Hookedby Howard BrodyMay 14, 2014
Back in 2011 I heard from Cutting Edge Information on the subject of key opinion leaders [KOLs]:I figured that once I outed them on this blog, they would know better than to send me any more e-mails, but apparently they are still at it; the cold-call e-mail that’s reprinted below arrived this week. The content would seem to suggest that Pharma firms are having greater difficulties finding “Key opinion leader” physicians [aka shills] due to the increased transparency requirements of the pending Sunshine Act. If this is the case, then of course it is what I have been advocating for years. I read both the e-mail and the attached detailed brochure but could not find a figure as to the actual cost of this 179-page report, so you’ll have to contact Cutting Edge Information directly if you want to buy a copy. [I have a feeling there might be some sticker shock]…He goes on to reproduce their email, brochure, and a link.
A few years back, I wrote a post [rip van winkle… ] in which I analogized myself to Rip Van Winkle, Washington Irving’s fictional character who slept for forty years and awoke to a world he didn’t understand. I claimed that my cloistered practice had been a similar hibernation, and that the psychiatry of today was unrecognizable to me. At the time, even I thought I was being melodramatic with that analogy, but now I think I was right after all. But it’s not just psychiatry, it’s Medicine in general. I’ve finally gotten old enough to be visiting doctors myself, and the taint I’ve written about in psychiatry is everywhere.
This Cutting Edge Information company basically functions by taking every aspect of running a pharmaceutical company and surveys the whole industry, collecting the various companies’ ways of approaching the problems, then puts together documents and presentations to sell. It’s marketing research on marketing, and they thrive on attempts to curb the out of control industry marketing techniques. Each new regulatory hurdle is just another market for their materials about how to get around it. Think I’m kidding, just dance around in their site for a while – at least for as long as you can tolerate their strange jargon.
And at the risk of beating a dead horse, Cutting Edge Information has nothing to do with whether the drug in question is any good, or if it’s safe – just how to sell more of it. And since they’ve discovered that their bottom line is total pills sold, they’re getting into the medication compliance business. In psychiatry, we’re also well aware of how LCM [Life Cycle Management] as in indication sprawl, patent extension, dissuading generics, patenting XR versions or nearby chemical clones, have all have become routine practices.
The first day of my first sales class the instructor opened with this statement: Nothing happens until something is sold. While this has many connotations pharma has taken this to mean sell at any cost.
Professional reputation, financial hardship, and even death are not to deter ever increasing sales.
This is what drives pharma, nothing else, sales.
Steve Lucas
Read Systems of Survival by Jane Jacobs.
Dr. Carroll,
I was unable to find this book in the SUNY system, yet I’ll keep looking. For what I was able to pick up on Wikipedia, I can say that I’ve seen evidence that both sets of moral precepts are mixed together in a tangled mess in the business world.
Yet, I am curious to know how individual morality fits into all of this. Most precepts on the Commerce side are taught as virtues while only a few on the Guardian side are. And, also, how one precept overrides another (i.e., there’s a terminal optimism in business that shuts down valid concerns. So, does this then become deceit?)
If these are covered in the book, no problem. When I can locate a free copy, I’m sure I’ll read it.
I found a used copy for $0.48 + postage on Amazon…
Dr. Nardo, I appreciate you sharing this. Personally, I’m really rather on a quest right now. With five private colleges nearby and a countywide library system, odds are good that I can read it on loan. However, if all else fails, Amazon FTW!
Aren’t KOLs simply being put on the payroll now?