Should patients be paid to promote drugs?

The story of Andy Behrman made the news a few weeks ago, most notably in The Wall Street Journal.

Apparently, he was a bipolar “celebrity patient,” and was paid $400,000 by Bristol-Myers Squibb for promoting their drug, Abilify.

Things quickly went sour, as Mr. Behrman was afflicted with the drug’s side effects, which included “dazed spells and agitation in his legs.”

Merrill Goozner comments on the case, casting the light on patient advocates, some of whom are funded by drug companies. There’s no question that pharmaceutical advertising can be especially resonant when coming from patient testimonials.

To that end, he writes, “Aren’t patient-shills standing before groups of physicians while offering talking points written by a public relations firm engaged in an activity that should be regulated, just as direct-to-consumer advertising is regulated?”

Indeed.

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  • http://www.VendorMD.com VendorMD

    No one other than physicians should be allowed to recommend a medicine to other patients. Testimonials are a way of recommending medications. And the fine prints “results are not typical” “results not guaranteed” absolve the pharmas from any liability. This could be a dangerous form of advertising. BTW testimonials are the most used and effective way of advertising “quack medicines” such as vitamins, cancer curing herbal stuff etc. – and in my opinion very unethical!

  • http://www.MedMinded.com Aaron B. Hicks

    There is definitely a fine line between raising awareness of a condition — as many drug / device makers claim they are doing — and directly influencing the consumption behaviors of patients.Using a ‘celebrity patient’ to market a drug crosses that line.

    Patient-doctor trust is necessary in order to ensure that patients adhere to treatment plans. That trust is difficult enough to maintain without direct-to-consumer advertising muddling the perspectives of patients.

  • GG Freeman

    It is difficult at times to “defuse” a patient’s notion that a particular drug or treatment will work (or not work) in their own case when they have heard glowing testimonials from celebrities or others “in a position to know” such as patient advocates (paid or otherwise).

    I guess it would be lazy of me to expect that I didn’t have to spend more than half of my patient contact time as a teacher, but that’s how I view myself. I am a teacher of medicine first. My students (and sometimes my best teachers) are my patients and we work together to wade through the BS and get them a treatment (drug or otherwise) that will work for them regardless of who or what says something works.

    I just tell people, you are a population of ONE. Anything and everything that goes through you will be unique to you so let’s not waste time worrying HOW something works for someone else, let’s run the numbers, give “X” a try and see what works for YOU.

  • Dan Abshear

    Patient promoters are common with at least the three big pharma companies I worked for that did not include BMS.

    In addition, at pharma meetings with their sales reps, big pharma hires hundreds of doctors throughout the country to attend these meetings. Their purpose is to listen to the tailored sales pitches of the sales reps at the meetings. Afterwards, the doctors grade them.

    This is overtly absurd so we, as sales reps, would often drink copious amounts of adult beverages at such meetings due to the psychotic protocols implemented by big pharma.

    With Andy and BMS, he spoke out about his experience only after BMS decided not to be in collusion with him anymore. So Andy’s authenticity and credibility cannot be valid due to his Pavlovian extortion he now demonstrates. Yet the effects of Abifly, however, are accurate, I believe.

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