Profits before People?: Ethical Standards and the Marketing of Prescription Drugs

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Indiana University Press, Apr 12, 2006 - Medical - 224 pages
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The pharmaceutical industry has come under intense criticism in recent years. One poll found that 70% of the sample agreed that drug companies put profits ahead of people. Is this perception accurate? Have drug companies traded ethics for profits and placed people at risk?

In Profits before People? Leonard J. Weber exposes pharmaceutical industry practices that have raised ethical concerns. Providing systematic ethical analysis and reflection, he discusses such practices as compensating physicians for serving as speakers or consultants, providing incentives to physicians to enroll patients as subjects in clinical research, and advertising prescription drugs to the public through the mass media. Weber's critique of the industry is stern. While acknowledging that new industry guidelines are promising, he finds much room for improvement in the way drug companies market their products. Yet Weber makes a strong case that profits and ethics can coexist and that they are not mutually exclusive.

In an effort to understand the proper place of commerce in disseminating information about new drugs, the book aims to clarify basic responsibilities and to help identify sound ethical practices. It recognizes that ethics and law are not the same, that "having a right" is different from "doing the right thing," and that taking ethics seriously means recognizing that the law does not answer all questions about what is right. Weber points the way to more demanding standards and better practices that might begin to restore confidence in the drug industry.

 

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Contents

1 Ethics and ForProfit Business
11
2 The Pharmaceutical Industry and Its Stakeholders
24
Marketing to Healthcare Professionals
35
e Ethics Agenda
37
4 Medical Professionalism and Scientific Integrity
53
Not Good Enough
66
The Most ImportantGifts
82
7 Marketing Is Not Objective Education
93
9 Clinical Research and the Limits of Commercial Interests
119
Marketing to the Public
141
10 Citizens and Consumers
143
Conflicting Interests
157
Better Is Better
170
Conclusion
182
Notes
185
Index
199

Industry at ArmsLength
106

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About the author (2006)

Leonard J. Weber was on the faculty of the University of Detroit Mercy for more than 30 years. He is now an ethics consultant to healthcare organizations and is author of Business Ethics in Healthcare (IUP, 2001). He lives in Detroit, Michigan.

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