Free drug samples go to wealthy, insured: U.S. study

“Insured and wealthy Americans are more likely than needy patients to get the billions of dollars in free drug samples distributed by pharmaceutical companies to win patient and doctor loyalty, a study released on Wednesday said.

Free prescription samples are popular with doctors who want to try new drugs, and the pharmaceutical industry contends that such samples also help the low income and the uninsured.

But the study of prescription use of nearly 33,000 U.S. residents during 2003 found the neediest are least likely to get free samples.

‘Our findings suggest the free samples serve as a marketing tool, not a safety net,’ said Dr. Sarah Cutrona, co-author of the report to be published in the February issue of the American Journal of Public Health.” (Yahoo! News)

My practice group and I have a policy of taking no free samples (indeed, not accepting visits from pharmaceutical representatives). From time to time I have toyed with the idea of receiving samples and creating a stockpile expressly for the indigent, but it still serves the interests of Big Pharma, facilitating the creation of a new customer they hope will remain a captive audience when their physician can no longer provide the medication for free. And, because samples are of the latest greatest medications, they are also the most expensive. We do a service for our patients when we resist the hype about the newest drugs, which are usually no better than old standby agents available generically or at least priced much more reasonably. This is true regardless of the patient’s prescription drug insurance or their ability to afford expensive medications.

Your responsibility as a patient is to question your prescriber’s reasoning in prescribing the latest and greatest rather than an old standby. S/he ought to be able to explain convincingly why the newer (more expensive) medication is worth the extra cost; otherwise, tell them the responsible thing to do would be to prescribe the medication that is less profitable for the manufacturer.

How to Follow Iowa Caucus Results Tonight

Iowa Caucus Results To Be Broadcast Online, and on Digital Billboards: “As numerous writers have noted, Iowa polling data doesn’t tell us much of anything because of the complexities of the variables involved.

So the best ‘poll’ to watch this evening would be the actual caucus results, which will be broadcast live online and on digital billboards in Iowa.

‘We expect the bulk of the results to be in by 9.30 pm to 10 ,’ says Chris Allen, the Iowa Democratic Party’s press secretary. (A Republican party representative couldn’t be reached at the time of this posting.)

Both the Iowa Democratic party and the Republican Party of Iowa have partnered with Google to broadcast the phoned-in results visually online via Google Maps. It looks as if the Democrats’ site will report the phoned-in results of its precincts live online, while the Republicans will report aggregated county results.” (Wired News)

Top 17 Most Bizarre Sights on Google Earth

“Satellite imagery used to be the exclusive domain of governments and spy agencies, but ever since Google Maps and Google Earth we can all get to see weird things! Fancy a look at Area 51? Wondered what it’s like in downtown Moscow? Or maybe you want to check out the Principality of Sealand? These are just ordinary, everyday things that millions of people use Google Maps and Earth to research every day. But what about the things you weren’t supposed to see, the freaks of camera? Here are 17 of the most bizarre sights for you to laugh at, complete with lat/lons and (where possible) KMLs. Enjoy.” (GeekAbout)