See from " truth of pharmacy industry " how the drugmaker draws the empty patient's purse

See from " truth of pharmacy industry " how the drugmaker draws the empty patient's purse
Dong Wei if someone says, it is not the doctor what medicine is decided to prescribe for a patient, but medical enterprises, will you feel inconceivable and even unable to accept? However, this is a fact. The intersection of Mathea and Angel in work " truth of pharmacy industry " their, announce how are all these take place and operation: As to the young doctor, table delicacies and friendship are enough to influence the orbit of the prescription pen; As to the famous expert, the lethality of flattering is greater. Certainly have a kind of indispensable thing - -Have no money disguised to disguise. Mathea and Angel is the editing ago of " medical magazine of New England ", have taken office in the social department of medial science of Harvard Medical School at the time of the writing, this book. In U.S.A., she is a famous expert in health policy and medical ethics field, famous for criticism of speaking without reservation about medical treatment and health care system. Time Magazine nominate as current the intersection of U.S.A. and powerful 25 people most one of her once. The pharmacy industry is one of the closest industries of the relation with people, its importance is self-evident. Before long, it, in order to care about the life and innovate and gain respect and trust with keen determination. However, with the passage of time, the pharmacy industry sloughs off and turns into a huge marketing machine gradually, and the key crowd of its marketing is undoubtedly the doctor, the person who does such a thing is known as the medical representative. Worldwide, medical representatives are not any secret job, though their activities are still too many to know. Angel claims, in U.S.A., the drugmaker sends 88000 sales representatives to the doctor's office. Their main task is to distribute the free trial product and a lot of give the doctor a personal present, products boasting in one's own company at the same time. This is a very high-efficient team. They wander up and down in every hospital of scale had slightly, look for chance and doctor to make conversation, send various presents to pave the way for their work. This kind of offensive that the doctors ward off soon. Besides in the hospital, medical representatives will also present at the academic meeting, even may enter the operating room and prepare in the room. The patient will usually regard the salesman as a doctor by mistake - -When the salesman proposed the suggestion in treating, this misunderstanding was deeper. For example, the case of " The Boston Globe " report. After regarding as the chemotherapy which is finished breast cancer, she goes to see a doctor, there is another man in the consulting room to discover. Tell her doctor by pieces of stranger on here " Observe my work " . Do not know until later on she that person is a medicine salesman of Johson Johnson subsection. In drugmaker, doctors may get very expensive present and " rare respect " . One USA Today wrote editorially: "Christmas tree, the free admission of the intersection of rugby team, favourite follower of Washington and match, obey Champagne and receive the cocktail party, the whole family goes to Hawaii to spend holidays, host of bank notes, the red alarm that these presents may make public officer and contractor for the construction of government full of ' accept bribes ' in the head, but a lot of doctor think they accept these make the intersection of people and chin want present that fall down so. " If just smile obsequiously, give a present, then the marketing of this trade lacks technological content unavoidably. In fact, do not turn out this. No matter in which country, the doctor is demanded to accept subsequent education in the operation career under most situations, in order to keep their qualification of practising medicine. This requirement is very strict, and education must be appraise and offer for qualified organization. "Who pays for the education? You think it is doctor that educate, pay for one's own follow-up, because other a lot of job like this perhaps. You are wrong. In 2001, the drugmaker paid subsequent medicine and educated 60% of the expenses, and this proportion was also increasing constantly later. " Angel wrote. The drugmaker yes the doctor " Educate " Behave unusually generously on the activity. This kind of education is usually two-way. The company provides information for doctor, the doctor feedbacks information to the company again. However, the money is unidirectional - -Flow into the doctor from the pharmacy industry. Doctor all right Israel " Consult a teacher " Whether or " persons who propose " Identity luxurious without being invited for restaurant dinner party of participating in,or go luxurious place to make a tourist trip at public expense. After the doctor finishes listening to the lecturer's speech, only need to discuss the views of several sentences of his medicines or advertising popularization activities to the company. However, as to the leader, the small favours are inoperative. These people are usually all famous experts, they work in the medical college or teaching hospital, write the thesis and combine editor's teaching material, make the speech at the medical meeting - -All these activities will influence the use of the medicine in their field greatly. The drugmaker gives them a large number of facilities, invite the honor that they serve as the company to consult teacher and lecturer, pay to the luxurious meeting participated in for them, but pretend in order to listen to the people's suggestion on the surface. In fact, thought leaders are usually all clinicians, they study the medicine after the medicine is developed out. Interests that they can bring to drugmaker only persuade other more doctors to prescribe. No doubt, the drugmaker does not distribute the wealth boy. These expenses should include in the cost and are undertaken by others - -Every patient who gets the prescription. Angel has given a data: In 2001, patients afforded 30% of the amount of the increase of medicine price because of this kind of selling popularization activity, about 19,100 million dollars. This's the essence of the game. Already the honour relation make and watch out for altogether to the doctor and growing between the drugmakers U.S.A.. The directors of the intersection of U.S.A. and hygiene and public affairs department examined the long office to propose a warning, it give to doctor huge to be all right in present according to " Against commission law " Measurement of penalty comes. These warnings deter the extreme behavior to some extent, but " guide " Execution voluntary,it is full of more by loopholes legal itself not to even not warn. After a notorious case took place, American the intersection of medicine and research and the intersection of manufacturer and association announce self-disciplining " guide" similar to American medical association . " guide " Stipulate the present value given to the doctor should not exceed 100 dollars, and require the present to correlate with disease treatment - -Such as books,etc.. As to this, Angel quite queries more: This guide has not stipulated that give the frequency of the present. It has not told us either, since the cost of these presents can be regarded as at the price of medicines finally, why still allow the drugmaker to send the present to the doctor?

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