Benjamin L. Sapers, MD
Potential Financial Conflicts of Interest: None disclosed.
Sapers B.; The Promotion of Gabapentin. Ann Intern Med. 2007;146:313. doi: 10.7326/0003-4819-146-4-200702200-00018
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Published: Ann Intern Med. 2007;146(4):313.
TO THE EDITOR:
In the great 1942 movie Casablanca, Captain Renault (Claude Rains) orders his men to close Rick's bar, saying he was “shocked, shocked! to find that gambling [was] going on” at the bar. The cashier hands him his winnings. In the 15 August 2006 issue of Annals, Petersen and colleagues discuss the value of financial incentives and paying for performance to make physicians do the right thing (1). Twelve pages later is Steinman and colleagues' well-researched indictment of a drug company trying to sell its product (2). Do we see ourselves as physicians and patients or as health suppliers and demanders? If we are the former, then we should act as such, and we must demand that those organizations with whom we must work (insurance companies, drug companies, and recently the U.S. Food and Drug Administration) behave less like business people and more like professionals. If we are the latter, then let us do what is right for capitalism: deregulate the health care market, let drug companies pedal their wares in peace, and let herbalists and other traditional healers compete on even ground for the attention of health care consumers.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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