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PubMed · 12848394

From the outside looking in.

Mark Charny
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Abstract

Public health practitioners are often suspicious of colleagues who work with the pharmaceutical industry. But, by analogy with the legal system, public good flows from allowing commercial interests to present their case as strongly as possible within rules set by the government or National Health Service. In court, both parties work within an agreed framework, but each party presents only one side of the argument. Arguing the commercial case balances the drive for innovation against the inertia of the NHS.

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CommerceDecision Making, OrganizationalPublic Health PracticeState MedicineUnited KingdomJournal Article

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Mark Charny. 2003. From the outside looking in.. https://doi.org/10.1093/pubmed%2Ffdg020

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PubMed2007

ACOG Committee Opinion No. 359: commercial enterprises in medical practice.

Increasing numbers of physicians sell and promote both medical and nonmedical products as part of their practices. Physicians always have rendered advice and treatment for a fee, and this practice is appropriate. It is unethical under most circumstances, however, for physicians to sell or promote medical or nonmedical products or services for their financial benefit. The following activities are considered unethical: sale of prescription drugs to be used at home, sale or promotion of nonprescription medicine, sale or promotion of presumptively therapeutic agents that generally are not accepted as part of standard medical practice, sale or promotion of non-health-related items, recruitment of patients or other health care professionals into multilevel marketing arrangements, and sale or promotion of any product in whose sale the physician has a significant financial interest. It is ethical and appropriate, however, to sell products to patients as follows: sale of devices or drugs that require professional administration in the office setting; sale of therapeutic agents, when no other facilities can provide them at reasonable convenience and at reasonable cost; sale of products that clearly are external to the patient-physician relationship, when such a sale would be considered appropriate in an external relationship; and sale of low-cost products for the benefit of community organizations. A rationale is provided for both the prohibited activities and exceptions.

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