The DTC Debate
Trent responds to my articles on DTC marketing yesterday. I've read and appreciated his prior articles detailing the economic impact of DTC marketing. He writes:

Anyway, the other point that needs to be made is this: even if you think that direct-to-consumer advertising of pharmaceuticals needs to be restricted, it is extremely disingenuous for physicians to make these claims. For they are direct beneficiaries of ...

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Does surfing for health information do you more harm than good?
". . . people who use their computer to find out more about their condition end up in worse health than those who do not."

I certainly support increased information flow and patient empowerment. However, there is a reason why physicians endure 7 or more years of medical school and residency. It is how the information ...

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Dr. Feelscared: Drug warriors put the fear of prosecution in physicians who dare to treat pain (via Overlawyered)
"The AAPS, along with the Pain Relief Network, has been vocal in denouncing the federal and state doctor prosecutions. The groupÂ’s Web site warns: 'If youÂ’re thinking about getting into pain management using opioids as appropriate: DONÂ’T. Forget what you learned in medical school -- drug agents now set medical standards.''"

The future of primary care

The New England Journal published a sounding board piece on the future of primary care in the United States. The authors suggest that one paradoxical reason is the increased exposure to primary care in residency training:

But an additional possibility, albeit an apparently paradoxical one, is that the decline is due in part to the successful efforts by medical schools to increase students' exposure to primary care practice. ...

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From today's Boston Globe comes a story detailing the controversy about allowing psychologists (non-MD's) to presribe medication. The state of Louisiana recently passed a law allowing this to happen. Here are some excerpts detailing the arguments on both sides:

. . . [the] president of the American Psychiatric Association, calls the Louisiana law ''really scary," saying undertrained nonphysicians will harm, and perhaps kill, patients. ''Without a ...

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Harvard Medical School is planning a medical campus in the United Arab Emirates. Some interesting points:

. . . there are enormous hurdles to fostering US-style health care in a region where medicine is so spotty that the 100 million Persian Gulf residents spend $25 billion a year getting treatment elsewhere, according to Dubai Healthcare City officials. Many medical school students enroll straight out of high school and ...

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Boston Globe:
2 chains urge OK for drug imports
CVS, Walgreens add to growing support

The nation's two largest chain drugstores, CVS and Walgreens, launched a challenge to the nation's drug manufacturers yesterday by calling on the Bush administration to develop a legal, safe channel for Americans to buy imported drugs.

CVS Corp.'s Tom Ryan, chairman and chief executive of the Rhode Island company, led the way ...

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AMNews:
Doctors prefer prescribing newer blood pressure drugs

Physicians are more likely to prescribe newer anti-hypertensives than their less expensive predecessors recommended by the Joint National Commission on High Blood Pressure Treatment, according to a study published in the December Journal of General Internal Medicine.

Researchers at the University of Michigan surveyed 1,700 primary care physicians, finding that most believed diuretics were less effective and that beta-blockers had ...

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