Do doctors really get kickbacks from drugs?

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glamourgirl
Regular Member


Date Joined Apr 2008
Total Posts : 460
   Posted 1/15/2009 9:48 AM (GMT -6)   
I'm just curious if doctors really do get any kind of kickbacks from the drugs they prescribe.  I've seen it mentioned in passing in a few posts here.  Is it true?  I had a rep. from my doctor's office call me 4 times in one day to try to convince me to start Humira.  I told her from the beginning that I wasn't interested but she continued to harrass me all day.  It's disheartening to know that a doctor would be more concerned about money than a patients well being.
Female, Age 38
Diagnosed w/c.diff 7/02 when pregnant w/1st and only child during 2nd trimester(wasn't on antibiotics)
C.diff flare within weeks of delivering baby 1/03, Diagnosed with UC 2/03
Current Meds:
75mg 6-MP
Ferrex Forte
Acidophillus, Sacchromyces Boulardii, Oil of Oregano


ThePostmodernIrony
Regular Member


Date Joined Feb 2007
Total Posts : 344
   Posted 1/15/2009 10:05 AM (GMT -6)   
I don't know much about that but I think you should report that type of harassment to your state attorney general. 1 time in a day would be enough to make me angry.
UC diagnosed January 05 MAYBE REMISSION AFTER ALMOST 4 YEARS!! - DARE I SAY?
Past Meds: Azasan (Imuran) - piercing chest pains after six days so tried different brand aka Azathioprine - morning nausea /didn't really help after more than 6 months, dicyclomine (still flared), Remicade - 7 treatments (stopping because no dramatic changes), allergy shots (03-07), levbid, prednisone (been off since nov. 08!), rowasa
Current meds: Asacol 3 - 3x, Aciphex (acid reflux), canasa every other night, konsyl (fiber for bulking stool), multivitamin, caltrate 2x a day. probiotic (florasmart), astelin (nasal spray as needed for allergies), fosamax (bone density)


summerstorm
Veteran Member


Date Joined Aug 2006
Total Posts : 6571
   Posted 1/15/2009 10:28 AM (GMT -6)   
my husband is a nurse so i know a little about this.
Drs used to get huge kickbacks, but a stop was put to that. HOWEVER drug reps do still come to drs offices and nursing and medical conventions and pay for fancy meals and hand out nice items, give prizes, like door prizes, very nice ones at their booths. For instance one company had this thing where if you had the winning ticket, which was of course free, i think it was a flat screen tv, cant' remember for sure it was NICE though. So it's not like they are getting kickbacks so much anymore as bought. If that make sense. Now they dont really get anything for using the drug like they used to. However the more they use the drug the more the reps will come by with free things.
These are small things butyou would not belive the number of pens and pads of paper and thumb drives and stuff like that my husband brings home from reps wanting to make sure the nurses and drs think of them first in a situation.

bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 1/15/2009 10:32 AM (GMT -6)   
The kickbacks are not a blatent as previously but they get funds for seminars, marketing, trips as speakers equipment etc etc
Moderate Pancolitis
Dx'd 05/2007
7 Pentasa per day (4/3)
Corti Foam p.m. 2X per week
Prebiotics and Probiotics, Bowel Soother, Fish Oil, Calcium, Multi Vitamin and Melatonin
Trying to reduce sugar in my diet but cannot tolerate artificial sweetners
I excersice daily
Did I happen to mention I HATE this disease!!!
01/03/09 Trying a few new things...I'll report back after 90 days


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2855
   Posted 1/15/2009 10:43 AM (GMT -6)   
I heard on the news just in the last few days that the drug companies, through their trade association, have agreed voluntarily to stop the practice of providing any freebies, even pens and such. But they will still be making their visits to doc offices, I'm sure the ones that are better at that get their drugs prescribed more.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; started diet without gluten, soy, dairy, tomato etc. Replete$$ probiotic powder, then Forte, now a stronger one (50 billion). Doing much better, but still having some bad days. 


Miss3
Regular Member


Date Joined Sep 2008
Total Posts : 97
   Posted 1/15/2009 11:02 AM (GMT -6)   

My husband used to print for a living and actually printed up letters for different drug companies stating if you write X amount of prescriptions for whatever you will get X amount of dollars. This was like ten or fifteen years ago so not sure what they get now, probably incentives, not cash anymore. He even brought some samples home periodically saying don't be surprised if your doctor wants to put you on this drug next. LOL

 

Miss

 


36 yr. old homeschooling mom of 3
Diagnosed Crohn's 06/08, then UC 08/08
Asacol made me worse, reactions to Remicade
Currently taking LDN, feeling pretty good
Probiotic, Omega 3, Digestive enzymes


thatfield
Veteran Member


Date Joined Jul 2008
Total Posts : 823
   Posted 1/15/2009 11:06 AM (GMT -6)   
Hi Glamourgirl, I work in the healthcare field and have for about 8 years. I usually refrain from discussing anything related to my career on this site but I cannot resist replying to this one!

Summerstorm is right - physicians no longer get kick-backs from drug companies. They do however get wined and dined by the drug reps. Some hospitals and clinics have rules regarding what types of gifts can be accepted. Some drug companies only allow non-material gifts such as taking physicians to dinner...there are also some IRS regulations that come into play with these gifts...However, I have seen anything from small gifts such as food up to large gifts such as paid vacations and paid conferences...

With that said, the real red flag I see here (and the reason I feel compelled to reply) is that the drug rep had access to your medical information. Being in the healthcare field, I am amazed and horrified to hear that happened. Unless you specifically gave the doctor's office written consent to share your medical information with outside agencies the rep should never have known that you might need Humira and certainly should not have been given your contact information. That is WAY out of line!

Are you in the United States? If so, your healthcare information is protected by HIPAA and I would file a complaint!
Dx 2006 right after the birth of my daughter
Lialda now down to 1 pill a day!
Canasa on and off as needed
Probiotics Daily
 


mudua
Regular Member


Date Joined Apr 2007
Total Posts : 459
   Posted 1/15/2009 11:47 AM (GMT -6)   
In Africa it's very common. African leaders remain silent because there is a huge shortage of doctors on the continent.

glamourgirl
Regular Member


Date Joined Apr 2008
Total Posts : 460
   Posted 1/15/2009 11:48 AM (GMT -6)   
Sorry for the confusion-it wasn't a DRUG REP that contacted me, it was a rep. from my doctor's office..either a nurse or some sort of assistant..I'm not sure which.
Female, Age 38
Diagnosed w/c.diff 7/02 when pregnant w/1st and only child during 2nd trimester(wasn't on antibiotics)
C.diff flare within weeks of delivering baby 1/03, Diagnosed with UC 2/03
Current Meds:
75mg 6-MP
Ferrex Forte
Acidophillus, Sacchromyces Boulardii, Oil of Oregano


thatfield
Veteran Member


Date Joined Jul 2008
Total Posts : 823
   Posted 1/15/2009 12:07 PM (GMT -6)   
OH - WHEW - That makes me feel tons better!!! I was so upset for you! :) Honestly, telling the nurse or assistant one time that you were not interested should have been enough though they should not have continued calling you!
Dx 2006 right after the birth of my daughter
Lialda now down to 1 pill a day!
Canasa on and off as needed
Probiotics Daily
 


suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 1/15/2009 12:12 PM (GMT -6)   
It's also important to note that dinners and gifts are provided by vendors (including drug reps) across the board in all industries and occupations. I would hope each person receiving a dinner or gift would have the integrity to see it just as that, a gift not as a mandate to purchase that vendor's product.

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5182
   Posted 1/15/2009 12:15 PM (GMT -6)   
Does your doctor conduct clinical trials for drug companies? (Hard to understand why else his/her office would phone you several times to ask you to try Humira.) A major problem with these "arrangements" is that doctors do not have to disclose to patients that they participate in clinical trials, seminars, etc. for the companies. However, they DO have to disclose these relationships when they participate in professional activities such as continuing education for physicians. There should be disclosure regulations involving patients to protect us from abuse due to lack of such information. I agree with Postmodernirony that sometimes the state attorney general's office should be contacted to register valid complaints about this. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

Eva Lou
Veteran Member


Date Joined Sep 2006
Total Posts : 3442
   Posted 1/15/2009 12:20 PM (GMT -6)   
I work in a health clinic, & yes it's true that drug reps are no longer allowed to be bringing us gifts- no more pens, post-its, notepads, free spreads from Panera Bread or Dunkin' Donuts... very sad! But the drug reps can still do lunches or dinners with the staff- however, my clinic stopped that a while ago. It's just become policy not to accept the free lunches or dinners, mainly due to scheduling conflicts- no provider has the time to sit & be schmoozed by a drug rep for a few hours! Truthfully, I don't think the gift-giving has ever swayed any script writing decision- it was always looked upon as a nice unexpected treat, but nothing more. And this is just the food gifts- no one gives the pens & paper a 2nd thought. It's just a marketing tool, a real-life commercial. I mean, we've got clocks with Viagra printed on them!!! Gimme a break.... But, I'd be royally pissed if anyone from my doctor's office called me to suggest going on any drug- unless it was my GI himself, & it was something we had talke about previously. But to get a call out of the blue??? Plus it would freak me out- it's like "Why, do I need to go Humira? Am I that bad???"

diagnosed with UC '02
meds-
Asacol- 8 tabs/day
Remicade-10mgs/kg- since 4/07
Imuran- 150mgs/day
Culturelle
Fiber supplement
 
 
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5182
   Posted 1/15/2009 12:26 PM (GMT -6)   
"Clocks with Viagra printed on them"! LOL!!!!!!!!!!!!!!!!!! Thanks for that gem, Eva Lou. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

thatfield
Veteran Member


Date Joined Jul 2008
Total Posts : 823
   Posted 1/15/2009 12:37 PM (GMT -6)   
Yep - I had the Viagra clock as well!!! Gave it as a white elephant gift one year.
Dx 2006 right after the birth of my daughter
Lialda now down to 1 pill a day!
Canasa on and off as needed
Probiotics Daily
 


Eva Lou
Veteran Member


Date Joined Sep 2006
Total Posts : 3442
   Posted 1/15/2009 12:44 PM (GMT -6)   
It's unreal- my 6 year-old daughter has a giant, orange, plastic clothespin with Lexapro printed on it... what the heck would you ever use it for?!?!?! I brought it home as a novelty. Anything that can be printed on, is! I've got my Paxil tape dispenser, my Depakote ballpoints, my Lunesta roller-gel pen, some Lipitor tape flags....and the Viagra clock!!! A big, round, huge wall clock! It's a joke- & this is it, people like myself, admin folks, are the ones who bring all these things home- not the docs! They just grab a handy pen & write, paying no attention to what the pen says.

diagnosed with UC '02
meds-
Asacol- 8 tabs/day
Remicade-10mgs/kg- since 4/07
Imuran- 150mgs/day
Culturelle
Fiber supplement
 
 
 

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