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Ethics in pharmaceutical field
Ethical issues in the pharmaceutical industry
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The discovery, development, manufacturing and marketing of medicines always involve questions of ethics. For example increasing pressure by governments to reduce healthcare expenditures potentially creates ethical issues for sales and marketing employees as they work to grow in the business. The healthcare industry is highly regulated and most pharmaceutical companies are committed to operating within the law. They have developed their own policies and guidance to ensure that all employees meet the highest ethical standards in their work. The Code of Conduct explains the standards that are expected from employees and is clearly communicated across each company. An Employee Guide to Business Conduct explains what the Code means in practice.
Most pharmaceutical companies are committed to sales and marketing activities that are ethical, responsible, principled and patient focused. They conform to the high, ethical, medical and scientific standards that are set by governments and regulators. On top of the regulatory requirements of governments, they govern their sales and marketing activities through company policy, on Pharmaceutical Marketing and Promotion Activity, and through industry and company marketing codes. Companies believe that it is important to work with governments to contribute to constructive debate on issues surrounding pharmaceuticals and healthcare. Where legal and appropriate they make political donations as part of this engagement. All of their interactions are governed by the Code of Conduct and appropriate Corporate Policies. Most have company wide auditing in place to fully investigate suspected breaches of their company standards and take appropriate disciplinary action, including dismissal where appropriate.
Never in the history of pharmaceutical marketing have the challenges been so intense and the stakes so high. Threats to growth and profitability have turned up the heat on pharmaceutical marketing teams to do more with less. As a result, pharmaceutical marketers must attain a new level of sophistication and precision to improve performance and maximize return on investments. At the same time, pressure is mounting on all fronts to provide greater value to all customers-including patients, providers and payers.
Kotler, P., & Keller, K. L. (2009). A framework for marketing management: Integrated with PharmaSim. Upper Saddle River, NJ: Pearson Prentice Hall.
Federal Trade Commission, 1979. Braithwalte, John. The. Corporate Crime in the Pharmaceutical Industry? Boston, MS: Routledge & Kegan Paul, 1984.
Perusing warning letters in FDA’s Electronic Reading Room yields a plethora of violations regarding adulterated, misbranded or falsely claimed benefits of drugs and supplements. These three issues, consequently, constitute stumbling blocks in drug development or approval and additionally, perhaps also indicate a wanton disregard of compliance in manufacturing and marketing. Do the responsible companies prioritize compliant procedures and documentation? Through investigating three of the most commonly cited reasons for FDA 483 letters, applying them to the above violations, and exploring a culture of compliance, some rationale for causes in this case may be determined.
LEADERSHIP BRIEFING PAPER Leadership Briefing Paper After spending your entire working life in one giant corporation that went down overnight; investing most of your retirement in stock options that plummet to zero; you are suddenly jobless and your retirement money is gone. Yet, perhaps even more threatening; our skilled and managerial jobs are steadily going abroad, due to poor corporate ethics. The crisis of poor ethics has jeopardized public trust, caused an erosion of organizational cultures, created human suffering, caused unemployment, and profit losses. Poor ethics
In the Pharmaceutical Industry an ethical dilemma has arise over the years of gift giving from the drug companies to the doctors they encounter during their drug promotion visits. The medical sales consultants influence doctors to purchase their drugs and other medical items by giving them prestigious gifts to intrigue them to choose their company over their competitors. The purpose of my studies is to analyze gift giving in the industry and determine if the action is ethical or unethical. My data was compiled between February-March 20014, and consisted of four sources, which are all website articles written by professionals in the medical field.
The work emphasizes that having business ethics and a code of conduct can be a preventive medicine. The intended audience is the general public, management team, large businesses that have yet to create and develop a code of conduct, and businesses who are searching for a solution towards resolving ethical dilemmas in their workplace. The relevance of this work to our topic is it’s unique outlook on how the code should not only be developed with HR and the legal departments with the only intention of keeping policies legal but to see it being navigated by top management. It will also help us establish the usefulness of the code of conduct in relationships with stakeholders. A special feature of this work is the large-scale of sections it has on the topic of code of ethics. It contains a content section at the very top of the article that helps navigating toward sections easier. It also includes quotes from CEO’s, ethics professor Stephen Brenner form the Journal of Business Ethics, Twin Cities-based consultant Doug Wallace, etc. The writer of this article is Carter McNamara who has a MBA and PhD who specializes in organizational development and
In general, most people practice utilitarian ethics and hold themselves accountable for doing the right thing as well as does corporations, businesses, medical facilities, and Public Health service. Therefore, these companies put in writing their company ethics policies and
Marketers operating in the drug industry have to push their products which then raises the ethical questions that surround the profession of medical delivery. Pharmaceutical companies disburse billions of dollars annually to research, develop, and market drugs. Every pharmacy company needs the endorsement of their drugs from physicians and doctors, so they have to ensure that the doctors are well treated. According to the Pew Charitable Trust, the pharmaceutical corporation spent over $27 billion on advertising alone in 2012, with $24 billion of that dedicated to marketing to physicians. (Kessel, 2014) A further survey conducted by Deloitte shows that 35% of the doctors accept some gratuity payment from the pharmacy companies and 16% of the doctors take money to represent the pharmacy company in conferences and health camps. (Kessel, 2014) The Accreditation Council for Continuing Medical Education declares that pharmaceutical and medical equipment companies funded almost one-third of continuing medical education (CME) opportunities for doctors in 2011.( (Barnett, 1989)
Ethics or rather morals entail mechanisms that defend, systematize as well as recommend conceptions of right or wrong. Many organizations develop ethical codes to ensure employees and employers understand the difference in doing good or bad. In that respect, ethics are an essential aspect of successfully running of any organization or government. Ethics ensure employee’s productivity levels are up to the required standards. It also assists them to know their rights and responsibilities. Additionally, employers, as well as any persons in management, are guided by them to ensure they provide transparent leadership. Ethics also defines how customers should be handled. Ethical codes govern the relationship between customers and an
The first social problem surrounding the health care system in the United States is the growing problem with pharmaceutical companies. The industry averages a 17% profit margin and it has been booming for decades, but the industry is being heavily led by a core group of companies (Dr. Pratt). “In 1992 the top 10 companies accounted for roughly one-third of global pharmaceutical revenue, after a period of consolidation, by 2001 the top 10 accounted for nearly half.”( Leon-Guerrero, Zentgraf, 172). These companies hold a large majority of the market share and make most of their money off patented drugs. This growing core of companies that are dominating the market are causing more problems rather than solving them. These companies are all about making as much money as they can and it shows through the salaries of the executives of these companies (Dr. Pratt). The pharmaceutical industry should have their number one priority be to the users of their products rather than profit gains.
Merck was one of the largest pharmaceutical companies in the world. Merck was about to lose patent protection of two of its best selling drugs, which had been a significant part of their $2 billion annual sales. Merck began putting millions of dollars into research (up to $1 billion) and within three years, Merck was able to discover four powerful medications. Profits weren’t all that Merck cared about; Merck’s founder believed that "medicine is for people. It is not for the profits." • He also believed that following the “medicine is for people” philosophy would lead to profits and had yet to fail.• River Blindness is caused by parasitic worms, which can be found in the Middle East, Africa and Latin America.• These places are developing, so many citizens are poor. • The worm larvae can enter the body through fly bites, with some people getting thousands a day. • Worms can cause grotesque growths, but the major problem lies in reproduction when millions of progeny are released in the system. •The resulting itching is so intense the infected have committed suicide. • Eventually, the larvae may cause blindness. • Two existing drugs could kill the parasite, but have serious, potentially fatal, side effects. • The only safe combative measure available was insecticides that eventually lose potency with immunity of the flies. • The average drug takes $200 million in research and 12 years time to produce. • In order for companies to stay in business (and ease human pain), they must make complex decisions about which drugs offer the most promise. • Investing time/money into drugs for rare diseases is risky (because the pool of recipients is small). • There are enough people with river blindness ...
10. Collis, David, and Troy Smith. "Strategy in the Twenty-First Century Pharmaceutical Industry:Merck&Co. and Pfizer Inc." Harvard Business School, 2007: 8-12.
The Pharmaceutical Industry goals is to get as much profit incentive as possible through clinical trials, social networking, ads driving in a social movement in the demand for consumer goods. Patients have become more knowledgeable, demanding, and critical of medical care (Williams & Calman 1996). The internet has facilitated consumer involvement by offering easily accessible health-related information and providing a method for communication among like minded individuals (Hardey 2001). Medicalization from an analytical stand point is facilitated by the development of innovative technologies, consumer demands and the emergence of new medical markets in the hands of pharmaceutical enterprises. When medical products, services, or treatments are promoted to consumers to improve their health, appearance, or well-being, we see the development of medical market (Conrad & Leiter 2004).The race for cure, a Breast Cancer Awareness organization has been developed into a commodity for selling pink ribbons and bands. The awareness of Breast cancer is not being fully recognized by those who may not be knowledgeable of the treatments, mammograms, screening and essentially anything cancer related if the focus is on the marketing of products. Oftentimes, these corporations, sponsors, pharmaceuticals are concern with capitalizing on the health of the patience through empowering ads, to maximizing profits. Through private and
The code of ethics are a guide of principles designed to help professionals conduct business honestly and with integrity.1Most organization have codes of ethics that its members are required to follow and it lays out the rules and acceptable behavior of its the members of ethics and which actions are acceptable or not acceptable business practices. One industry where professional codes of ethics is important is health care. Most health care workers belong to an accredited organization of their profession, such American Medical Association (AMA), American College of Healthcare Executives (ACHE), and American Nurses Association. They may also be required to have additional certification and rules they must follow based on the laws of the individual
The American Pharmacists Association’s Code of Ethics for Pharmacists is the ethics code listed on the Raabe College of Pharmacy website. This is also the code that I have chosen to specifically examine, analyze, and evaluate as well as apply to a relevant case. This ethical code, at first glance, seems rather strong. It seems to cover most aspect of practice in the profession of pharmacy. The code of ethics also appears to have had much thought in develop, in regards to concepts and theories of ethics.