Reason Writers Around Town: Science Correspondent Ronald Bailey Defends Direct-to-Consumer Drug Advertising at the New York Times
Over at the New York Times' opinion blog, Reason Science Correspondent Ronald Bailey mixes it up with a gaggle of medical paternalists who think that consumers are better off being kept in the dark about new medicines that might help them. The question under debate: Should Drug Ads Be Reined In?
As the Times reports, some members of Congress want to ban direct-to-consumer ads because they evidently believe that people who suffer from erectile dysfunction, restless leg syndrome, chronic fatigue, male urinary urgency, or irritable bowel syndrome should just buck up and not bother their doctors with their trivial complaints. Congressman James P. Moran (D-Va.) is so offended by ads for Viagra and Levitra that he wants to ban them from prime-time television on grounds of "decency." Can prohibition of tampon and Yaz ads be far behind?
As Bailey points out:
…in 2003, researchers at Massachusetts General Hospital, Harvard University and Harris Interactive reported in the journal Health Affairs the results of a survey of 3,000 adults of the effects of direct-to-consumer drug advertising. The researchers found that these ads appear "to affect patients' behavior, resulting in more physician visits that detect treatable disease." In fact, the survey established that of the 35 percent of the respondents who discussed these advertisements with their physicians, 25 percent received a new diagnosis. Nearly half of the new diagnoses involved high priority conditions like arthritis, high cholesterol or diabetes. In addition, more than half of the respondents reported that their doctors took actions other than prescribing the advertised drug.
For more head over to the Times opinion blog here.
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Can prohibition of tampon and Yaz ads be far behind?
We can only hope.
Can prohibition of tampon and Yaz ads be far behind?
Would such a ban also apply to ads for Alison Moyet's solo work?
From the blurbs it seems more like the majority want them matter as a matter of taste, not because of any harm caused by the ads.
I don't think the Democrats understand that in 10%-20% of people, these, "lifestyle diseases" result from some underlying disease process and are not just the result of getting older. Impotence can result from diabetes, heart problems, neurological defects or a host of other illnesses.
When people believe that such losses of function are just part of life and there is nothing to be done about them, they don't visit the doctor and they don't mention the symptoms to the doctor. When they see adds for medicines that treat those conditions, they do visit the doctor for those conditions and doctors then discover the diseases.
In suppressing medical advertisement, we see the ugly elitism the left fights so hard to hide. Their entire argument rest on the unstated premise that ordinary people and their doctors are to stupid and irresponsible to make their own medical decisions. Therefore, they need the far more intelligent and insightful leftists to make those decisions for them through the organs of the state.
Shannon Love: Exactly right.
"...if you experience unusual fatigue see your doctor because it may be a sign of a rare but serious side effect"
Means "This stuff occasionally eats peoples livers wholesale. If it happens to you and you don't quit fast enough you die, sucker."
Those things offend me because their coy attempts to undersell the side effects peg my Bullshitometer every time.
But then adds for most categories of products do that...
We crossed that line years ago. NSFC(hildren).*
My objection is really simple -
* The government hath so decreed.
Hi all: Based on the comments over the Times blog, Times readers really, really, really hate drug ads. Sigh.
"If listening to this President and Congress leads to an erection against big government nannyism and economic fascism lasting four years, then please call your local Libertarians."
The comments are contemptible.
"Times readers really, really, really hate drug ads."
Me too, that's why I have a DVR and use AdBlock in FireFox. (Sorry reason.com)
This one has it all:
Thank you, Senator Waxman and all other intelligent congressional members who oppose the advertising of pharmaceuticals.! Not only are prescription drug ads dangerous to a gullible and fear-driven public but the absurdly high cost is built into the price of the drugs. It is long past time for the public in this country to speak out against such exploitation by the pharmaceutical (and other!) industries, not to mention time for members of Congress to resist and rebuke greedy lobbyists who pay them for their support.
- Julia C. Beeman
Senator Waxman. Intelligent.
They know what's best for you. Get used to it.
Mr. Bailey's comments are particularly absurd and without substance. His use of language exposes the emptiness of his argument. To call people who are concerned with the potentially detrimental effects of medical advertising "paternalists" is to abandon an actual argument in exchange for inflammatory, and ultimately, empty language. He follows this with the unfounded assumption that people who are concerned about this sort of advertising view the public as "mindless" and "gullible."
His comments should be seen for what they are. An attempt to secure the right for pharmaceutical companies to continue to subvert doctors, who should be the expert on pharmaceutical drugs. It is clearly not paternalistic to be concerned about an industry that pushes products on the public which, far from aiding their health, often complicate patient's problems and cause worse health conditions (see the article about the ghost writing of "medical" papers in today's Times).
- Michael McMahon
I particularly like this one when paired with the one I quoted above.
"His use of language exposes the emptiness of his argument." Ponder this on the Tree of Woe.
Just went to the NYT blog. They didn't stack the deck against Ron Bailey, did they?
The only thing worse than watching those fucking Cialis ads is having the government prohibit them.
One final one:
Which leads to the effects on the doctor-patient relationship: I'm not supposed to be "asking my doctor" about medication.
Remember, everybody: we're the crazy ones.
An attempt to secure the right for pharmaceutical companies to continue to subvert doctors, who should be the expert on pharmaceutical drugs.
This person must not have gone to college with any "pre-med" students; doctors are morons.
P Brooks, nothing makes you never want to go to a doctor again like partying with med students.
Big pharma would probably be happy to trade their current advertising and marketing budget for the much smaller lobbying budget that would be called for by single payer.
My problem with these ads has always been that it seems stupid that they feel the need (or are required?) to list off all the potential problems, when for most of them you have to go to a doctor and get permission to take them. Why do they have to warn us when the system makes us go through a genius doctor anyway? Of course, one part of the answer is that the doctors aren't such genuises, which just goes to show that the sensible, consistent system would be getting rid of prescription rules - then the warnings on the ads would make sense, and we'd have more freedom.
But the intermediate point here is, how can these people argue that these ads are "dangerous to a gullible, fear-driven public" when the public has to get permission from supposedly less-gullible, clear-thinking doctors?
joedimaster, read the blog comments thread. A lot of the comments are from doctors who are annoyed at patients taking an interest in their own treatment.
Can prohibition of tampon and Yaz ads be far behind?
Yaz we can!
I knew when I clicked on the link that I didn't want to read the comments (NYT). I wish I hadn't. I really don't know how Ron can stand to be published in that horrible rag. I WAS in a good mood. Those commenters have taken my Wednesday from me. I can't even come up with a humorous clich?.
UGH!!!
Sorry Warty, I hadn't taken the time to look. That's pretty sad though - not that I ever thought there was a real chance of dismantling the prescription system. It just annoys me to listen to all the fine print being read out loud on TV when not having to listen to that should be one of the few upsides of prescription requirements.
Of course, they should be happy we take an interest, at least in those situations where an ad lets us know about a product we have to go through them to get - we might not have gone to the doctor at all if we didn't know there was a solution to our problem.
An attempt to secure the right for pharmaceutical companies to continue to subvert doctors, who should be the expert on pharmaceutical drugs.
This person must not have gone to college with any "pre-med" students; doctors are morons.
When I was in the Navy, I served as a Hospital Corpsman with a speciality of Phrmacy Technician. After the basic "Corps" school where I learned anatomy, first responder and combat treatment, as well as basic nursing, I went to Pharmacy Tech "C" school. I spent 6 months studying just about everything I needed to work in a pharmacy in the U.S. Navy.
Once I got out to my command, a good chunk of my job involved calling doctors (military and civilian) and telling them how the screwed up on prescriptions. Yes...this happened a lot.
The fact of the matter is that the pharmacist is the "expert on pharmaceutical drugs". The doctors are supposed to be experts on the identification and treatment of diseases...which may or may not involve medications.
Stupid people need to get their shit right.
As for the topic on hand, I didn't even know about restless leg syndrome before those ads started showing. Those ads actually help in the diagnosis of diseases that many wouldn't even know existed. So, to the commenters at the Times:
Please, for the love of all that is Holy, shut the fuck up!
"Boss! I just invented this really cool drug!"
"Really? That's excellent; what does it do?"
"I dunno."
"Fine, no problem. Sally, get Marketing on the phone, and tell them they need to invent another disease."