7_Direct to consumer advertising in oncology - Abel et al.

7_Direct to consumer advertising in oncology - Abel et al....

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Abel, Penson, Joffe et al. 223 www.TheOncologist.com largest part of newspaper revenues. Cures for ailments from dandruff to rheumatism were peddled, but claims were not regulated [1]. The next important year with respect to regulation of direct-to-consumer advertising was 1938, when the Food, Drug, and Cosmetic Act was passed. The newly-created FDA was given authority over the labeling of drugs, but the Federal Trade Commission was charged to “regulate” drug promotion and advertising [9]. In 1962, The Kefauver-Harris Act was passed, requiring that all drugs be proven to be both safe and effective. This act also transferred the authority for oversight of prescription drug promotional material to the FDA. This era saw the birth of the concept of “fair balance,” the idea that an advertisement for a medication should include both a discussion of ben- efits as well as risks and side effects. Most advertisements were still directed solely at providers [1, 9]. In 1981, the first modern direct-to-consumer adver- tisement appeared in Reader’s Digest for the pneumonia vaccine Pneumovax ® (Merck & Co., Inc.) [9]. That same year, the pharmaceutical lobbyists proposed that consum- ers should be allowed to reap what they saw as the educa- tional benefits of direct-to-consumer advertising. Attitudes toward the physician–patient partnership were also chang- ing, and the political climate became more favorable to the pharmaceutical industry. In 1985, after a brief moratorium
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This note was uploaded on 10/10/2010 for the course ENG 000121 taught by Professor Mcgrand during the Spring '10 term at Cornell University (Engineering School).

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