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appalachiablue

(41,129 posts)
Mon Oct 21, 2019, 11:16 AM Oct 2019

700 Doctors Were Paid More Than A Million $ By Drug & Medical Cos, 'Dollars For Docs'; ProPublica

- Dollars for Doctors. We Found Over 700 Doctors Who Were Paid More Than a Million Dollars by Drug and Medical Device Companies.- ProPublica has been tracking drug company spending on doctors since 2010. We just updated our database and found that companies are still paying private doctors huge sums for promotional talks and consulting. Oct. 17, 2019.

Back in 2013, ProPublica detailed what seemed a stunning development in the pharmaceutical industry’s drive to win the prescription pads of the nation’s doctors: In just four years, one doctor had earned $1 million giving promotional talks and consulting for drug companies; 21 others had made more than $500,000.
Six years later — despite often damning scrutiny from prosecutors and academics — such high earnings have become commonplace.

More than 2,500 physicians have received at least half a million dollars apiece from drugmakers and medical device companies in the past five years alone, a new ProPublica analysis of payment data shows. And that doesn’t include money for research or royalties from inventions. More than 700 of those doctors received at least $1 million.

“Holy smokes,” said Dr. Walid Gellad, an associate professor of medicine and health policy at the University of Pittsburgh, where he leads the Center for Pharmaceutical Policy and Prescribing. It is “quite striking” how much money doctors were earning from “other activities aside from patient care,” he said.



To identify the latest pharma millionaires and other spending trends, ProPublica analyzed more than 56 million payments made from 2014 to 2018 — the first five full years of the federal Open Payments initiative, which requires companies to publicly disclose the payments as part of the 2010 Affordable Care Act.

Prescription Drugs With Top Spending on Doctor Payments: Here are the drugs for which pharmaceutical companies spent the most money paying doctors, per year, excluding research and royalty payments. The list does not include payments to teaching hospitals. Data for 2014-2016 is from a prior release of Dollars for Docs and any subsequent updates are not reflected. *SEE CHART at Link.

Some academics and physicians predicted that the exposure might cause companies to rethink making payments and doctors to rethink taking them. A flurry of studies matched the payment data with doctors’ prescribing choices and found links between the payments and the products doctors chose.

But ProPublica’s new analysis shows that the public reporting has not dampened the enthusiasm of the drug and medical device industry for having doctors deliver paid dinner talks and sponsored speeches or paying them to consult on products.

In fact, there has been almost no change in how much the industry is spending. Each year from 2014 to 2018, drug and medical device companies spent between $2.1 billion and $2.2 billion paying doctors for speaking and consulting, as well as on meals, travel and gifts for them. (These figures do not include research spending, but they do include royalties.)

Roughly the same number of doctors — more than 600,000 — received payments in any given year.

That consistency, some academics say, is conspicuous...

Read More, https://www.propublica.org/article/we-found-over-700-doctors-who-were-paid-more-than-a-million-dollars-by-drug-and-medical-device-companies

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700 Doctors Were Paid More Than A Million $ By Drug & Medical Cos, 'Dollars For Docs'; ProPublica (Original Post) appalachiablue Oct 2019 OP
When I go to a doctor... Newest Reality Oct 2019 #1
That's it in a nutshell, really makes one rethink doctors & 'patient care' appalachiablue Oct 2019 #2
Be really careful if your doc has all the latest diagnostic equipment in their office. It means they Hoyt Oct 2019 #3
Definitely, thanks for posting appalachiablue Oct 2019 #4

Newest Reality

(12,712 posts)
1. When I go to a doctor...
Mon Oct 21, 2019, 11:29 AM
Oct 2019

I could easily assume that my care and diagnosis is based on science and that the doctor would be making objective decisions based on training and updated knowledge.

When my doctor is practicing from a bias based on payments and incentives made to promote products, devices and procedures, then that assumed objectivity is breached and my doctor has also become a sales representative who operates from an ulterior motive.

I don't think that payola is ethical and it is detrimental to both medical science and patient/doctor relationships and trust. With all the concern about quackery and pseudo-science, being payed to pitch and push products for companies is a compromising position to practice from.

appalachiablue

(41,129 posts)
2. That's it in a nutshell, really makes one rethink doctors & 'patient care'
Mon Oct 21, 2019, 11:48 AM
Oct 2019

> "my doctor has also become a sales representative who operates from an ulterior motive."

 

Hoyt

(54,770 posts)
3. Be really careful if your doc has all the latest diagnostic equipment in their office. It means they
Mon Oct 21, 2019, 12:27 PM
Oct 2019

profit directly from ordering/performing more tests.

It's one of the aspects of our healthcare system that has to change before it comes close to affordable.

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