing, apparently!) Very appropriate for this topic, particularly the examples of non-maleficent actions, which sound like they could have been lifted directly from this Procrit story.

Like

]]>
By: cave76 https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-27898 Sun, 19 Feb 2012 23:06:08 +0000 http://ethicalnag.org/?p=8461#comment-27898 Beneficence vs. Nonmaleficence

Beneficence:

Definition: Beneficence is action that is done for the benefit of others. Beneficent actions can be taken to help prevent or remove harms or to simply improve the situation of others.

Clinical Applications: Physicians are expected to refrain from causing harm, but they also have an obligation to help their patients. Ethicists often distinguish between obligatory and ideal beneficence. Ideal beneficence comprises extreme acts of generosity or attempts to benefit others on all possible occasions. Physicians are not necessarily expected to live up to this broad definition of beneficence. However, the goal of medicine is to promote the welfare of patients, and physicians possess skills and knowledge that enable them to assist others. Due to the nature of the relationship between physicians and patients, doctors do have an obligation to:
1) prevent and remove harms, and
2) weigh and balance possible benefits against possible risks of an action. Beneficence can also include protecting and defending the rights of others, rescuing persons who are in danger, and helping individuals with disabilities.

Examples of beneficent actions: Resuscitating a drowning victim, providing vaccinations for the general population, encouraging a patient to quit smoking and start an exercise program, talking to the community about STD prevention.

Non-maleficence:

Definition: Non-maleficence means to “do no harm.” Physicians must refrain from providing ineffective treatments or acting with malice toward patients. This principle, however, offers little useful guidance to physicians since many beneficial therapies also have serious risks. The pertinent ethical issue is whether the benefits outweigh the burdens.

Clinical Applications: Physicians should not provide ineffective treatments to patients as these offer risk with no possibility of benefit and thus have a chance of harming patients. In addition, physicians must not do anything that would purposely harm patients without the action being balanced by proportional benefit. Because many medications, procedures, and interventions cause harm in addition to benefit, the principle of non-maleficence provides little concrete guidance in the care of patients. Where this principle is most helpful is when it is balanced against beneficence. In this context non-maleficence posits that the risks of treatment (harm) must be understood in light of the potential benefits. Ultimately, the patient must decide whether the potential benefits outweigh the potential harms.

Examples of non-maleficent actions: Stopping a medication that is shown to be harmful, refusing to provide a treatment that has not been shown to be effective.

Balancing Beneficence and Non-maleficence:

One of the most common ethical dilemmas arises in the balancing of beneficence and non-maleficence. This balance is the one between the benefits and risks of treatment and plays a role in nearly every medical decision such as whether to order a particular test, medication, procedure, operation or treatment. By providing informed consent, physicians give patients the information necessary to understand the scope and nature of the potential risks and benefits in order to make a decision. Ultimately it is the patient who assigns weight to the risks and benefits. Nonetheless, the potential benefits of any intervention must outweigh the risks in order for the action to be ethical.

From:
http://missinglink.ucsf.edu/lm/ethics/Content%20Pages/fast_fact_bene_nonmal.htm
© 2008 by the Regents, University of California

Like

]]>
By: Carolyn Thomas https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-27890 Sun, 19 Feb 2012 20:19:15 +0000 http://ethicalnag.org/?p=8461#comment-27890 Hi Bev
Personally, I think it’s preferable NOT to feel “numb” by hearing stories like this one that Kathleen Sharp tells about Procrit marketing. Not sure how to answer your last question, given that there seems to be wide variation in individual doctors’ interpretations of what’s “ethical” or not in medicine.

Like

]]>
By: Bev https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-27887 Sun, 19 Feb 2012 19:48:12 +0000 http://ethicalnag.org/?p=8461#comment-27887 Wow!!! What amazing kickbacks! Any way I can get in on this? I’ll go door to door and tell everyone if they’re tired, whether just after waking up to after a big work-out at the gym, to beg their doctor to give them this energy boosting new medication! After all, don’t we all deserve to feel great? (How about sarcasm emoticons? Got any of those around?)

Seriously, to everyone being prescribed to take this drug:

ASK YOUR DOCTOR IF HE OR SHE WOULD TAKE THIS DRUG UNDER ANY CIRCUMSTANCES?!!!!

Not that they could depend on an honest reply….

I guess I still haven’t heard of enough of this level of horrifying behavior by marketing of anything at all to be numb. For our government, our physicians, or our drug companies to be willing to risk our lives absolutely horrifies me. I am stunned.

How can anyone participating in this go to sleep at night? Do they say prayers before they go to sleep, begging for forgiveness for what they’ve done AND plan to continue to do?

Carolyn, considering how cooperative our government is in promoting new drugs, see if they’ll give you the right to have access to every email address in the U.S. so you can send this Nag out as a warning to all. Just tell them you have an “informational drug” which is sure to save lives and increase performance in sports and in anemia-causing illnesses. I doubt you’ll even have to justify your claim, even being an honest one, but be ready to give a kickback to the FDA or anyone else who might argue with you. Everyone else seems to be susceptible to those.

To all who are considering taking Procrit, legally or not:

You can’t win your return to health nor an Olympic Gold Medal if you’re dead, right?

By the way, Carolyn, any studies out on how to know if a doctor practices ethical medicine or not?

Like

]]>
By: Carolyn Thomas https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-27883 Sun, 19 Feb 2012 16:44:37 +0000 http://ethicalnag.org/?p=8461#comment-27883 No kidding. (Where IS that black humor emoticon when you need it most?!?!)

Like

]]>
By: cave76 https://ethicalnag.org/2012/02/19/big-pharma-in-the-movies/comment-page-1/#comment-27881 Sun, 19 Feb 2012 15:50:19 +0000 http://ethicalnag.org/?p=8461#comment-27881 Thanks for that post, Carolyn. But why am I not surprised? Sigh.
I recently watched the movie Contagion and am trying to learn how to drink coffee or other beverages using my elbows!!

***Physicians are still prescribing Procrit. ***
Just like Yaz is continued to be sold.

***“Using PROCRIT can lead to death or other serious side effects.”***

What? What’s more serious than death? (insert black humor emoticon here)

Like

]]>