Imagine for a minute that you are sitting in your Chiropractic office caring for patients and in walks a representative from a company who offers to take you out to lunch so you can learn more about the products and services they offer. While at lunch he or she offers you a free cruise and vacation just for listening to a “talk” about their products. As you conclude your lunch this person slides you a white envelope with a check with your name in it. Labeled as “consulting” you take the check and the several thousands of dollars and say thank you for the meeting.

Think that this type of behavior might make you a little bias towards your next purchase or what you may “prescribe/suggest” that your patient use? Perhaps you would even spend a little more time reading that companies magazine or self-published research.

imgresWelcome to the world of the big pharmaceutical companies and how they “work” with the treating physicians.

In a detailed report, released today by Bloomberg and The Wall Street Journal, you will see that Doctors have been paid over $6.5 BILLION dollars by big pharma in the last year.  Best part about these articles are the ability for you to go and use a tool provided by The Centers for Medicare and Medicaid Services and search which doctors in your area have been bought.

These published articles come off the heels of one of the largest vaccine bills ever signed into law in California. The bill’s author, Sen. and Dr. Richard Pan has been shown to take major contributions from the drug makers that make the actual vaccines given to children.

Do you think this is fair ? Justified? Could you imagine the backlash that would ensue if this happened in the Chiropractic community?

Read on from the Bloomberg report:

U.S. doctors and teaching hospitals got $6.49 billion from drug and medical-device makers in 2014, according to new government data on the financial links between the companies and the people who prescribe their products.

The data released Tuesday range from the royalties paid to hospitals to help develop products to fees provided to medical experts to speak at a dinner with colleagues. The payments are listed in two broad categories: money to fund research and payments to entertain doctors or compensate them for consulting or other non-research purposes.

By disclosing information on the payments, the U.S. is seeking to bring transparency to the financial relationships between drugmakers and health care providers. Those ties can influence how physicians practice, even if they aren’t aware of it, said Jason Dana, a professor at Yale School of Management who studies decision-making.

“If we have a financial incentive to believe something or conclude something, we kind of trick ourselves into thinking it’s true,” he said. “And we’re not always aware we’re doing it.”

The Centers for Medicare & Medicaid Services created a website, called Open Payments, to let people search for data on their medical providers.

Pfizer, Merck

[quote_center]Pfizer Inc., the biggest U.S. drugmaker, reported at least $234 million in research payments and $53.3 million in general outlays. Merck & Co. said it paid at least $97.7 million for research and made at least $27.5 million in general payments. AstraZeneca Plc spent at least $85.7 million on research and $72.5 million on general payments.[/quote_center]

Quirks in the data make it difficult to get accurate totals for manufacturer payments. Many companies reported payments under various subsidiaries, which may not be apparent at first glance. For example, Johnson & Johnson has 32 reporting subsidiaries, according to spokesman Ernie Knewitz. Merck reported some payments under Comsort Inc.

Does this sound fishy to anyone else?  But just wait, it gets even better. Read what spokespersons from Pfizer and Merck had to say:

“We appropriately compensate doctors and institutions for their work to enroll patients and collect clinical trial data,” Pfizer spokesman Dean Mastrojohn said in an e-mailed statement.

“Merck is committed to the discovery and development of important new drugs and vaccines through collaboration with scientific leaders,” Merck spokeswoman Lainie Keller said in an e-mail. AstraZeneca had no immediate comment.Damien-Contandriopoulos_money-and-doctors_000023735499Small

More Accurate

The U.S. released more limited data last year and updated it Tuesday. In the last five months of 2013, doctors and hospitals got about $3.43 billion from device and pharmaceutical firms.

The government has pushed to make the data more accurate by letting doctors and hospitals look over their records before they’re made public. CMS said today that payments accounting for about 30 percent of the total were reviewed.

More Transparency

11183466_10153508716262474_6280061973372374253_nPresident Barack Obama’s administration has been working to increase transparency in health care since the 2010 passage of the Patient Protection and Affordable Care Act. In addition to the payments posted Tuesday, the law has also led to the disclosure of how much doctors across the U.S. are paid by Medicare.

“We have to know where the money is going to really understand the problem, to develop policy,” Dana said. “No pharma companies spend this kind of money in a disinterested way.”

Some companies began voluntarily disclosing the payments in 2010 after the Affordable Care Act was signed. A similar disclosure requirement begins next year in Europe, while U.K. firms began posting the information in 2013.

The Advanced Medical Technology Association said Tuesday that feedback from doctors helps device makers improve their products. The group, which represents device and diagnostics firms, said it supports the disclosures.

Drug industry group Pharmaceutical Research and Manufacturers of America said collaboration between doctors and drugmakers helps lead to medical breakthroughs and can improve patient care.

The American Medical Association, which represents doctors, said the government should work to make it easier for health-care professionals to verify the data.

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