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

medicalxpress.com

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

#82

Earlier quoted context omitted.

We've tried and failed to get people to "eat right" and exercise for the last century or so. We've put a stunning amount of effort into that option, and failed.

My dream career was urban planning. We used to design walkable cities and now we design a world that is car centric. Designing exercise into our daily lives used to be part of the urban planning profession. Paris was redone to put a stop to health issues in overcrowded slums. Nutritional value of produce has gone down for decades while we strip mine our soils and try to make up for it with chemical fertilizers. I don…

We designed walkable cities before people had cars.

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

#83

Earlier quoted context omitted.

lots of people i see posting about the difficulty of availability stuff seem to be drug seeking for chronic reasons

It depends on the doctor. Seeing as some doctors give them too freely and others would rather let patients suffer, I propose we just save time and use a roulette table. It's transparent, easy, and you know exactly why you're been awarded or deprived of pain medication.

no the sad facts are that modern non-opioid pain treatment is very often more effective than opioids .. I believe there are research studies easily found that show that.

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

#84

Earlier quoted context omitted.

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.

> Doctors who fail to disclose an interest should lose their license.

I didn't realize all doctors are regulated by the FDA and SEC. The statement at the beginning of the thread doesn't specify doctors in the US.

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

#85
post #77
post #41

Earlier quoted context omitted.

This is hardly an American thing; you see the same in Europe, and presumably other places. This is why antibiotics resistance is a problem in many parts of the world. I once overheard a coworker give a doctor a right bollocking over the phone because he wouldn't prescribe antibiotics for her daughter who had the flu, and she then proceeded to tell rant how ridiculous that doctor was. I've rarely had to spend more eff…

> This is why antibiotics resistance is a problem in many parts of the world. Antibiotic-resistant bacteria are more of an agriculturally-induced problem than a non-farmer-human-induced problem. Almost all commercial livestock are pumped full of antibiotics to make them fat, according to estimates ~2x the amount of antibiotics are used for animals as for humans.

I'm just going by Wikipedia, but it's not clear to me that it's the reason for antibiotic resistance in humans, rather than a reason.

Also, "livestock pumped full of antibiotics to make them fat" has been banned in the EU since 2006.

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

#86

Earlier quoted context omitted.

My dream career was urban planning. We used to design walkable cities and now we design a world that is car centric. Designing exercise into our daily lives used to be part of the urban planning profession. Paris was redone to put a stop to health issues in overcrowded slums. Nutritional value of produce has gone down for decades while we strip mine our soils and try to make up for it with chemical fertilizers. I don…

We designed walkable cities before people had cars.

And now we act like if you don't drive, you're not really allowed to have a full life.

It negatively impacts kids, seniors, handicapped people and those who could potentially afford housing if they only needed to pay rent but can't afford both rent and a car.

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

#87
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…

I think you're right. Same as everywhere else, legality and enforcement are at odds. US isn't special in that regard.

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

#88
post #71

Doctors who fail to disclose an interest should lose their license. The SEC doesn't tolerate such shenanigans for finance, why should the FDA permit it for drugs?

Isn't the very fact a doctor is on social media saying how great a drug is a giant flashing sign that they are being paid to do it?

Lots of doctors from reputable places eg Mayo on X. Weighing in on things with media coverage like whether cholesterol drugs are a good treatment option. Possibly they're countering quakery from charlatans with good, measured opinion. That opinion could also be influenced by paying for their conference attendance, or just plain cash. Undisclosed, such payments would be far from obvious and radically change one's opinion on how convincing their case is or isn't.

The new weight loss drugs. Are they good? How serious are the side effects? How often are there problems? Is the risk low and benefits high? Are they good for cancer? Are they good to help alcoholism? Are they scary? Should I take them?

Much legit debate there and I'd rather know who is being paid for their opinion faced with the choice when trying to weigh probability in the face of imperfect information.

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

#89
post #71

Doctors who fail to disclose an interest should lose their license. The SEC doesn't tolerate such shenanigans for finance, why should the FDA permit it for drugs?

Isn't the very fact a doctor is on social media saying how great a drug is a giant flashing sign that they are being paid to do it?

The Doctor could conceivably be a passionate professional who wants to share health information with a wider audience. You know, as opposed to a shithead shill. The fact that being a corporate mouthpiece is apparently the default assumed state is a condemnation of our current medical standards.

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

#90
post #63

Earlier quoted context omitted.

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.

They can be FOIA'd, for all the good that will do you. They apparently have, according to the news, employees dedicated to deleting records before they can be FOIA'd, they use burner phones and private email accounts, and when caught the agency boss will say "I don't know who my personal assistant was working for when he did that" in front of Congress. And get away with it. In a matter that regarded some two million…

and how, exactly, does any of that have any bearing on

> Drug company employees who attempt to bribe a doctor

in the context of non US Government Pharma companies paying non Government doctors to spruik drugs on twitter and by prescription?

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