1. David Chelnick The Iron Grip of Pharmaceutical Companies

2. Ask your doctor about…

3. How do drug companies influence doctors & patients, and what can be done?

4. Although legislation exists to disclose financial relationships, additional regulation is required to mitigate the adverse affects of over-prescribing drugs.

5. Overview 2134 1.Drug companies’ power over doctors 2.Drug companies' power over patients 3.Consequences of over-prescribing 4.How to resolve the issues at hand

6. Vicious Cycle Doctors and patients want prescriptions Drug companies make $$$ Drug Companies promote drugs

7. Influence on the Physician 2134

8. Pharmaceutical Companies' Influence 25% of doctors are paid by drug companies for lectures and endorsements

9. Pharmaceutical Companies' Influence 66% of doctors receive free meals from drug company representatives

10. Disclosure… Sunshine Sunshine Laws The Patient Protection and Affordable Care Act (PPACA) “Obamacare”

11. Sunshine Laws Obama Administration: 1,100 –About 1,100 drug and device makers must report payments to doctors –$10,000 fine

12. Disclosure so far…? $761.3 million As of April 2012

13. $31,647,101 Nexium Crestor Symbicort

14. $85,263,683 Advair Paxil Zofran

15. $176,247,405 Celebrex Lipitor Lyrica Viagra

16. Influence on the Patient 21 34

17. Power over the patient 33% of patients who have seen ads have spoken to their doctor about an advertised drug.

18. Of those consumers, 28% asked for prescriptions Power over the patient

19. 80% of such requests were granted

20. Consequences of this relationship 213 4

21. Up to 60% of all prescriptions in the U.S. are written for drugs being used in a fashion other than their approved purpose Journal of the American Medical Association:

22. Antibiotics… 20% are prescribed for sinus infections (viral or bacterial)

23. Be careful! More antibiotics= more antibiotic resistant bacteria

24. Dr. Margaret Chan, director general of the World Health Organization: “This will be a post-antibiotic era…things as common as strep throat or a child’s scratched knee could once again kill”

25. Can we solve our problems? 213 4

27. A simple solution More regulation of money given to doctors by drug companies

28. Continue to disclose any financial relationships (At least keep this part of the healthcare bill!) A simple solution

29. If we must… Regulate prescribing doctors A simple solution

30. Talk to your doctor…