Care for an Éclair?

Some states are helping physicians in their rebellion against such tactics. Pennsylvania, according to an article in the current AARP Bulletin, has started something called an “unsales force” of trained, non-industry funded drug reps who go around visiting medical practices educating providers about all drugs — new, old, generic.

Ultimately, Leer said, changing the way Big Pharma does things will take legislative action. “If the pharmaceutical companies didn’t have the sway over the industry the way they do now, drugs — all drugs — would be cheaper. They’re cheaper in every other first world country in the world and pharmaceutical companies are still making a living. For instance, Canada’s national health system negotiates directly with drug companies for rates.” But here in the U.S., as written into law by the Bush Administration, Medicare can’t negotiate prescription drug prices with the companies. “We have take the price they give.”

In the meantime, Leer said he’d like to see some local action — maybe a “little formulary for free drugs, that are generic, that every provider can offer” to patients, Leer said. “Open Door would be the logical place to do that, because they get so much federal money. But they also get so much free stuff they like from the drug companies.”

The question of freebies remains, for the most part, an individual decision. “I think, frankly, physicians should do the moral thing and step back from the influence,” said Leer.

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