Doctors’ relationships with drug company representatives have changed, say knowledgeable readers. But for better or worse?
A recently-unemployed friend of mine went into a Victoria walk-in clinic in June complaining about unease he couldn’t explain, and walked out with enough free packets of the antidepressant Cipralex and the stimulant Ritalin to last for weeks. If he liked these drugs, the doctor said, he should come back and get prescriptions for more. “It all happened so fast, in less than five minutes,” my friend said with both fascination and wariness.
I was working at the time on last issue’s article about the drug company sales representatives who fill our doctors’ shelves with free drug samples (“Meet Your Doctor’s Generous Friend,” Focus July/August 2013). My friend showed me his packets, each prominently stamped “Sample.” It seemed very coincidental. However, over the next several months coincidental encounters with Cipralex kept occurring, and I started to wonder how coincidental it really was.
Meanwhile, as damning as my article was of the relationships between drug companies, their sales representatives, and local medical doctors, Focus and I received only a few critical responses. That silence started making me feel like the reality was even worse than the article portrayed. Where were all the doctors declaring their independence from drug company money? Where were all the drug companies and reps declaring, “We’d never engage in those kinds of manipulative, corrupt activities”?
This month’s letter to the editor from a drug sales rep reflects one criticism we did hear: Bill’s and Sam’s stories of working as drug reps in Victoria and Vancouver from 1997-2009 were dated and things today are different. As some folks told it, today many local doctors know drug reps as responsible professionals who deliver samples and, if there’s any interaction, it’s a collaboration in patients’ best interests, period. However, my response was, even if practices in Victoria have changed, most doctors practising today will have been influenced by activities going on here as recently as four years ago, and going on elsewhere still today, and therefore Bill’s and Sam’s stories are still relevant.
This point would soon be even more robustly illustrated to me as I gradually learned about the corrupt international history of Cipralex and its enduring local legacy.