By
Nicholas Regush
Flashback: I remember the moist slivers of Peking Duck. The
juicy lemon chicken was divine. The doctors -- all one hundred or
so -- were extremely pleased with the dinner at the Chinese Palace
Restaurant in Toronto. There was no end to the joy of feasting that
evening as waiters placed one steaming platter after another on the
twenty round tables in the banquet hall. Some of the guests even joked
with devilish delight that they might not be able to handle dessert.
At
a corner table -- the table of honor -- the drug company representative
watched his six companions behave as if they hadn,t eaten a meal
in a week. He looked very happy. The evening was working out well. As
head of his company's special division, it was his job to sponsor
meetings to help educate doctors about new drug products. And he certainly
ran a class act. There were only small reminders -- company pens
and notebooks placed at the table settings -- that the company was
springing for the bill -- likely of several thousand dollars --
for the open bar and Chinese feast, complete with wine.
And
the lecture, of course, which essentially was a piece of deft propaganda
for the company's new contraceptive product.
That
event occurred in 1985. But not much has changed.
Over
the years, doctors have continued to receive "special education"
classes supported by the drug industry. Doctors have continued to be
wined and dined and invited to exotic climes, to partake of "seminars"
and "brain-storming sessions (about the company's products,
of course.) In fact, in some quarters, not to be invited is a sign of
a career decline. Mind you, there are some doctors that tell the companies
to take a hike, but they are in the minority. Status and power in the
medical community is often measured in terms of where you give your
talks and how many you give -- courtesy, in most cases, of the sponsoring
drug companies.
So
forgive me if I hoot a little when I come across a so-called new "voluntary"
code the drug industry has devised that will supposedly govern how its
representatives market drugs to physicians.
What?
The code, which will take effect on July 1, will prohibit or cut back
on entertainment for doctors? And no more gym bags, golf balls, VCRs,
and freebies to the theater?
Really.
What are the drug companies going to do with the $13 billion dollars
they spent last year giving doctors all those perks in exchange for
a chummy hearing on their products?
What
one must keep in mind is the term "voluntary." For the drug
industry, if history is any guide, "voluntary" is equivalent
to "See, Hear and Speak No Evil." This is a code worth about
as much as one-quarter-ply toilet paper.
Watch
for fancy shifts in promotion. Rather than freebies to a basketball
or baseball game, where the rep would manage to get in a few words about
a drug product, the promotions will shift more to locales where doctors
might better internalize the promos.
Like
exotic boat trips where the doctors can huddle over complex statistics,
hot-spot vacationland conference centers where "objective"
seminars can be conducted -- and I'm even betting that there
will be more educational events at gourmet Chinese restaurants.
Do
you really think that the $13 billion will be used to cut back on prices
of medication?