Articles Posted in Advertising

cracktv-300x169When reformers look for ways to slash the ever-higher costs of American medical care, one line item should leap from television screens, print pages, and radio broadcasts: How does the nation benefit from medical enterprises spending $30 billion annually in a growing avalanche of marketing and advertising — and why can’t this be stopped or subjected to tougher regulation?

Two physician-scientists at The Center for Medicine in the Media at the Dartmouth Institute for Health Policy and Clinical Practice have published on the JAMA Network their new research, showing that:

[M]edical marketing expanded substantially [between 1997 and 2016], and spending increased from $17.7 to $29.9 billion, with direct-to-consumer advertising for prescription drugs and health services accounting for the most rapid growth, and pharmaceutical marketing to health professionals accounting for most promotional spending.

knees-300x81With a graying nation projected to see millions of patients undergoing knee replacements each year at an annual cost to taxpayers running in the billions of dollars, it may be past time to ask if surgeons and hospitals promote and perform these popular procedures to excess.

Liz Szabo, in a story written for the nonprofit, nonpartisan Kaiser Health News Service (KHN) and published in the Washington Post, reported that knee surgeries have their “risks and limitations,” and “doctors are increasingly concerned that the procedure is overused and that its benefits have been oversold.”

As she wrote:

davincirobot-300x176When surgeons insist on cutting on patients using the million-dollar da Vinci robot system, patients should demand to know why — and to be skeptical to the nth degree whether the device-based operation will be beneficial to them, or if it is yet another way for doctors and hospitals to make medical care exorbitantly expensive and to boost their profits.

NBC News, as part of a global investigation of medical devices and their harms, deserves credit for adding yet more disturbing disclosures with a detailed story about the da Vinci. The report clearly seeks to be balanced and doesn’t deliver as hard-hitting a point of view as The Bleeding Edge, a recent and important HBO documentary on the surgical robot system.

Still, there are plenty of disturbing items that ought to stop lawmakers, regulators, safety advocates, and patients, and force a hard re-thinking about da Vinci:

genericfda-237x300To paraphrase what a one-time colleague once wrote about her bosses: Never trust Big Pharma, never trust Big Pharma, never trust Big Pharma. Here’s some of the latest evidence why: Even the industry’s so-called “white hats,” makers of supposedly less expensive and more patient-accessible “generic” drugs, now are ensnared in an ever-expanding investigation of illegal price fixing.

As the Washington Post reported:

What started as an antitrust lawsuit brought by states over just two drugs in 2016 has exploded into an investigation of alleged price-fixing involving at least 16 companies and 300 drugs, Joseph Nielsen, an assistant attorney general and antitrust investigator in Connecticut who has been a leading force in the probe, said in an interview. His comments … represent the first public disclosure of the dramatically expanded scale of the investigation.

jjbabypowder-300x300Johnson & Johnson, now facing thousands of lawsuits asserting ties between its famed baby powder and patients’ cancers, has campaigned for decades to keep from wide public view information that its talc was tainted with asbestos, a naturally occurring substance and an established cause of some cancers, news media reports say.

Reuters news service published its investigation of J&J’s long efforts to deny and downplay scientific evidence it had about asbestos in a product that has helped to create and define the company as one of the nation’s family friendly consumer product and pharmaceutical giants.

Tens of millions of Americans grew up, with grown-ups dusting them as infants with Johnson’s baby powder, now contributing just “$420 million to J&J’s $76.5 billion in revenue last year,” Reuters reported.

blocks-kid-with-thomas-eakins-300x177Moms, dads, grandparents and many others will fork over a lot of money for pricey toys this holiday season. But the doctors who care for children have timely shopping advice: Don’t throw away hard-earned dollars on fancy electronics. Instead, look for simple, tried-and-true toys.

Items like dolls, cars, blocks, crayons, and easy games may be more beneficial to youngsters than blinking, whirring, flashing, e-gizmos, says the American Academy of Pediatrics, a group representing more than 60,000 doctors who care for kids.

The group said in a detailed policy guidance that youngsters need to learn to be social and to stretch their imaginations. Toys that are basic, sturdy, and safe help them do this more so than expensive, complex products.

actelion-300x110Patients now have more than half a billion reasons to wonder whether advocacy groups that purport to speak up for the special needs of folks with diseases and conditions like theirs really do so. Or has Big Pharma corrupted these organizations with cash?

The New York Times reported Actelion Pharmaceuticals, now owned by Johnson & Johnson, agreed to pay a $360 million settlement in an investigation by federal prosecutors of the firm’s allegedly funneling kickbacks through a charity that claimed to assist patients with the cost of drug co-payments. This case involved financial exchanges connected with pricey medications to treat a rare lung disease.

But the newspaper said it was just the latest of several such matters involving Big Pharma and patient advocacy and charity groups in which prosecutors sought to ferret out “contributions” designed to help makers plump up prices for already expensive products:

allchildrens-300x220When big hospitals aim to get even more giant, they do so at risk of the quality of care they offer to their patients — and they can do much damage to their brand and hard-to-repair reputations. That may be a reality that elite Johns Hopkins may be discovering.

The Tampa Bay Times deserves credit for its detailed take-down of the “internationally renowned,” Baltimore-based medical institution for the deaths and harms suffered by child heart patients at All Children’s hospital in Florida. Johns Hopkins took it over, and, according to the newspaper, within a half dozen years made a debacle of its well-regarded pediatric heart surgery program, which worsened until youngsters were dying at a “stunning rate.”

As the newspaper reported, based on a year’s investigation of the All Children’s program:

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FDA Commissioner Scott Gottlieb

If the federal Food and Drug Administration expected any public goodwill for putting forward long-term proposals to change a fundamental way that medical devices win agency clearance, forget about it.

Instead, FDA Commissioner Scott Gottlieb and lawmakers should be reeling still from a salvo of news organization investigations into unacceptable ways that patients in this country and around the planet suffer pain, injury, and other harms from products that go in or on the body. Under industry pressure and spurred by pro-business lawmakers, the FDA, the investigations show, has exercised a weak, poor, and unacceptable oversight of medical devices, including:

HCGopen19-300x200Political partisans are whipping ahead with their Grinch-like views about public support of any kind for health care for less affluent Americans — and now the nation’s children are bearing the brunt of mean-spirited policies.

Georgetown University reported that for the first time in almost a decade, the number of children lacking health coverage increased, with roughly a quarter of a million more youngsters uninsured this year versus last.

Joan Alker, executive director of Georgetown’s Center for Children and Families, which has issued authoritative data on kids’ and health insurance, told NPR the increase of uninsured children is unacceptable, adding, “The nation is going backwards on insuring kids and it is likely to get worse.”

Patrick Malone & Associates, P.C. listed in Best Lawyers Rated by Super Lawyers Patrick A. Malone
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