Tuesday, December 17, 2013

Big Pharma Markets to and Profits from a 'Can't-Pay-Attention Nation'

 Are you a child who would rather look out the window and imagine yourself flying or doing something else cool than doing math problems in school? Then you are psychologically ill. Here, drugs! Kids, remember--don't do drugs...except for these. They are just as bad as the ones they sell on your school playground and they don't make you better! In fact, all they do is turn you into an addict who will experience the pain of withdrawal symptoms once a rational human being with your better welfare in mind decides to save you by taking you off them. Doesn't that sound great? ~A.M.A.
Some of you might remember back in the days when it was illegal to advertise prescription drugs anywhere other than established medical journals and trade magazines, before Pharma companies started hiring strippers to make calls on doctors' offices and keep those ineffective overly prescribed drugs flowing to a nation of daydreaming overweight hypochondriacs. Oh, American Exceptionalism -- you are the greatest oxymoron/misnomer for a non-existent concept ever! Unless they changed the definition of exceptional to mean stupidly docile and unquestioningly gullible. Absurd, you say? Not anymore, folks. Not if you have a lot of money. Fun fact: the generic name for Adderall is "amphetamine salts." No attempt at misdirection there. You are making your child take a drug that would get you 10 years in prison if you bought it from anybody other than the legal corporate drug dealing establishments whose products actually have worse side effects than the illegal kind. And dig this: symptoms for ADHD are nearly as arbitrary as those for fybromyalgia or Lyme Disease--both of which were once considered non-ailments, malingerer's diseases. So, any random professional expert can observe a child acting like a child ("what? my child would rather be outside playing than inside at school being bored to death doing long division? Please prescribe a drug that will cause health complications later in life in addition to stunting their growth, killing their appetites and forming what might turn out to be a lifelong addiction, as well as creating a human now with a predilection toward addiction. A co-opted medical system profiting from selling useless AND dangerous chemicals as a bogus treatment for made-up illnesses. Another fun fact: for a drug to be approved by the FDA, all it has to demonstrate that it "as effective as the placebo," the sugar pill that makes "mind over matter" equally effective for your high cholesterol as the FDA approved $250 bottle of pills. So, if you get a disease, just convince yourself that consuming more sugar is the key to becoming healthy once again, Type II diabetes be damned.


Our Children are So Screwed

A twenty-year marketing campaign has made highly powerful stimulants into household names... and they're just getting started

- Jon Queally, staff writer


Having chemically-saturated the youth market, the drug marketeers for powerful stimulants like Adderall are now bringing their message to the adult masses. What came first: the disorder, the cure, or the marketing campaign to sell both?

“You’re talking about a product that’s having a major impact on brain chemistry. Parents are very susceptible to this type of stuff.” –Roger Griggs, pharma exec who now objects to ad campaigns

In the case of medicating a generation of children who were said to be "unusually hyperactive," the answer to that question is addressed by an in-depth investigation by the New York Times on Monday showing that the meteoric rise of diagnoses of attention deficit hyperactivity disorder (A.D.H.D.)—a trend that spawned a pharmaceutical gold rush over the last twenty years—was, in fact, fueled by an industry-led marketing campaign that targeted struggling children, worried parents, and an army of doctors willing to diagnose and prescribe.

And what's worse? The deep-pocketed, pill-pushers are now looking to expand.a 'Can't-Pay-Attention Nation'

As the Times reports:
The rise of A.D.H.D. diagnoses and prescriptions for stimulants over the years coincided with a remarkably successful two-decade campaign by pharmaceutical companies to publicize the syndrome and promote the pills to doctors, educators and parents. With the children’s market booming, the industry is now employing similar marketing techniques as it focuses on adult A.D.H.D., which could become even more profitable.

Dr. Keith Conners, a psychologist and professor emeritus at Duke University—who called the rising rates “a national disaster of dangerous proportions”—points out that though A.D.H.D is likely to occur in about 5 percent of the population, recent data from the Centers for Disease Control and Prevention show that the diagnosis had been made in 15 percent of high school-age children, and that the number of children on medication for the disorder soared from 600,000 in 1990 to 3.5 million today.
“The numbers make it look like an epidemic. Well, it’s not. It’s preposterous,” he told the Times in an interview. “This is a concoction to justify the giving out of medication at unprecedented and unjustifiable levels.”

In example after example, the marketing push created by the drug manufacturers show happy children and happy parents citing the wonders of the drugs, which go by their increasingly well-known names—stimulants like Adderall, Concerta, Focalin and Vyvanse, and nonstimulants like Intuniv and Strattera. As the Times reports,  


every single one of the companies who market these pills has been fined by the FDA for false advertising.

"The decision to start long-term medication should be motivated by observations of patients and physicians, not stimulated by rosy ads." –Kurt Stange, professor of family medicine

But the ads keep coming, it seems, because the ads work.

According to the Times:
Profits for the A.D.H.D. drug industry have soared. Sales of stimulant medication in 2012 were nearly $9 billion, more than five times the $1.7 billion a decade before, according to the data company IMS Health.

Even Roger Griggs, the pharmaceutical executive who introduced Adderall in 1994, said he strongly opposes marketing stimulants to the general public because of their dangers. He calls them “nuclear bombs,” warranted only under extreme circumstances and when carefully overseen by a physician.

Psychiatric breakdown and suicidal thoughts are the most rare and extreme results of stimulant addiction, but those horror stories are far outnumbered by people who, seeking to study or work longer hours, cannot sleep for days, lose their appetite or hallucinate. More can simply become habituated to the pills and feel they cannot cope without them.

According to Griggs and others, the idea that drugs like Adderall are being marketed directly to the public is perhaps the key flaw.

“There’s no way in God’s green earth we would ever promote” a controlled substance like Adderall directly to consumers, Mr. Griggs said as he was shown several advertisements. “You’re talking about a product that’s having a major impact on brain chemistry. Parents are very susceptible to this type of stuff.”

And Kurt Stange, a professor of family medicine and community health at Case Western Reserve University, agrees and recommends that this practice be banned.

In an op-ed published alongside the Times reporting, Stange writes:
Drugs have harms as well as benefits, and the harms are greater when drugs are indiscriminately prescribed. Consumer advertising, delivered to the masses as a shotgun blast, rather than as specific information to concerned patients or caregivers, results in more prescriptions and less appropriate prescribing.
There is no evidence that consumer ads improve treatment quality or result in earlier provision of needed care. Research has shown that the ads convey an unbalanced picture, with benefits and emotional appeals given far greater weight than risks. Clinicians can work to override these miscues, but this steals precious time from activities that can provide real benefit to patients. In the packed agenda of the patient visit, in which so many real concerns and evidence-based care are available to make a difference in people's lives, the intrusion of marketing risks harm.

Advertising also provokes a subtle shift in our culture -- toward seeking a pill for every ill. While there are many for whom stimulants and other medications can be a godsend, the case of attention deficit hyperactivity disorder is a prime example of how, too often, a pill substitutes for more human responses to distress. U.S. clinicians prescribe stimulant medication for A.D.H.D. at a rate 25 times that of their European counterparts. The complex decision to start a long-term medication should be motivated by the observations of teachers and parents and children, in the context of a relationship with a caring clinician − not stimulated by rosy ads.

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Isn't your child's health worth the risk of further increasing the obscene wealth of the officers, board and shareholders of  FDA approved and sanctioned legal corporate drug dealers? 

Why do you hate America?