{"id":45547,"date":"2014-04-12T10:47:09","date_gmt":"2014-04-12T14:47:09","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=45547"},"modified":"2014-04-12T12:39:32","modified_gmt":"2014-04-12T16:39:32","slug":"your-nose-is-growing-longer","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2014\/04\/12\/your-nose-is-growing-longer\/","title":{"rendered":"your nose is growing longer&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\" class=\"big\"><a href=\"http:\/\/www.medpagetoday.com\/Washington-Watch\/Washington-Watch\/45207\" target=\"_blank\">PhRMA: Sunshine Not Driving Docs Indoors<\/a><\/div>\n<div align=\"center\" class=\"big\"><strong><font color=\"#200020\">MedPage Today<\/font><\/strong><\/div>\n<div align=\"center\" class=\"middle\">By&nbsp;David Pittman<\/div>\n<div align=\"center\" class=\"small\">Apr 10, 2014<\/div>\n<p align=\"justify\">Doctors haven&#8217;t disengaged from drug companies in the months since  the tracking of financial relationships between them started, several  pharmaceutical executives here said. The Physician Payments Sunshine Act  required drug companies to track gifts and other payments to physicians  starting August 1, making them public later this year  &#8211;  leading to  fears that public shame or misunderstanding might come of doctors&#8217; relationship to pharma.<\/p>\n<p align=\"justify\">But those ties have pretty much stayed put, different leaders of the drug industry said at the annual meeting of the <strong><font color=\"#200020\">Pharmaceutical Research and Manufacturers of America<\/font><\/strong> [<a target=\"_blank\" href=\"http:\/\/www.phrma.org\/phrma14\">PhRMA<\/a>]. &quot;We&#8217;ve seen virtually no change in the way we interact with physicians,&quot; Pfizer CEO Ian Read said at a press conference. Celgene chief Bob Hugin,  who doubles as PhRMA board chair this year, said his company has seen  the same thing, and the law has had &quot;no impact on the way we deal with  physicians.&quot;<\/p>\n<div align=\"justify\">Each man shook his head &quot;no&quot; when asked directly if  doctors seemed more hesitant to interact with pharmaceutical companies  now that the law was in place. The Centers for Medicare and Medicaid Services (CMS) will make public on Sept. 30 payments and other &quot;transfers of value&quot; drug companies report giving doctors.  With a handful of exceptions, drug companies and group purchasing  organizations must report payments or gifts in excess of $10 made to  physicians on a yearly basis. The first year will include information collected between Aug. 1 and Dec. 31. CMS will allow physicians to review and protest inaccuracies starting this summer.<\/div>\n<div align=\"center\"><img loading=\"lazy\" decoding=\"async\" width=\"57\" height=\"62\" border=\"0\" src=\"http:\/\/1boringoldman.com\/images\/pinochio-4.gif\" \/><\/div>\n<p align=\"justify\"><img decoding=\"async\" width=\"120\" hspace=\"4\" border=\"0\" align=\"right\" src=\"http:\/\/1boringoldman.com\/images\/pinochio-3.gif\" \/>&quot;Who  wants to go to a doctor that is not the most well informed, the most  aware of what&#8217;s happening?&quot; Hugin said. &quot;We really want to make sure  that this act, which is designed to make things more transparent, does  that but doesn&#8217;t change behavior because people misuse the data and  apply in a way that implies something inappropriate.&quot; He suggested that the Sunshine Act may become an issue when and if people mischaracterize the data when it becomes public.  That&#8217;s why companies and doctors must be proactive later this year when  the data are released to make sure it is presented accurately and  fairly, he indicated.<\/p>\n<div align=\"justify\">&quot;We welcome the transparency, and I think  physicians will welcome the transparency because the relationships are  highly ethical between the industry and physicians,&quot; Read said. The Justice Department last year accused drug-making giant Novartis of kickbacks it paid to doctors by holding &quot;educational events&quot; on fishing trips and at Hooters restaurants that were little more than parties.<\/div>\n<div align=\"right\" class=\"small\"><strong><font color=\"#200020\">hat tip to Alto&#8230;<\/font><\/strong>  <img decoding=\"async\" height=\"37\" border=\"0\" align=\"absmiddle\" src=\"http:\/\/1boringoldman.com\/images\/hat-tip.gif\" \/><\/div>\n<\/blockquote>\n<div align=\"justify\" class=\"small\"><a href=\"http:\/\/www.phrma.org\/phrma14\" target=\"_blank\"><img decoding=\"async\" width=\"180\" vspace=\"4\" hspace=\"4\" border=\"1\" align=\"left\" src=\"http:\/\/1boringoldman.com\/images\/phrma-1.jpg\" \/><\/a>I always wondered what they talked about at a <strong><font color=\"#200020\">Pharmaceutical Research and Manufacturers of America<\/font><\/strong> meeting [<a target=\"_blank\" href=\"http:\/\/www.phrma.org\/phrma14\">PhRMA<\/a>]. Besides the Sunshine Law, the image on the left from their website addresses another such topic &#8211; the <strong><font color=\"#200020\">academic&middot;pharmaceutical&middot;NIH Axis<\/font><\/strong>. Actually, when I followed the link on their site, there was an even bigger picture slide that included many other elements &#8211; almost all of the usual subjects:<\/div>\n<p align=\"center\"><a href=\"http:\/\/www.phrma.org\/sites\/default\/files\/pdf\/ChartPack_4%200_FINAL_2014MAR25.pdf#page=33\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" width=\"520\" height=\"382\" border=\"0\" src=\"http:\/\/1boringoldman.com\/images\/phrma-2.gif\" \/><\/a><\/p>\n<p align=\"justify\" class=\"small\"><img loading=\"lazy\" decoding=\"async\" width=\"96\" height=\"83\" border=\"0\" align=\"right\" src=\"http:\/\/1boringoldman.com\/images\/top.gif\" \/>It&#8217;s an impressive universe they have there. I noticed that they left out the ghostwriters. Maybe they&#8217;re the ones walking around outside on their virtual campus. On the site, there&#8217;s something called the <a href=\"http:\/\/www.phrma.org\/sites\/default\/files\/pdf\/ChartPack_4%200_FINAL_2014MAR25.pdf\" target=\"_blank\">CHART PACK<\/a> with a number of charts which make the case that the PhRMA world is an unfairly oppressed place. Looks like an <a target=\"_blank\" href=\"http:\/\/www.nimh.nih.gov\/about\/director\/2012\/experimental-medicine.shtml\">Insel blog<\/a>. My editorial comment is the graphic on the right, but take a look yourself.<\/p>\n<p align=\"justify\" class=\"small\">Well, what about the claim in the article that the Sunshine Act is having no effect on the doctors in the PhRMA service? Is it true? Or is this more <em>spin<\/em> to launch a campaign against the Sunshine Act itself? With this crowd, one can never know. I&#8217;m sure that for some doctors who have banked on PhRMA pay [another pun intended], losing some patients because of reporting is immaterial in the face of their PhRMA earnings. But the overall impact won&#8217;t be felt for some time. Who knows?<\/p>\n<div align=\"justify\" class=\"small\">But one thing we do know right now. This is some remarkable copy written by the PhRMA PR department:<\/div>\n<blockquote>\n<div align=\"justify\"><em>&quot;Who wants to go to a doctor that is not <strong><font color=\"#200020\">the most well informed, the most aware of what&rsquo;s happening<\/font><\/strong>?&quot; Hugin said.<\/em><\/div>\n<p align=\"justify\"><em>&quot;We really want to make sure  that this act, which is designed to make  things more transparent, does  that <strong><font color=\"#200020\">but doesn&#8217;t change behavior because  people misuse the data and  apply in a way that implies something  inappropriate<\/font><\/strong>.&quot; He suggested that the Sunshine Act may become an issue  when and if people mischaracterize the data when it becomes public&#8230;<\/em><\/p>\n<div align=\"justify\"><em>&quot;We welcome the transparency, and I think  physicians will welcome the  transparency because <strong><font color=\"#200020\">the relationships are  highly ethical between the  industry and physicians<\/font><\/strong>,&quot; Read said&#8230;<\/em><\/div>\n<\/blockquote>\n<div align=\"justify\" class=\"small\">My mom would&#8217;ve said, &quot;<em>Pinochio, I think your nose is growing longer and longer!<\/em>&quot; I still wonder how adults can write things like that and deliver them with a straight face&#8230;<\/div>\n<hr size=\"1\" \/>\n<div align=\"justify\" class=\"small\"><strong><font color=\"#200020\">UPDATE<\/font><\/strong>: I couldn&#8217;t leave it alone. So here&#8217;s just one slide from the <a href=\"http:\/\/www.phrma.org\/sites\/default\/files\/pdf\/ChartPack_4%200_FINAL_2014MAR25.pdf\" target=\"_blank\">CHART PACK<\/a>&#8230;<\/div>\n<div align=\"center\" class=\"small\"><a href=\"http:\/\/www.phrma.org\/sites\/default\/files\/pdf\/ChartPack_4%200_FINAL_2014MAR25.pdf#page=65\" target=\"_blank\"><img decoding=\"async\" width=\"500\" vspace=\"5\" border=\"0\" src=\"http:\/\/1boringoldman.com\/images\/phrma-3.gif\" \/><\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>PhRMA: Sunshine Not Driving Docs Indoors MedPage Today By&nbsp;David Pittman Apr 10, 2014 Doctors haven&#8217;t disengaged from drug companies in the months since the tracking of financial relationships between them started, several pharmaceutical executives here said. The Physician Payments Sunshine Act required drug companies to track gifts and other payments to physicians starting August 1, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-45547","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/45547","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=45547"}],"version-history":[{"count":35,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/45547\/revisions"}],"predecessor-version":[{"id":45582,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/45547\/revisions\/45582"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=45547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=45547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=45547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}