{"id":46354,"date":"2014-05-19T22:34:48","date_gmt":"2014-05-20T02:34:48","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=46354"},"modified":"2014-05-20T10:31:52","modified_gmt":"2014-05-20T14:31:52","slug":"46354","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2014\/05\/19\/46354\/","title":{"rendered":"feels that way&#8230;"},"content":{"rendered":"<div align=\"justify\">Howard Brody has an interesting post based on his junk mail: <\/div>\n<blockquote>\n<div align=\"center\" class=\"big\"><a href=\"http:\/\/brodyhooked.blogspot.com\/2014\/05\/are-kols-drying-up-praise-be.html\">Are KOLs drying up? Praise be<\/a><\/div>\n<div align=\"center\" class=\"big\"><strong><font color=\"#006666\">Hooked<\/font><\/strong><\/div>\n<div align=\"center\" class=\"middle\">by Howard Brody <\/div>\n<div align=\"center\" class=\"small\">May 14, 2014<\/div>\n<p>       <\/p>\n<div align=\"justify\">Back in 2011 I heard from <a href=\"http:\/\/www.cuttingedgeinfo.com\/\" target=\"_blank\">Cutting Edge Information<\/a> on the subject of key opinion leaders [KOLs]:<\/div>\n<div align=\"center\" class=\"small\"> <a href=\"http:\/\/brodyhooked.blogspot.com\/2011\/06\/keeping-kols-fat-and-sassy-these.html\">http:\/\/brodyhooked.blogspot.com\/2011\/06\/keeping-kols-fat-and-sassy-these.html<\/a><\/div>\n<div align=\"justify\">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&rsquo;s reprinted  below arrived this week. The content would seem to suggest that Pharma firms are having  greater difficulties finding &ldquo;Key opinion leader&rdquo; 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&rsquo;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]&hellip;<\/p>\n<div>\n<div align=\"center\"><em>He goes on to reproduce their email, brochure, and a <a target=\"_blank\" href=\"http:\/\/www.cuttingedgeinfo.com\/\">link<\/a><\/em>.<\/div>\n<\/div>\n<\/div>\n<\/blockquote>\n<div align=\"justify\">The <a href=\"http:\/\/www.cuttingedgeinfo.com\/\" target=\"_blank\">Cutting Edge Information<\/a> website is actually worth looking over. It&#8217;s filled with stuff like this:<\/div>\n<ul>\n<div align=\"justify\" class=\"small\"><strong><font color=\"#200020\">Addressing Physician Needs through Customer-Centric Commercial Strategies<\/font><\/strong>: Many medical device and pharma sales forces are adopting more  customer-centric approaches. These commercial models move away from  purely product-driven conversations to focus on &mdash; and meet &mdash; physicians&rsquo;  and patients&rsquo; needs while educating them on key products.  Customer-centric sales representatives must work to bring value to their  target physicians and patient populations. Many teams focus on finding  best-fit product solutions for specific practices. Teams also seek out  opportunities to package these products with value-adding materials such  as education- and support-based websites or applications&#8230;<\/div>\n<\/ul>\n<div align=\"justify\">After chuckling at all the lyrical business-ese and marketing language, there&#8217;s a more ominous dirge playing in the background. This company sells reports and presentations for pharmaceutical sales staff and marketeers focusing on ways to game the system &#8211; like ways to get around the impact of the Sunshine Act, ways to extend direct-to-consumer advertising, ways to better utilize existing KOL pools, ways to enhance LCM&nbsp; vis-&agrave;-vis ROI [Life Cycle Management, Return On Investment], etc. etc. <\/div>\n<p align=\"justify\"><img decoding=\"async\" width=\"150\" vspace=\"6\" hspace=\"4\" border=\"1\" align=\"right\" src=\"http:\/\/1.bp.blogspot.com\/_RwooCpYJAMo\/TJJILje90UI\/AAAAAAAAACY\/fl8XAxaQPMY\/s320\/rip-van-winkle-3.jpg\" \/>A few years back, I wrote a post [<a href=\"http:\/\/1boringoldman.com\/index.php\/2011\/03\/28\/rip-van-winkle-2\/\">rip van winkle&hellip; <\/a>] in which I analogized myself to Rip Van Winkle, Washington Irving&#8217;s fictional character who slept for forty years and awoke to a world he didn&#8217;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&#8217;s not just psychiatry, it&#8217;s Medicine in general. I&#8217;ve finally gotten old enough to be visiting doctors myself, and the taint I&#8217;ve written about in psychiatry is everywhere.<\/p>\n<p align=\"justify\">This <a href=\"http:\/\/www.cuttingedgeinfo.com\/\" target=\"_blank\">Cutting Edge Information<\/a> company basically functions by taking every aspect of running a pharmaceutical company and surveys the whole industry, collecting the various companies&#8217; ways of approaching the problems, then puts together documents and presentations to sell. It&#8217;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 <em>market<\/em> for their materials about how to get around it. Think I&#8217;m kidding, just dance around in their site for a while &#8211; at least for as long as you can tolerate their strange jargon.<\/p>\n<p align=\"justify\">And at the risk of beating a dead horse, <a href=\"http:\/\/www.cuttingedgeinfo.com\/\" target=\"_blank\">Cutting Edge Information<\/a> has nothing to do with whether the drug in question is any good, or if it&#8217;s safe &#8211; just how to sell more of it. And since they&#8217;ve discovered that their bottom line is total pills sold, they&#8217;re getting into the medication compliance business.&nbsp; In psychiatry, we&#8217;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.<\/p>\n<div align=\"justify\">Science Fiction thrives on taking some aspect of modern life and extrapolating it to absurdity as a cause for the apocalypse.&nbsp; Historical fiction does the same thing by projecting our modern absurdities into the past. But here in the present, we&#8217;re sentenced to ponder and decry them without knowing where they&#8217;ll lead. It seems to me that the intrusion of raw capitalism into the field of medicine has reached a tipping point, one of those places that drive radical evolution or revolution. But I almost always feel that way about the things I don&#8217;t like. More likely, things have to get worse before they get better, and this isn&#8217;t <em>the worst<\/em> &#8211; though it sure feels that way&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Howard Brody has an interesting post based on his junk mail: Are KOLs drying up? Praise be Hooked by Howard Brody May 14, 2014 Back in 2011 I heard from Cutting Edge Information on the subject of key opinion leaders [KOLs]: http:\/\/brodyhooked.blogspot.com\/2011\/06\/keeping-kols-fat-and-sassy-these.html I figured that once I outed them on this blog, they would know [&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_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-46354","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/46354","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=46354"}],"version-history":[{"count":21,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/46354\/revisions"}],"predecessor-version":[{"id":46375,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/46354\/revisions\/46375"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=46354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=46354"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=46354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}