The rule of seven touches

Dr. Atul Gwande tells the story in his New Yorker column of asking a pharmaceutical rep how he persuades “notoriously stubborn” doctors to adopt a new drug he’s promoting.  The rep’s response:

“Evidence is not remotely enough, however strong a case you may have. You must also apply the rule of seven touches.”

“Personally ‘touch’ the doctors seven times, and they will come to know you; if they know you, they might trust you; and, if they trust you, they will change.”

That’s why, explained Dr. Gwande, this drug rep stocked doctors’ closets with free drug samples in person.  Continue reading

Big Pharma’s remarkable powers of persuasion

Do you know why product demonstrators at the grocery store give you those tempting little free food samples when you’re out shopping on your way home for dinner?  It’s because manufacturers and retailers know that free samples result in significantly increased sales. They simply wouldn’t be doing this if it didn’t work to boost results. The food business is not doing charity work – their goal is to make more money.  This free sample strategy is based on a sociological concept calledthe rule of reciprocation.

It’s also the same concept that pharmaceutical companies rely on when they offer your doctors financial incentives – and even those free drug samples.   Continue reading

Deceptive drug ads on TV

Drug-makers spend nearly $5 billion a year to make sure you’re hearing about their products – but you might be surprised at how they’re delivered to you.

See also:

j

A philosopher’s take on Big Pharma marketing

You may not expect to find an ivory tower academic whose erudite specialty is philosophy hanging out at drug marketing conferences, but that’s where you would have found Dr. Sergio Sismondo a few years ago. The professor of philosophy at my old stomping ground, Queen’s University in Kingston, Ontario, turned up at the annual meeting of the International Society of Medical Planning Professionals, one of two large organizations representing medical communications firms.

A medical communications firm is a business that sells services to pharmaceutical and other companies for “managing” the publication and placement of scientific research papers for maximal marketing impact, often  running a full publicity campaign to help sell the drug being “studied”. This is an alarmingly widespread practice in which drug companies essentially decide what your physician will end up reading in medical journals.  Continue reading

“Death by Prescription: A Father Takes on His Daughter’s Killer”

* See NEWS UPDATE below

When I first heard him interviewed on CBC Radio, I had to stop chopping my red peppers for that night’s pasta sauce. I was utterly riveted by Terence Young‘s compelling story about the tragic death of his 15-year old daughter, Vanessa. His story began 11 years ago on an ordinary spring evening at home near Toronto, while his wife Gloria was also preparing dinner for the family, just as I was doing. Vanessa suddenly collapsed to the floor. Her heart had stopped.

When ambulance paramedics asked if Vanessa had been taking any drugs, her stricken parents replied: “Just Prepulsid.” Prepulsid was the brand name for the drug cisapride, commonly prescribed at the time to treat gastrointestinal issues like indigestion or constipation.

What Terence Young later learned was that cisapride was clearly contraindicated for Vanessa, and that the drug had been associated with hundreds of suspicious deaths in Canada and the United States.  Continue reading