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Of the $30 billion spent each year on marketing, the drug industry directs $7 billion towards physicians -- an average of $8,800 towards each of the 817,000 physicians in the US.  94% of doctors have received gifts from drug companies, including catered lunches and "educational" conferences at upscale resorts.  Studies show that even small gifts create an unconscious "demand for reciprocity."  The 90,000 drug company sales reps exert tremendous influence over which drugs physicians prescribe, encouraging doctors to prescribe more expensive drugs instead of less costly - but  often equally or more effective - medications.  To counter the undue influence of drug industry marketing, states can:

  • Ban Gifts & Require Disclosure of Financial Relationships:  Minnesota, in 1993, became the first state to limit gifts from the drug industry to physicians.  It bans gifts of more than $50 and requires companies to disclose payments to physicians in excess of $100.  Several other states have enacted disclosure laws, exposing millions of dollars spent on payments to physicians and conflicts of interest.  In 2008, Massachusetts lawmakers are considering an outright ban on gifts as part of a broad cost and quality health care reform bill (S.2526).  
  • Ban "Data-Mining" -- Protecting Prescription Privacy:  In 2006, New Hampshire became the first state to enact a ban on "data-mining" (HB 1346) - the process by which the drug industry uses, or mines, the prescribing habits of providers to inform direct-to-provider sales.  Maine and Vermont soon passed similar laws.  As expected, PhRMA, the drug industry's massive lobby, is holding these laws up in court, but states like Washington and the District of Columbia continue to press forward.

Resources:

Center for Public Integrity - Drug Lobby Second to None: How the pharmaceutical industry gets its way in Washington
The Prescription Project - Regulating Industry Payments to Physicians: Identifying and Minimizing Conflicts of Interest
National Legislative Association on Prescription Drug Prices (NLARx) - Model Legislation
The Prescription Project - Control Pharmaceutical Marketing to Improve Health Care Quality and Cost
NLARx - Minnesota Gift Ban and Disclosure Laws
New Hampshire - 2006 HB 1346, Ban on Data Mining
The Prescription Project and NLARx - Model Drug and Medical Device Marketing Restrictions and Disclosure Act.
The Prescription Project - Data Mining: Myths and Rebuttals
The Prescription Project - The Constitutional Battle Over State Regulation of Data Mining

From the Dispatch

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    While DC Delays, States Move Forward on Health Care Reforms

    Jan 28, 2010

    As Congress delays moving forward on the passage of comprehensive health care reform, progressive state leaders from across the country have been demanding passage of reform as critical for families across the nation.  But that doesn't mean they are waiting; state leaders are moving forward, laying the groundwork for how national changes should be implemented, and creating the momentum for other meaningful health care reforms in their states.
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    Rx Reforms to Address Budget Deficits and Ensure Quality of Medications

    Nov 23, 2009

    As part of our Shared Multi-State Agenda, the Progressive States Network is working with legislators, advocates and leading experts to promote Rx reforms in 2010 that will reduce health care costs for consumers, businesses, and state and local governments, and will help ensure access to safe and effective medications.  Through coordinated, strategic support, PSN and our allies will be working to introduce and advance Rx reforms that will help address state budget deficits and improve access to quality medications in as many states possible; providing model legislation, policy analysis, messaging and more - all of which has been gathered and will be constantly updated on our Prescription Drug Reform Shared Agenda web page.
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    Rx Model Bill to Limit Drug Industry Marketing Enacted in Vermont

    Jun 25, 2009

    Vermont lawmakers enacted the nation's strongest measure limiting the drug industry's marketing influence over physicians.  The bill, S 48, bans gifts from the industry to physicians, including meals and travel, and requires unprecedented disclosure and transparency of relations between the industry and providers.  Said Sharon Treat, Director of the National Legislative Association on Prescription Drug Prices (NLARx) and Maine State Representative, "Vermont now joins Minnesota and Massachusetts in tackling head-on the pervasive influence of payments and gifts on medical practitioners through a ban on many gifts.
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    Focus on Prescription Drug Reform

    Mar 24, 2008

    $287 billion -- that is how much the U.S. spent on pharmaceuticals in 2007, representing a significant driver of health care costs.  While spending on hospital and physician care surpass spending on prescriptions, drugs still account for 14% of all health care expenditures. Combine this with polls that show 70% of Americans believe the drug industry puts profits ahead of people, and it's no wonder that in 2008, at least 540 bills and resolutions are being considered by states across the country to reduce prescription drug prices, ensure the quality of medications covered by public and private health plans, and reduce the undue influence of pharmaceutical industry marketing - which itself tops out at $30 billion each year.