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Keeping tabs on Pharma

EDITORIAL | DOCTORS AND DRUG COMPANIES | editorial

THIS STORY APPEARED IN
Boston Articles
January 21, 2012

TRANSPARENCY HAS the potential to ensure more careful medical decision-making by both doctors and patients. That’s why Washington policy makers are right in moving to require drug and medical device makers to disclose most payments to physicians. Some such payments — money for research, honoraria for speaking, fees for consulting, dollars for travel and entertainment, and the like — can add up to tens of thousands of dollars. Sums of that sort can, consciously or otherwise, affect medical judgments.

About a quarter of all doctors take money from drug companies or device makers. And studies suggest that doctors who take payments for advice, consulting, speeches, and the like are more apt to prescribe pharmaceuticals in problematic ways than those who do not.

That said, the new regulations should be carefully tailored so as not to require time-consuming attention to trivial expenditures. It seems picayune, for example, for the government to require disclosure when a drug firm representative pays for coffee and doughnuts during a presentation for a physician’s practice or takes a doctor to an occasional lunch. (Massachusetts law already bans gifts and meals worth more than $50.) In that regard, the federal law, which requires the reporting of any gift or payment of $10 or more, seems overly strict. A more reasonable limit would be $50.

Once this rule is finalized and the information collected, the disclosures will be posted on a government website. This may well serve as a warning bell for doctors inclined to overprescribe certain drugs; meanwhile, the information will be there for careful patients to check. Special care should be taken to ensure that the website is both prominently publicized and easy to use.

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