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Study shows most doctors endorsing drugs on X are paid to do so

medicalxpress.com

61–70 of 121 posts

Re: Study shows most doctors endorsing drugs on X are paid to do so

#61

While non-disclosure by doctors prescribing drugs they profit from is unethical, I would be interested to know if doctors change which drugs they prescribe if when paid by different pharma companies ie are doctors recommending the drugs because they are being paid or are they just being paid because they recommend the drugs.

The recent court cases related to the opioid epidemic is a great place to begin looking for answers to that question.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#62

From related stories on TFA page: > Doctors received approximately $12.1 billion from drug and device makers between 2013–2022, study reveals https://medicalxpress.com/news/2024-03-doctors-approximately...

This is the bad kind of statistic, because it doesn't actually tell us anything interesting about the impact on individual doctors (but does sound scary / impressive!). A Google search says the US has 1 million doctors, so $12B over 10 years is $12k/doctor/year on average - nice, but not wow... The linked article did actually have something useful to say on a per-doctor basis:"The analysis showed that more than half…

> $12k/doctor/year on average

That is a ton of money, imagine how much you would do if you get an extra months of salary to do it? And they get that level of an offer every year...

A month of salary is a very large bribe for anyone.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#63

Earlier quoted context omitted.

Drug company employees who attempt to bribe a doctor should be imprisoned.

If you believe this you should vote for RFK Jr. He’s the only presidential candidate that has actually taken on industry. The VO has pledged to open up all the data in the FDA and CDC for transparency. We need this.

US Gov't FDA and CDC can already be FOI'd.

Records from neither department will cover ongoing "bribery" of regular doctors by Pharma reps, so it's unclear how "we need this" to address that.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#64

Earlier quoted context omitted.

Drug company employees who attempt to bribe a doctor should be imprisoned.

If you believe this you should vote for RFK Jr. He’s the only presidential candidate that has actually taken on industry. The VO has pledged to open up all the data in the FDA and CDC for transparency. We need this.

And if I'm not a US citizen and the drug company bribing the doctor isn't in the US? There's more places around the world, you know.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#65
post #52

Earlier quoted context omitted.

Why is that? Surely you mean without proper disclosure.

Because it conflicts with their duty to their patients. Patients should be able to trust their doctor and not have to look for fine print disclosures in the middle of receiving treatment which may or may not impair them cognitively or emotionally.

Patients are often in a vulnerable position and we use laws to protect the vulnerable. Not only is the patient often impaired, but there is a massive information asymmetry naturally between an expert with years of post graduate education on a specific topic and a general member of the public. Many other fields that require similar amounts of training have strict codes of ethics regarding who they may take compensation from and how that is disclosed.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#66
post #33

Anyone have the actual paper? Does it list who (eg Huberman) is receiving the payola?

Huberman isn't a medical doctor and most of the things he talks about are non drug supplements. He's probably getting a lot of cash and affiliate money.

Huberman isn't a medical doctor? TIL

Re: Study shows most doctors endorsing drugs on X are paid to do so

#67

From related stories on TFA page: > Doctors received approximately $12.1 billion from drug and device makers between 2013–2022, study reveals https://medicalxpress.com/news/2024-03-doctors-approximately...

This is the bad kind of statistic, because it doesn't actually tell us anything interesting about the impact on individual doctors (but does sound scary / impressive!). A Google search says the US has 1 million doctors, so $12B over 10 years is $12k/doctor/year on average - nice, but not wow... The linked article did actually have something useful to say on a per-doctor basis:"The analysis showed that more than half…

Does one not suppose that a fair bit of this is the trial and starter doses that they give to doctors? Surely the drug company values them at list price for purposes of a business expense.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#68
post #57
post #7

> The research team points out that while some may see the practice of being paid to endorse drugs as unethical, it is not illegal and does not affect licensing. Does the US have no transparency laws for this? As in: "if you promote a product, then you must disclose if you're paid for it"? Even for things like "sponsored posts" on Instagram this is required; e.g. from the FTC: "Do you work with brands to recommend or…

Imagine if doctors had to say if the drug company paid him to prescribe the drug when he prescribes a drug for you?

[deleted]

Re: Study shows most doctors endorsing drugs on X are paid to do so

#69

Earlier quoted context omitted.

If you believe this you should vote for RFK Jr. He’s the only presidential candidate that has actually taken on industry. The VO has pledged to open up all the data in the FDA and CDC for transparency. We need this.

And if I'm not a US citizen and the drug company bribing the doctor isn't in the US? There's more places around the world, you know.

Then a thread talking what the FDA and SEC do is not a place where your experience is helpful.

Re: Study shows most doctors endorsing drugs on X are paid to do so

#70
post #15

Anyone have the actual paper? Does it list who (eg Huberman) is receiving the payola?

You can search the database they used: https://openpaymentsdata.cms.gov/ I can’t find Huberman, but it does look like Peter Attia [1] was payed $300k by Dexcom for consulting services. Dexcom makes continuous glucose monitors that Attia has repeatedly mentioned on the show. It looks like there’s even an episode where he interviews the CEO, although this happened before the payment [2]. This website [3] links his NPI…

It’s worth highlighting that Peter starts every podcast by stating that his conflicts of interest can be found on his disclosures page: https://peterattiamd.com/disclosures/

He’s done so since the start of his podcast.

In checking, Dexcom is clearly listed as a company he advised during the period listed on Open Payments.

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