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Volume 356:1697-1700 April 26, 2007 Number 17
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Paying for Drug Approvals — Who's Using Whom?
Jerry Avorn, M.D.

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Years ago, an administrator at a community hospital explained to me how well his institution's grand-rounds program worked. "The drug companies find the speakers, pay their honoraria, and provide free food for the doctors, which helps a lot with attendance," he said. "It works well for us, especially with our budgets so tight." Yet those lunches were actually quite costly for the hospital: attendees at such events predictably go on to prescribe the products promoted there — which is precisely why the drug companies so willingly pay for these programs.

This penetration of commerce into the province of science isn't . . . [Full Text of this Article]


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Dr. Avorn is a professor of medicine at Harvard Medical School and chief of the Division of Pharmacoepidemiology and Pharmacoeconomics at Brigham and Women's Hospital — both in Boston.

An interview with Dr. Avorn and Dr. Mark McClellan can be heard at www.nejm.org.

This article (10.1056/NEJMp078041) was published at www.nejm.org on April 13, 2007.


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