Ethical/Social Issues with Pharma

Question 1

issues that prescribers encounter when selecting/prescribing a medication

Answer 1

a. Many people (elderly) take multiple medications, with 25% of elderly patients taking five or more medications
b. Adverse Drug Reactions
c. 10,00 Drugs
d. Laws
e. Outside Forces
f. People treat themselves
g. Families often want inappropriate or unrealistic medications.

Question 2

forces that may be attempting to influence/control what is prescribed

Answer 2

a. Population – who are we treating
i. Patient
ii. Patient’s family
b. Government – telling us how to treat
i. DEA
ii. CMS Centers for medicaid/medicare
iii. Health Care Reform
iv. Pharmaceutical Companies
c. Media
i. Direct to consumer ads
ii. Television Shows
iii. Lawsuit commercial

Question 3

Industry

Answer 3

• Industry: economic activity concerned with the processing of raw materials and manufacture of goods

Question 4

conflict of Interest

Answer 4

• conflict of Interest: a situation in which a doctor’s decisions are influenced by the doc’s personal interests

Question 5

Part D Medicare

Answer 5

• Part D Medicare: A prescription drug benefit program that was created through the U.S. Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( >65 y.o.)

Question 6

ACA

Answer 6

• ACA: A federal statute signed into law in March 2010 as a part of the healthcare reform agenda of the Obama administration.