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Doctors want ban on prescription drug, device advertisements

arstechnica.com

241–250 of 329 posts

Re: Doctors want ban on prescription drug, device advertisements

#241

Earlier quoted context omitted.

No, but I also don't think people should be free to buy any chemical at will. Alcohol is heavily regulated and still causes massive issues for society.

Alcohol is mostly regulated for taxation, not usage. (To the point of poisoning untaxed alcohol to make sure you get hurt if you sneak around the tax.)

Taxation affects usage. The increased price due to the taxation reduces people's will to buy alcohol.

Re: Doctors want ban on prescription drug, device advertisements

#242

Earlier quoted context omitted.

Not to mention this idea: > Over and over people on HN come to the defense of advertising.

> Doctors tend to be Republican and free-market adherents. This was based on an outdated[1][2] understanding and personal experience (my father is a physician and nearly every physician I knew supported Reagan). I retract. > Over and over people on HN come to the defense of advertising. I know this because in my comments here I frequently criticize the role of advertising on the internet and society in general. The d…

> my father is a physician and nearly every physician I knew supported Reagan

Reminds me of a pretty interesting post by Yvain[0]. The relevant quote:

"There are certain theories of dark matter where it barely interacts with the regular world at all, such that we could have a dark matter planet exactly co-incident with Earth and never know. Maybe dark matter people are walking all around us and through us, maybe my house is in the Times Square of a great dark matter city, maybe a few meters away from me a dark matter blogger is writing on his dark matter computer about how weird it would be if there was a light matter person he couldn’t see right next to him.

This is sort of how I feel about conservatives.

(...)

What I mean is – well, take creationists. According to Gallup polls, about 46% of Americans are creationists. Not just in the sense of believing God helped guide evolution. I mean they think evolution is a vile atheist lie and God created humans exactly as they exist right now. That’s half the country.

And I don’t have a single one of those people in my social circle. (...)

I live in a Republican congressional district in a state with a Republican governor. The conservatives are definitely out there. They drive on the same roads as I do, live in the same neighborhoods. But they might as well be made of dark matter. I never meet them."

--

> Here's one thread. I can't spend more time on this, so if you guys still don't believe me, you win (for the moment). I'd rather you were right anyway.

Hah. An advertising-bashing thread I missed :[0] - http://slatestarcodex.com/2014/09/30/i-can-tolerate-anything...

Re: Doctors want ban on prescription drug, device advertisements

#243
post #226
post #211

Earlier quoted context omitted.

Have you ever lived in a country with single-payer healthcare? Let me tell you it's not all roses. - Months long waits for anything requiring a specialist unless you're literally about to die. - Arbitrary exclusions like dental and optical. - Doctors taking in ~50% of the entire provincial budget and whining that it's not enough. And at a typical tech worker salary this all this ends up being more expensive in additi…

Many (most?) private employer based healthcare plans in the US don't provide dental/optical. Those are each separate plans and premiums that you and/or your employer must pay for. Your point about doctors taking ~50% of the provincial budget seems exaggerated (please provide a reference to support it). Even if healthcare takes 50% of the budget, it's not all going to doctors, probably not even the majority of that. T…

> Your point about doctors taking ~50% of the provincial budget seems exaggerated (please provide a reference to support it).

It's actually 42% in my province: http://wpmedia.news.nationalpost.com/2015/04/programexpenseb...

The average doctor makes $350k and the medical association is suing the government because they think it's too little (http://www.theglobeandmail.com/news/national/ontario-medical...).

Re: Doctors want ban on prescription drug, device advertisements

#244
post #93

These ads are one of the main reasons I became a cord cutter. I'm very happy they have not yet followed me onto any of the streaming services I use. They are the creepiest thing ever on television. The actors sit around dinner tables with family members speaking unnatural, FDA manipulated dialog ("Oh, I'm doing great, I've been taking Pradaxa for my afib, not caused by a heart valve problem!") Then you get the unendi…

similarly, there should be a law that prevents the legalese fonts from being microscopic - there should be some minimum font size for these, regardless of where they appear (tv, print, online whatever)

Re: Doctors want ban on prescription drug, device advertisements

#245
post #190
post #123

Earlier quoted context omitted.

Oh hell yes. The main one peaople ask me about right now is Marcumar/Warfarin, a drug many patients with atrial fibrillation have to take for the entire rest of their life, despite the fact that it has awful side effects and requires them to go to their doctor every two to four week to have a blood test done. Many patients are quite excited to hear that there's now new alternative drugs (NOAKs) that let you skip the…

As an ICU physician, I hate the NOAKs. The data may say that they bleed less. However, when they do bleed, I've got nothing that really reverses the bleeding. Of course, novel reversal agents are coming and each one will likely only reverse one drug... and each one will cost an arm and a leg. I understand why patients do it. I just don't like bleeding that I often can't directly control.

I will never stop being impressed at the breadth and depth of the HN audience. Thanks, you two, for your comments.

Re: Doctors want ban on prescription drug, device advertisements

#246

I've never understood the logic behind prescription drug ads. The first rule of sales is to pitch the decision maker. You can't buy prescription drugs without a doctor's authorization, so basically the ads are asking people to go beg their doctors for medicine they may, or may not, need. The doctor, in turn, may give in to the patient's emotional pleas, since they are, in effect, in a customer service business. This…

Its the same logic as with toy commercials aimed at children. Children influence their parents by nagging, and patients influence their doctors by nagging. Parents don't want unhappy kids, and doctors don't want unhappy patients.

Re: Doctors want ban on prescription drug, device advertisements

#247
post #93

These ads are one of the main reasons I became a cord cutter. I'm very happy they have not yet followed me onto any of the streaming services I use. They are the creepiest thing ever on television. The actors sit around dinner tables with family members speaking unnatural, FDA manipulated dialog ("Oh, I'm doing great, I've been taking Pradaxa for my afib, not caused by a heart valve problem!") Then you get the unendi…

They're in Hulu.

As a non-American, currently living in America, these ads are the strangest thing I've seen on TV.

Re: Doctors want ban on prescription drug, device advertisements

#248

I've never understood the logic behind prescription drug ads. The first rule of sales is to pitch the decision maker. You can't buy prescription drugs without a doctor's authorization, so basically the ads are asking people to go beg their doctors for medicine they may, or may not, need. The doctor, in turn, may give in to the patient's emotional pleas, since they are, in effect, in a customer service business. This…

One aspect that I haven't seen mentioned here is that these ads are also designed to improve patient adherence. So you have 30 million prescriptions of zoloft prescribed in the US every year (crazy right?) but there's a lot of money left on the table when folks don't refill. The ads are reminders to these people to go get that refill and get back on their meds. For people with asthma, diabetes and hypertension, non-adherence can be really unhealthy and leads to hundreds of billions in unnecessary cost to the healthcare system.

Re: Doctors want ban on prescription drug, device advertisements

#249

I've never understood the logic behind prescription drug ads. The first rule of sales is to pitch the decision maker. You can't buy prescription drugs without a doctor's authorization, so basically the ads are asking people to go beg their doctors for medicine they may, or may not, need. The doctor, in turn, may give in to the patient's emotional pleas, since they are, in effect, in a customer service business. This…

One aspect that I haven't seen mentioned here is that these ads are also designed to improve patient adherence. So you have 30 million prescriptions of zoloft prescribed in the US every year (crazy right?) but there's a lot of money left on the table when folks don't refill. The ads are reminders to these people to go get that refill and get back on their meds. For people with asthma, diabetes and hypertension, non-adherence can be really unhealthy and leads to hundreds of billions in unnecessary cost to the healthcare system.

Re: Doctors want ban on prescription drug, device advertisements

#250

I've never understood the logic behind prescription drug ads. The first rule of sales is to pitch the decision maker. You can't buy prescription drugs without a doctor's authorization, so basically the ads are asking people to go beg their doctors for medicine they may, or may not, need. The doctor, in turn, may give in to the patient's emotional pleas, since they are, in effect, in a customer service business. This…

Clearly there are some ethical challenges. My doctors office is littered with Crestor clocks, clipboards, pads, exam table stirrup covers and medical models.

You can't say that seeing that logo 500 times a day doesn't influence picking Crestor over, say generic Lipitor.

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