Follow this blog:
RSS

Is your doctor in the pocket of suppliers?

By | August 26, 2010, 7:02 AM PDT

Consumer Reports says that’s what you believe.

In a poll conducted by the organization’s National Research Center, 69% said drug makers have too much influence over their doctors, with 81% upset over drug kickbacks and 72% upset over doctors giving testimonials.

The research center is best known for surveys of the magazine’s readers, which go into its product ratings, but the company’s fast-growing health site also has the group conducting general health surveys. (The logo for that site is above.) The health site offers treatment ratings, healthy living advice and “best buy” advice on drugs.

It’s the last which seems to be hot right now. Against a backdrop of recession and rising health care costs the survey showed many people doing dangerous things to save money on drugs, like failing to get prescriptions filled, taking expired medicines, or sharing prescriptions with others.

The publication’s chief money-saving advice on drugs is to ask your doctor about generic alternatives to whatever you’re taking.

Government is taking as much note of the growing skepticism as doctors. The FDA admitted this week it is thinking about filing criminal charges against executives of companies involved in multiple recalls — like Johnson & Johnson.

The survey results also indicate many consumers might be well-disposed to seeing some comparative effectiveness research so they could see how well newly-approved drugs stack up against older generic equivalents, and whether treatments suggested by doctors are really worth the money.

Conservatives who have argued against comparative effectiveness as getting “between a doctor and a patient” might want to take a second look at these results as well. Patients may trust their own doctors more than they do the government, but that doesn’t mean they trust their doctor, either.

Cynics, of course, will argue that the group’s survey showing distrust of doctors is really meant to increase faith in its own offerings.

What do you think? Do you trust your doctor? Do you trust Consumer Reports? What must happen for you to trust either a little more?

Start your week smarter with our weekly e-mail newsletter. It's your cheat sheet for good ideas. Get it.

Dana Blankenhorn

About Dana Blankenhorn

Dana Blankenhorn was a contributing editor for SmartPlanet from 2009 to 2010.

Dana Blankenhorn

Dana Blankenhorn

Contributing Editor, Healthcare

Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta.

Follow him on Twitter.

Dana Blankenhorn

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.

He writes for SmartPlanet and is not an employee of CBS.

11
Comments

Join the conversation!

Follow via:
RSS
0 Votes
+ -
RE: Is your doctor in the pocket of suppliers?
Here is a trick to remember and take to heart. I am an RN, CCRN with over 40 years experience. I was taking the generic form of a LA drug (LA means long acting). It was a hundred a month a very big savings from the $350 a month the name brand was. The pharmacist asked me if I would mind his calling my doc. I said why? He said this comes cheaper in a generic. I said, it IS the generic. He said, yes, the LA generic which is made by the name brand company. It is 17 bucks a month if you write the drug name followed by ER or extended release. The phrase LA was proprietary to the name brand.

I was burnt up to H and back. I mean it. I have decades of experience in helping patients get the best for the least amount of money, my doctor is another patient activist. We both were deluded into thinking that all generics represent the lowest possible price. Folks; talk to your pharmacist. They know all the tricks and be sure and ask them if there is an older, cheaper drug available. If your doctor kicks over being called about this matter, ditch him or her. Ask the RPh what doctor is looking after their patients, they'll know.
Posted by IMWeira
26th Aug 2010
0 Votes
+ -
IMWeira
Great story. I'm close to my pharmacist as well. One time when my
medication wasn't in stock and I needed something quick, he just
gave me two pills which contained the same stuff, together, as in the
prescription I'd been given. Note I said gave, not sold.

A good pharmacist is a great thing to have.
Posted by DanaBlankenhorn
26th Aug 2010
0 Votes
+ -
RE: Is your doctor in the pocket of suppliers?
"The FDA admitted this week it is thinking about filing
criminal charges against executives of companies involved in
multiple recalls ? like Johnson & Johnson."

Another boot heel on the throat of a profitable company.
They will instead go after the money the companies have.
In the name of serving the public interest.

"Conservatives who have argued against comparative
effectiveness as getting ?between a doctor and a patient? "
And how do you know they are "Conservatives"?
They sound to me like a bunch of people who don't want to
research and think for themselves. That type of people runs
in liberal/progressive and conservative.

Do you trust your doctor?

I do not trust anything that tries to force their beliefs
on me. That would include the AMA and Western Medicine.

Western Medicine is only interested in treating the
symptoms not the cause. Which if the practitioners of it
were car mechanics, if I cam in to see them with a car that
had a bad muffler, they would sell me a really loud
radio... so I would not hear the muffler sound.

I trust much more in China trained TCM practitioners.

Do you trust Consumer Reports?

Not especially. I used to, but found a lot of what they
print biased.

"What must happen for you to trust either a little more?"
Show the testing methodology. Show the actual results and
do not editorialize or leave out information.

Be ready to answer any question I ask, and if you don't
know the answer say you don't know and then find out and
let me know.

Give me enough information so I can determine what I want.
I will accept the consequences for my decisions.
Posted by Albee_Freeoneday
26th Aug 2010
0 Votes
+ -
Forgot to add
I trust Nurses and Pharmacists more than Western Doctors.

They have less to lose when they tell you the truth so you are more apt to get it from them.
Posted by Albee_Freeoneday
26th Aug 2010
0 Votes
+ -
RE: Is your doctor in the pocket of suppliers?
A word of caution on encouraging patients to decide for themselves which version of a drug they take: make very sure that you understand the differences. For example, different drugs for blood pressure can be based on completely different mechanisms of action, which requires health professional training of some sort to appreciate the effects and implications to the user (self education included). Different manufacturers of the same drug may use different suppliers or different components, which may impact price of the finished product. I fully agree that there is a lot of overpricing in the industry, but it is not 100% driven by greed. There is also the issue that drug developers spend an average of $1.5 billion and 10 years worth of time developing adrug, so they're not predisposed to give them away. Finally, there is the old FDA police force, who's main driving action is to catch people in the act of not following good manufacturing practices. They're not perfect, but they do a fair job.

Whatever you do, be educated and informed before you jump on someone's bandwagon. After all, it IS your health under consideration.
Posted by sfields@...
26th Aug 2010
0 Votes
+ -
And the pockets ARE deep!
Maybe it is time to demand that all doctors display a list of any stock holdings relating to medicine, pharmaceuticals, etc. as well as any "perks" supplied to them.
Posted by FiOS-Dave
26th Aug 2010
0 Votes
+ -
RE: Is your doctor in the pocket of suppliers?
"A word of caution on encouraging patients to decide for themselves which version of a drug they take: make very sure that you understand the differences. For example, different drugs for blood pressure can be based on completely different mechanisms of action, which requires health professional training of some sort to appreciate the effects and implications to the user (self education included). Different manufacturers of the same drug may use different suppliers or different components, which may impact price of the finished product. I fully agree that there is a lot of overpricing in the industry, but it is not 100% driven by greed. There is also the issue that drug developers spend an average of $1.5 billion and 10 years worth of time developing a drug, so they're not predisposed to give them away."

This comment is a giveaway at worst and very misleading at least. Look at "different drugs for blood pressure" - we are not talking about different drugs, we're talking about generic drugs! Licences to manufacture generic drugs are only issued after the full R&D re-coupment has taken place. No need to feel sorry for the drug manufacturers. It is this type of sloppy presentation of information that has made the thinking American public very skeptical of any information on health care products and procedures. Best source of info- your doctor, second best - FDA, last resort - drug companies. Makes one wonder why drug advertising is used at all- no thinking I guess.
Posted by aschwarzt12
26th Aug 2010
0 Votes
+ -
Albee_Freeoneday
Maybe you haven't been reading my reporting on the repeated
Tylenol recalls, or the refusal of top management to address the
issue.

Why be so soft on crime, just because the criminal is wearing a
suit? If this were a worker in a jumpsuit, deliberately poisoning
people by putting stuff into the line, you would agree with me that
punishment must be swift and certain.

When you ignore regulations, and poison is delivered, and
people are hurt, it's no different.
Posted by DanaBlankenhorn
26th Aug 2010
0 Votes
+ -
FiOS-Dave
This is increasingly a point of contention within the profession.
Some hospitals and med schools no longer cooperate with the
industry.

Your mileage will vary. I don't think my doctor is going to be
corrupted by having a little doll on the desk of the clerk
advertising the pills that stop toe fungus. Or even a little purple
pill pen holder.

And -- this is important -- many of us are offered a chance to get
in on the action when a doctor offers "samples." Many detail men
leave these, which go into a closet, and if a patient is concerned
about a medication or worried about affording it they may be
given as much as a month of the stuff free. This can be a
valuable service.

So am I corrupted too? Yeah, a bit.
Posted by DanaBlankenhorn
26th Aug 2010
0 Votes
+ -
sfields@...aschwarzt12
I understand both sides' concerns. It's true that different
manufacturers can come up with substances that may not meet
the standards a doctor demands. I faced that with niacin. My
doctor prescribed Niaspan -- a brand name drug with a $30 co-
pay. I eventually switched to SloNiacin, a supplement available for
$15 at your local Costco. My next test results showed no
difference, so I stayed on it.

As to the idea that sfields is just a troll for the drug companies. I
doubt it. Many doctors feel this way who are not trolls for the drug
companies. They want to be seen as authoritative. They want to
be obeyed. I just hope sfields reads your note and understands
that your views are increasingly common, and that those views
aren't completely without merit.
Posted by DanaBlankenhorn
26th Aug 2010
0 Votes
+ -
RE: Is your doctor in the pocket of suppliers?
Albee,

I'm perfectly capable of thinking for myself but I'm not interested in being an expert at everything. I've got better things to do with my time than spending all of it researching the safety and effectiveness of products I buy. If the government or some other organization will do that for me it frees my time up for the things that really matter to me.

Dave
Posted by riverat1
27th Aug 2010
Join the conversation
Formatting +
BB Codes - Note: HTML is not supported in forums
  • [b] Bold [/b]
  • [i] Italic [/i]
  • [u] Underline [/u]
  • [s] Strikethrough [/s]
  • [q] "Quote" [/q]
  • [ol][*] 1. Ordered List [/ol]
  • [ul][*] · Unordered List [/ul]
  • [pre] Preformat [/pre]
  • [quote] "Blockquote" [/quote]

Join the SmartPlanet Community and join the conversation! Signing-up is free and quick, Do it now, we want to hear your opinion.