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From BMJ USA 2003;September:475
Dear Editor: The August 2003 issue of BMJ USA, with its discussions
of the relationships between physicians, medical journals, and
pharmaceutical companies, was outstanding. I have a couple of thoughts
to contribute. First, much of the criticism focuses (understandably) on
ethical issues, but often, I believe, misses the point that many of the
bemoaned behaviors may be viewed as economically appropriate (and
usually legal) activities in a free market context. If we all benefit
from our free market system, it may be a bit disingenuous to overly
criticize drug companies. The honest way to change their behavior would
be to change the system. Please note that such excuses do not apply as
well to physician behavior. Second, while it may be true that
physicians who see pharmaceutical representatives prescribe differently
from those who do not, it does not necessarily follow that patients are
being harmed.
Daniel Reinharth
Select Physicians, PC, New Hyde Park, NY
What can you learn from this BMJ paper? Read Leanne Tite's Paper+