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July 10, 2002

Sever's Disease

Sever's disease is more common than I thought ... and something that I've likley missed a few times in my career.  We should think of it in adolescent boys .. athletes.. with heel pain.

No Free Lunch

This website provides links to the compelling, and concerning problem of the pharmaceutical industry's influence on medical practice.  From the Pharmaceutical facts page:

    • According to industry estimates, drug companies spent $15.7 billion dollars on promotion in 2000, up from $ 13.9 billion in 1999. (IMS Health)
    • Sixty million “details” were made by 83,000 drug reps in the year 2000. Astra-Zeneca added 1,300 reps solely to promote Nexium. (Scott-Levin Consulting)
    • $7.2 billion dollars worth of free samples were distributed in the year 2000. (IMS Health)
    • The “Research-based” pharmaceutical industry spends more on promotion and administration than it does on research and development. (Families USA)
    • Drug costs increased 18.8% to $131.9 billion dollars in 2000. Over a third of this increase was due to a shift to the use of more expensive drugs.  (National Institute for Health Care Management)
    • Two and one-half billion dollars were spent on advertising to consumers in 2000, a 35% increase from 1999; $468 million dollars were spent on journal ads. (NIHCM)
    • Increases in the sales of the 50 drugs most heavily advertised to consumers were responsible for almost half (47.8%) of the $20.8 billion increase in spending in 2000.(NIHCM)
    • In 2000, Merck spent $161 million on advertising for Vioxx. That is more than Pepsico spent advertising Pepsi. ($125 million), and more than Anheuser-Busch spent advertising Budweiser.($146 million) (NIHCM)