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Do doctors get paid more for prescribing one brand of medication vs another?

by pradn 6y ago

x86_64Ubuntu 6y ago
I think there are rules against payment but as we all know, there are ways around rules when it concerns money. Looks like there is a correlation between doctors being buttered up, and them prescribing opiods. https://lowninstitute.org/industry-payments-to-doctors-opioids-are-the-tip-of-the-iceberg/ https://lowninstitute.org/industry-payments-to-doctors-opioi...
mannykannot 6y ago
the pharmacutical companies have developed many ways of rewarding doctors for being compliant, such as by being paid 'consultants' presenting at conferences in exotic locations. For everyday practitioners, social primping (wining, dining, rounds of golf in prestigious locations and/or company) works as well as for just about everyone.
Zaak 6y ago
https://www.healthline.com/health-news/is-your-doctor-getting-paid-to-prescribe-painkillers-for-you https://www.healthline.com/health-news/is-your-doctor-gettin...
sacred_numbers 6y ago
Not typically in money, but in gifts, lunches, and attention paid by young, attractive pharmaceutical sales people. For opioids, specifically, there is also the factor that doctors prescribing opioids will have higher customer satisfaction in the short term because opioids are better than almost anything for pain relief. Higher customer satisfaction (not necessarily the same as better patient outcomes) usually means more recommendations and more money. If some of your patients get addicted it just means they'll come in more frequently for more prescriptions. Plus, they can't actually be addicted, since your sales rep with a bachelor's in biology said that Oxycontin is not addictive.
- R0b0t1 6y ago
  Saying Oxycontin isn't addictive is false but from talking to doctors they tend to not consider it addiction if you are receiving the medication for an actively treated issue.
- refurb 6y ago
  Gifts from pharma hasn’t been true for a couple decades. They don’t even give pens now. Sure they can get a free lunch, but it’s usually brought to their office and it’s fast food. Customer satisfaction is relevant, but only because hospitals have put so much emphasis on it. But regardless, nobody can get these drugs without a doctor writing a script, so there is plenty of blame to go around.
  - s5300 6y ago
    Huh. I'd love to know where you're getting that idea from. Through a strange series of events (extreme sports hobbies) I became friends with a group of doctors, none of them participating in anything very special or that could be seen as a career height. Most really just starting out after the hell that is med school. They spoke of pretty regular outreach of gifts from pharma. Mainly in the form of fancy retreats (like to Hawaii - note, we were based in SoCal at the time) with pretty extravagant dinners and fancy boating stuff. These were, according to them, always filled with the brim with others like them to the point it got to be quite frankly boring, annoying, and a nuisance. No matter how hard they tried to ignore the unsolicited outreach, it wouldn't stop coming. Just some anecdata tho.
    - refurb 6y ago
      The guidelines also reiterate the group’s 2002 code, which prohibited more expensive goods and services like tickets to professional sports games and junkets to resorts. And it asks companies that finance medical courses, conferences or scholarships to leave the selection of study material and scholarship recipients to outside program coordinators. [1]https://www.nytimes.com/2008/12/31/business/31drug.html https://www.nytimes.com/2008/12/31/business/31drug.html

Do doctors get paid more for prescribing one brand of medication vs another?

by pradn 6y ago

Do doctors get paid more for prescribing one brand of medication vs another?

I think there are rules against payment but as we all know, there are ways around rules when it concerns money. Looks like there is a correlation between doctors being buttered up, and them prescribing opiods. https://lowninstitute.org/industry-payments-to-doctors-opioids-are-the-tip-of-the-iceberg/ https://lowninstitute.org/industry-payments-to-doctors-opioi...

mannykannot 6y ago

the pharmacutical companies have developed many ways of rewarding doctors for being compliant, such as by being paid 'consultants' presenting at conferences in exotic locations. For everyday practitioners, social primping (wining, dining, rounds of golf in prestigious locations and/or company) works as well as for just about everyone.

Zaak 6y ago

https://www.healthline.com/health-news/is-your-doctor-getting-paid-to-prescribe-painkillers-for-you https://www.healthline.com/health-news/is-your-doctor-gettin...

sacred_numbers 6y ago

Not typically in money, but in gifts, lunches, and attention paid by young, attractive pharmaceutical sales people. For opioids, specifically, there is also the factor that doctors prescribing opioids will have higher customer satisfaction in the short term because opioids are better than almost anything for pain relief. Higher customer satisfaction (not necessarily the same as better patient outcomes) usually means more recommendations and more money. If some of your patients get addicted it just means they'll come in more frequently for more prescriptions. Plus, they can't actually be addicted, since your sales rep with a bachelor's in biology said that Oxycontin is not addictive.

R0b0t1 6y ago
Saying Oxycontin isn't addictive is false but from talking to doctors they tend to not consider it addiction if you are receiving the medication for an actively treated issue.
refurb 6y ago
Gifts from pharma hasn’t been true for a couple decades. They don’t even give pens now. Sure they can get a free lunch, but it’s usually brought to their office and it’s fast food. Customer satisfaction is relevant, but only because hospitals have put so much emphasis on it. But regardless, nobody can get these drugs without a doctor writing a script, so there is plenty of blame to go around.
- s5300 6y ago
  Huh. I'd love to know where you're getting that idea from. Through a strange series of events (extreme sports hobbies) I became friends with a group of doctors, none of them participating in anything very special or that could be seen as a career height. Most really just starting out after the hell that is med school. They spoke of pretty regular outreach of gifts from pharma. Mainly in the form of fancy retreats (like to Hawaii - note, we were based in SoCal at the time) with pretty extravagant dinners and fancy boating stuff. These were, according to them, always filled with the brim with others like them to the point it got to be quite frankly boring, annoying, and a nuisance. No matter how hard they tried to ignore the unsolicited outreach, it wouldn't stop coming. Just some anecdata tho.
  - refurb 6y ago
    The guidelines also reiterate the group’s 2002 code, which prohibited more expensive goods and services like tickets to professional sports games and junkets to resorts. And it asks companies that finance medical courses, conferences or scholarships to leave the selection of study material and scholarship recipients to outside program coordinators. [1]https://www.nytimes.com/2008/12/31/business/31drug.html https://www.nytimes.com/2008/12/31/business/31drug.html