Marketing to Doctors: Last Week Tonight with John Oliver (HBO) - Summary

Summary

The transcript highlights the pervasive influence of pharmaceutical marketing on prescription drugs in America. It reveals that a significant portion of Americans are on prescription drugs, with record numbers of prescriptions written annually. The aggressive marketing strategies employed by pharmaceutical companies include direct advertising to consumers and substantial spending on wooing doctors through free meals, speaking fees, and other perks. This raises concerns about potential conflicts of interest among doctors who may prescribe certain medications due to financial incentives rather than patient needs. The piece also mentions a new federal database that allows the public to track perks given to physicians by pharmaceutical companies, promoting transparency and accountability.

Facts

Here are the key facts extracted from the text:

1. 70% of Americans take at least one prescription drug.
2. More than half of Americans take two or more prescription drugs.
3. A record four billion prescriptions were written in 2011.
4. Total drug spending jumped by 3% in 2011 to nearly $330 billion.
5. This works out to $1,000 per person on prescription drugs.
6. In 2013, nine out of the top ten drug makers spent more on marketing than they did on research.
7. Pharmaceutical sales reps often have little to no medical training.
8. Pharmaceutical companies spend an estimated $24 billion per year marketing directly to doctors.
9. Pharmaceutical companies also spend nearly $4 billion per year marketing directly to consumers.
10. Pharmaceutical companies know a significant amount about nearly every prescription coming out of a doctor's office.
11. They gather this information by buying data from pharmacies.
12. Pharmaceutical companies have been known to cross the line and push doctors to prescribe pills for non-FDA-approved uses.
13. Some pharmaceutical companies have paid large sums of money to settle lawsuits related to irresponsible marketing.
14. GlaxoSmithKline paid a record $3 billion to settle accusations that it pushed Wellbutrin as a cure for weight gain and sexual dysfunction.
15. Some pharmaceutical companies have been known to pay doctors to speak at events and promote their products.
16. Pharmaceutical companies often give doctors free samples and meals in exchange for their business.
17. Some pharmaceutical companies have been known to pay doctors to speak at high-end restaurants, such as Hooters and L2O in Chicago.
18. Novartis was accused of paying kickbacks and lavishly spending on doctors in exchange for prescribing their drugs.
19. The Affordable Care Act includes a clause that allows citizens to search a federal website to see perks given to physicians by pharmaceutical companies.
20. This website is meant to provide transparency into the relationship between pharmaceutical companies and doctors.
21. The first batch of numbers on the website covers the last five months of 2013.
22. Some doctors have earned over $1 million delivering promotional talks and consulting for pharmaceutical companies.