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It was built to be defensible/deniable. The fact that it was paid for by a pharma company is the problem. A doctors workflow shouldnt really be cladestinely inf

It was built to be defensible/deniable. The fact that it was paid for by a pharma company is the problem. A doctors workflow shouldnt really be cladestinely influenced by a pharma company

banads 7y ago
I agree that does seem to be the real problem. Though I'd really like to see the alert myself to see what kind of dark patterns they may have used to incline the user to select the opiod option
- JshWright 7y ago
  Prescribing extended release opioids (which are known to be _highly_ addictive, even when used "appropriately") should never be the first choice for pain management. It should never have been presented as an equal option with non-pharmaceutical and non-opioid interventions.
- mcguire 7y ago
  The existence of the alert itself is the dark pattern.
dreamcompiler 7y ago
> A doctors workflow shouldnt really be cladestinely influenced by a pharma company Yet it has always have been so. Doctors are the gatekeepers of drug delivery, so big pharma has always pressured them. Doctors didn't push back (much) because they're too busy to keep up with pharmacology developments on their own, so the drug companies have offered such "education" as a helpful "service". (Said service always conveniently neglects to describe the benefits of older, still-useful drugs because they don't make any money.) The innovation of the 80s was the legalization of prescription drug advertising, which effected an additional pressure source for doctors to prescribe certain drugs: Their patients. Now this happens where the software doctors are forced to use puts even more pressure on doctors. People talk about the evils of big pharma all the time, but most have no idea how great the evil really is.
- treis 7y ago
  > Doctors didn't push back Doctors, or at least some, are their partners in crime: >Opioid manufacturers are paying U.S. doctors huge sums of money for speaking, consulting, and other services—and the more opioids a doctor prescribes, the more money he or she gets paid by those same manufacturers, according to a new analysis from Harvard T.H. Chan School of Public Health, Harvard Medical School (HMS), and CNN. >The study found that, in 2014 and 2015, opioid manufacturers paid hundreds of doctors sums in the six figures, while thousands more were paid over $25,000. >“I don’t know if the money is causing the prescribing or the prescribing led to the money, but in either case, it’s potentially a vicious cycle. It’s cementing the idea for these physicians that prescribing this many opioids is creating value,” said Michael Barnett, assistant professor of health policy and management at Harvard Chan School, in a CNN.com article. Barnett co-authored the study with Anupam Jena of HMS. https://www.hsph.harvard.edu/news/hsph-in-the-news/opioids-doctors-prescriptions-payments/ https://www.hsph.harvard.edu/news/hsph-in-the-news/opioids-d...
  - munk-a 7y ago
    Some Doctors are absolutely devoid of morals and ethics, just like some teachers, some developers... some everything's - I think it's misleading at best to pull out a study as refutation that involved hundreds of doctors in a country of 300 million. My entirely anecdotal experience has been that most Doctors aren't in it for the ferrari, but instead are trying to help improve people's lives.

It was built to be defensible/deniable. The fact that it was paid for by a pharma company is the problem. A doctors workflow shouldnt really be cladestinely influenced by a pharma company

banads 7y ago

I agree that does seem to be the real problem. Though I'd really like to see the alert myself to see what kind of dark patterns they may have used to incline the user to select the opiod option

JshWright 7y ago
Prescribing extended release opioids (which are known to be _highly_ addictive, even when used "appropriately") should never be the first choice for pain management. It should never have been presented as an equal option with non-pharmaceutical and non-opioid interventions.
mcguire 7y ago
The existence of the alert itself is the dark pattern.

dreamcompiler 7y ago

> A doctors workflow shouldnt really be cladestinely influenced by a pharma company Yet it has always have been so. Doctors are the gatekeepers of drug delivery, so big pharma has always pressured them. Doctors didn't push back (much) because they're too busy to keep up with pharmacology developments on their own, so the drug companies have offered such "education" as a helpful "service". (Said service always conveniently neglects to describe the benefits of older, still-useful drugs because they don't make any money.) The innovation of the 80s was the legalization of prescription drug advertising, which effected an additional pressure source for doctors to prescribe certain drugs: Their patients. Now this happens where the software doctors are forced to use puts even more pressure on doctors. People talk about the evils of big pharma all the time, but most have no idea how great the evil really is.

treis 7y ago
> Doctors didn't push back Doctors, or at least some, are their partners in crime: >Opioid manufacturers are paying U.S. doctors huge sums of money for speaking, consulting, and other services—and the more opioids a doctor prescribes, the more money he or she gets paid by those same manufacturers, according to a new analysis from Harvard T.H. Chan School of Public Health, Harvard Medical School (HMS), and CNN. >The study found that, in 2014 and 2015, opioid manufacturers paid hundreds of doctors sums in the six figures, while thousands more were paid over $25,000. >“I don’t know if the money is causing the prescribing or the prescribing led to the money, but in either case, it’s potentially a vicious cycle. It’s cementing the idea for these physicians that prescribing this many opioids is creating value,” said Michael Barnett, assistant professor of health policy and management at Harvard Chan School, in a CNN.com article. Barnett co-authored the study with Anupam Jena of HMS. https://www.hsph.harvard.edu/news/hsph-in-the-news/opioids-doctors-prescriptions-payments/ https://www.hsph.harvard.edu/news/hsph-in-the-news/opioids-d...
- munk-a 7y ago
  Some Doctors are absolutely devoid of morals and ethics, just like some teachers, some developers... some everything's - I think it's misleading at best to pull out a study as refutation that involved hundreds of doctors in a country of 300 million. My entirely anecdotal experience has been that most Doctors aren't in it for the ferrari, but instead are trying to help improve people's lives.