Tue 27 Nov 2007
Dr. Drug Rep
Tuesday, Nov 27th, 2007 at 7:29 amCategories: Medicine; Business; Drugs
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“I wondered if he saw me for what I feared I had become — a drug rep with an M.D. I began to think that the money was affecting my critical judgement.”
- Dr. Daniel Carlat
How many doctors speak for drug companies? We don’t know for sure, but one recent study indicates that at least 25 percent of all doctors in the United States receive drug money for lecturing to physicians or for helping to market drugs in other ways. This meant that I was about to join some 200,000 American physicians who are being paid by companies to promote their drugs.
… I found myself astonished at the level of detail that drug companies were able to acquire about doctors’ prescribing habits. I asked my reps about it; they told me that they received printouts tracking local doctors’ prescriptions every week. The process is called “prescription data-mining,” in which specialized pharmacy-information companies (like IMS Health and Verispan) buy prescription data from local pharmacies, repackage it, then sell it to pharmaceutical companies. This information is then passed on to the drug reps, who use it to tailor their drug-detailing strategies.
- Dr. Daniel Carlat @ The New York Times: link.

I’m more of a junkie than a connoisseur, but here’s my take on the issues.
The same coffee salesman also told me that espresso contains less caffeine than standard coffee. Start with the same unit of beans, make both espresso and brew coffee — espresso obviously has less volume and more flavor than the brew coffee, but espresso is less caffeinated because the rapid passage of steam through grounds does not dissolve as much caffeine.
The price of a drink (a “stock”) is set based on demand – The more people buy a certain drink, its price will rise, causing the prices of other drinks in this alcoholic stock market to fall. The owners and organizers use the system to set the initial prices and can also set minimum prices, to avoid loss due to “market dynamics”. But it is during the bar’s activity period that the real drinking interaction occurs as prices fluctuate based on alcohol consumption – Sometimes beer will be low and Whiskey high, but then as people rush to buy beer, it’s price will rise, causing the price of Whiskey to drop.
“This coffee plunges into the stomach … the mind is aroused, and ideas pour forth like the battalions of the Grand Army on the field of battle …. Memories charge at full gallop … the light cavalry of comparisons deploys itself magnificently; the artillery of logic hurry in with their train of ammunition; flashes of wit pop up like sharp-shooters. ”