SEARCH:
Sign in | Join | Help
search Mercola.com
 
FREE Subscription 
The World’s Most Popular Natural Health Newsletter
Is Your Doctor Being PAID OFF by the Drug Industry?

According to the results of a national survey, virtually all doctors asked reported some sort of financial relationship with medically related industries such as pharmaceutical companies.

The financial connections ranged from free lunches to payments for consulting and lecturing.

The survey was sent to more than 3,000 practicing anesthesiologists, cardiologists, family practitioners, general surgeons, internists and pediatricians, and just over half responded. Some 94 percent of the respondents acknowledged some kind of relationship with the drug industry, although 80 percent of them primarily accepted free food or drug samples.

However, research has shown that even inexpensive gifts can influence behavior.

In addition, more than one-third of the respondents were paid by the drug industry to travel to professional meetings or attend medical education classes. Family practitioners said they met an average of 16 times a month with industry reps, the most of any specialty surveyed. However, cardiologists were more than twice as likely as family practitioners to receive direct payments from industry.

Doctors were more likely to receive payments from industry if they were male, had any role in training doctors or developing medical guidelines, or had few uninsured patients or patients on Medicaid.

New England Journal of Medicine, Vol. 356, No. 17, April 26, 2007: 1742-1750 (Free Full-Text Study)

USA Today April 26, 2007

Washington Post April 29, 2007


Dr. Mercola"s Comment:

Many may not realize that I too was a paid consultant for a drug company. I was hired by them to promote the benefits of estrogen replacement therapy, and they flew me around the country to lecture to physician groups and paid me a healthy stipend.

But that was over 20 years ago, well before I found my path onto natural medicine. But the trend certainly continues today with nearly all conventionally trained physicians who are as equally clueless as I was when I first graduated medical school.

Despite some reports to the contrary, this landmark study in the New England Journal of Medicine confirmed what all of us already knew: Drugmakers and medical device manufacturers have bought and paid for your doctors, with incentives ranging from the tiny perks to enormous fees. (Incidentally, one very absurd factoid, among many: Health professionals were sent checks for $20 just for being sent this survey.)

This is a VERY common practice, and I can recall receiving many dozens of these checks or actual currency in the mail. However, I haven"t received any in this century that I can recall.

Although some physicians interviewed for various articles about these insane study results disputed any differences in their prescribing patterns, I wouldn"t take them at their word based on a study I posted recently about the influence drug reps have on convincing your doctor to prescribe Neurontin for off-label uses. One researcher on that study was amazed at "how effective a very brief visit by a drug representative -- most often less than five minutes -- can be in influencing physicians" choices to use a drug for an unapproved indication."

Drug companies shell out $4 billion each year in the United States to advertise directly to consumers on the television and print media. But that is small potatoes when it comes to what they spend on marketing to physicians. They spend $16 billion each year to directly influence doctors. That is $10,000 for every single physician in the United States.

Meanwhile, the sad fact of the matter is, most of the drugs being prescribed by these compromised doctors are useless at best and outright dangerous at worst, which is why the drug companies have to spend so much money to convince doctors to prescribe them and patients to use them.

A growing number of you have already realized the "shell game" being played with your health. But that having been said, the battle is merely beginning.

Related Articles:





 
 Do you find this article interesting?
Comment on This Article Community Comments (26)
 
 
Posted On Apr 30, 2007
 

Thank you Dr. Mercola! I have always known this but it is good to see black and white proof now. I think it is high time we all use this evidence to form a major complaint in some sort of mass conflict of interest law suit!

This needs to be exposed as much as possible! Please let us know  how your legal authorities think we can use this info to further the cause of "Natural health verses forced poison!"


 
The Herb Doc
Apprentice User Apprentice User, Joined On 11/2006
The Herb Doc  
Replied

ponzo54
Apprentice User Apprentice User Joined On 4/2007
ponzo54  
 
Posted On Apr 30, 2007
Its not as black and white as we all would like to believe.

As a disclaimer, I do admit to going to lunches, dinners, and conferences that have some sponsorship by the pharmaceutical industry. Some of it is definitely marketing; afterall, pharmaceutical companies are businesses and they are trying to make the millions of dollars back that they spend developing their products. However, a good portion of it is educational, and its unfortunate that its viewed solely as being a conflict of interest.

As a health care practitioner, it is my job to make the most accurate clinical judgment call in treating a patient. For instance, even though I might have eaten a dinner by a company trying to promote or educating me on their product, if it is not appropriate for my patient OR there are better alternatives, then that dinner means nothing to me. My patients come first.

My point here is that I can tell you from my own experience that the physicians I work with are highly credible people and are ethical, and the pharmaceutical companies aren't completely evil. Every so often they try to pull some shady stuff, but its my job to sort through all the bullsh*t and give my patient the best care they can get. So YES, the pharmaceutical industry does wine and dine healthcare practitioners, but they can't but our love!!

Mike


uncleandy
Apprentice User Apprentice User Joined On 2/2007
uncleandy  
 
Posted On Apr 30, 2007
This is not too surprising to me.While at a Dr Whitaker week in California,the good Doctor said,If you remember nothing else this week the Medical profession has very little to do with proper health care,has allot to do with money ,


Witch Doctor
Apprentice User Apprentice User Joined On 9/2006
Witch Doctor  
 
Posted On Apr 30, 2007
ponzo54 makes sense and I see no reason from what he wrote to doubt him.  The problem may be more institutional than personally professional.  A bias builds up in the system over time based n marketing efforts.  But it's the same everywhere else.  Not sure what the better alternative is.  Maybe professional conferences instead of direct marketing to docs?  But professional conferences I've been to seem to have their share of wining and dining, one way or another.  Hopefully they will reconsider the whole way drugs are marketed, based on the appearance of conflict of interest - plausible deniability or not.


ponzo54
Apprentice User Apprentice User Joined On 4/2007
ponzo54  
 
Posted On May 01, 2007
Whoops, forgot to run spellcheck.

Meant to say "Can't BUY our love", not "but our love".

Gussa, hopefully thats what you were confused about...


minnie-me
Savvy User Savvy User Joined On 2/2007
minnie-me  
 
Posted On May 02, 2007
 
ponzo54, then you may be one of the few mainstream medical practitioners that I would even consider seeing. I realize that there really are a few good, honest professionals out there. I actually had "necessary" surgery done once, and was amazed that this guy truly cared and never pushed unnecessary drugs on me. Unfortunately, that was a one time thing. Before I was dx'd with asthma, I had gone to several Doctors who had me on every big name antibiotic out there...of course, then came the "monostat 7". Then, he tried "Nexum" for acid reflux (????) Obviously, that wasn't going to help a problem that I did not have. Then, they did real tests and pinpointed "asthma." That meant 3 inhalers...none were generic and ALL made me jittery and ill. The ironic thing is, I never developed asthma until I received my first flu shot!!!!  My mother-in law went to her Dr. and complained of laryngitis...no tests done, and she came home with an inhaler. I made her get another opinion...she was off the inhaler in  no time!!!!
 Foot discomfort brought me to a specialist who put me on steroids and pushed cortisone shots...uh, uh!!! Now I see a Chiropractor who practices natural healing through nutrition and supplements and I am 100% healthy, except for a raspy voice that we are working on! This person has not one note pad or pen in his office with a logo. Every other Dr. had posters, pens, note pads, models of ears, nose throats, hearts...all advertising a pharmaceutical company name, and of course, samples for me to try...which one do you think is not on the receiving end?
Keep up the good work...we need more...thousands and thousands more good people like you to set the example to others in the health care field! Thank You for not being influenced....unfortunately, you are in the minority!!!!


taewa
Novice User Novice User Joined On 5/2007
taewa  
 
Posted On May 19, 2007
I can appreciate what ponzo54 is saying, because I believe there are many doctors who truly believe that they are merely being educated by the pharmaceutical companies.  The doctors aren't at complete fault here.  Trying to keep up with new drugs, old drugs, off-label uses, black box uses, etc... is a daunting task for anyone, let alone a busy doctor. 

Those who really want to improve their treating capabilities for the sake of the patients are left at the mercy of information dispensed by the pharmaceutical companies.  The problem being that this information is completely biased.  I'm sure there is a lot of truth in what they present, but the true dangers of many meds are hidden or left unmentioned.  My wife used to work in a doctor's office, and she was amazed at the influence the pharm reps had on the doctor's prescriptions. 

My question would be to any doctor that claims pure, untainted educational value from information presented by drug reps - What did they tell you about the dangers of fen phen, vioxx, thimerosal, prozac, etc...???  I think what most doctors need is less education on which prescription to write, but rather what other alternatives could replace the side-effect-ridden drugs.  Case and point - I recently had a consultation with one of the supposed top surgeons in my metro area.  When I asked him about any alternatives to drugs or surgery for decreasing inflammation and increasing my bone/joint strength and repair, he had nothing to offer.  Exercises for rehab after the immobilization? - Nothing there either.  We need a paradigm shift in our health care system.  That's why websites like this one are so popular.  Patients are tired of being guinea pigs, and are starting to take health care into their own hands. 


Tina3
Apprentice User Apprentice User Joined On 6/2006
Tina3  
 
Posted On May 19, 2007
I used to work for a doctor. Pharmaceutical representatives used to treat us to nice expensive lunches all the time. Also our office was always saturated w/all their notepads and pens and coffee mugs and stuff, sporting the name of whatever new drug they were pushing at the moment.     

 
 
 
Posted On Apr 30, 2007
This post was deleted because it violated our Terms Of Use :
Comment does not pertain to the topic of the article or does not provide value or insight to the discussion. Submit stories or comments linking to affiliate programs, multi-level marketing schemes, or off-topic content or any other system that will result in your personal financial or commercial gain.

 
Katy B
Savvy User Savvy User, Joined On 3/2007
Katy B  
Replied

Witch Doctor
Apprentice User Apprentice User Joined On 9/2006
Witch Doctor  
 
Posted On Apr 30, 2007
I will be happy to bribe you to keep posting your wisdom


davidBZ
Novice User Novice User Joined On 3/2007
davidBZ  
 
Posted On Apr 30, 2007
I think the false logic employed by the general public is that doctors are less susceptible to bribes or other influences than industries such as commercial radio.  Unfortunately, consciously or otherwise, the Hippocratic oath doctors have taken can and is undermined on a regular basis, and doctors are as fallible as the rest of us.


Bridestein
Savvy User Savvy User Joined On 12/2006
Bridestein  
 
Posted On Apr 30, 2007
DavidBZ - one of the most stunned days of my life was when I realized that professionals and authority figures are as screwed up as, if not more than, the rest of us. I miss the old naive days sometimes.


cheftodd
Savvy User Savvy User Joined On 4/2007
cheftodd  
 
Posted On Apr 30, 2007
wow, money ,food ,booze,and free drugs. sounds like the international drug cartel.


Russ Bianchi
Savvy User Savvy User Joined On 9/2006
Russ Bianchi  
 
Posted On Apr 30, 2007
Chef Todd: You forgot the commonality of BODY COUNT also.


cheftodd
Savvy User Savvy User Joined On 4/2007
cheftodd  
 
Posted On Apr 30, 2007
Russ, thank you. I don't know how that one slipped my mind.

 
 
 
Posted On Apr 30, 2007
To paraphrase Will Rogers' government quote:  "Why yes, we have the best medical doctors money can buy."

 
Russ Bianchi
Savvy User Savvy User, Joined On 9/2006
Russ Bianchi  
Replied

docaltman
Apprentice User Apprentice User Joined On 5/2007
docaltman  
 
Posted On Apr 30, 2007
I think MD's start with good intentions but they are no match for the Pharma industry.   Ponzo's comments made me aware enough to reply.  The number one most influential marketing trick that has been proven over and over again is the "rule of reciprocity".   If you are given a gift, even a trivial one, you as a human being are naturally programmed to respond in kind.  You will try and repay that gift whether you realize it or not.  You are not immune to it.  The Pharmaceutical industry knows that.  My guess MD's never study marketing, because they don't have to.   They are easy prey for the drug companies.

 
 
 
Posted On May 21, 2007
Dear Doctor Mercola and Fellow readers,

Three months ago I was in the hospital due to an anaphatic response to mold spores. They measured my blood pressure at 150/105. I am 44 years old.

I took the following actions as a plan

1. Began excercise program immediatly. I now exercise 6 days a week for 70 minutes and average 4800 Kcals per week now.

2. I Purchased a book (Dr. Mercola was sold out and he is not the only good Medical author in the US.) "What your doctor might not tell you about Hypertension". This is a fantastic book that covers everything you can do to reduce Hypertension (diet, exercise, and a great overview of all the supplements out there with references to actual studies!!!!!!).

3. I did extensive reseach on the internet regarding diets, exercise, histamine effects on BP.

4. I made an appointment to see a Doctor.

5. I dramatically altered my diet based on review of the above book, the Mayo Clinic Web Site and Dr. Mercola's website. I take a daily multivitamin, Fish Oil and COQ10. Fishoil and CoQ10 are proven to be be effective based on actual studies and there are many.

When I visitted the Doctor I was quite upbeat becuase I had already recorded my morning readings from 150/110 to 140/90 in just 2 weeks.

The doctor took my left arm blood pressure (138/85) and decared me Hypertension 1. He said I would have to go on drugs. I mentioned diet and exercise and he stated " The studies regarding diet and exercise have been very dissappointing". I am not kidding. As a result of this meeting I cancelled my blood test and made another appointment with a cardioligist.

Two months into my program I have morning BP readings in the range of 110/74 to 124/83 for the last week. My resting heart rate has dropped from 78 to 50!!!! And the full effects of exercise are not realized for 9 months.

 
ts0503
Novice User Novice User, Joined On 5/2007
ts0503  
 
 
 
Posted On May 21, 2007
I love my family doctor, who respects my decision to not vaccinate my children, but even he is subject to this kind of marketing. The point I want to make is that I had a chuckle when I read the comment that it is mostly male doctors who are subject to this kind of coercion. I have noticed that when there are pharma reps in my doctor's office (he's male), they are invariably very attractive women who wear clothes that make the most of their 'assets'. I'm sure this is just a coincidence, eh?

 
lesliemedrow
Novice User Novice User, Joined On 6/2006
lesliemedrow  
 
 
 
 
© Copyright 2009 Dr. Joseph Mercola. All Rights Reserved. If you want to use this article on your site please click here. This content may be copied in full, with copyright, contact, creation and information intact, without specific permission, when used only in a not-for-profit format. If any other use is desired, permission in writing from Dr. Mercola is required.
* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. If you are pregnant, nursing, taking medication, or have a medical condition, consult your physician before using this product.