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Full Description
Despite the pharmaceutical industry's notable contributions to human progress, including the development of miracle drugs for treating cancer, AIDS, and heart disease, there is a growing tension between the industry and the public. Government officials and social critics have questioned whether the multibillion-dollar industry is fulfilling its social responsibilities. This doubt has been fueled by the national debate over drug pricing and affordable healthcare, and internationally by the battles against epidemic diseases, such as AIDS, in the developing world. Debates are raging over how the industry can and should be expected to act. The contributions in this book by leading figures in industry, government, NGOs, the medical community, and academia discuss and propose solutions to the ethical dilemmas of drug industry behavior. They examine such aspects as the role of intellectual property rights and patent protection, the moral and economic requisites of research and clinical trials, drug pricing, and marketing.
Contents
Charting a sustainable path for the 21st century pharmaceutical industry Michael A. Santoro; Part I. Profits, Patients' Rights, and Scientific Progress: The Ethics of Clinical Research Conducted in Private Enterprises: 1. Drug research: between ethical demands and economic constraints Jurgen Drews; 2. Emerging international norms for clinical testing: good clinical trial practice Juhana E. Idanpaan-Heikkila and Sev S. Fluss; 3. The regulatory and ethical challenges of pediatric research M. Dianne Murphy and Sara F. Goldkind; 4. Including children in research: participation or exploitation? Robert M. Nelson; 5. Racial and ethnic inclusiveness in clinical trials Valentine J. Burroughs; 6. The rights of patients to participate in clinical trials Glenna Crooks; 7. How should government regulate stem-cell research? Perspectives of a scientist-legislator The Hon. Rush Holt; Part II. Marketing and the Efficient Utilization of Healthcare Resources: Ethical and Public Policy Challenges: 8. Ethics and prescribing: the clinician's perspective Charles L. Bardes; 9. Direct-to-consumer advertising of prescription drugs: a policy dilemma Meredith B. Rosenthal and Julie M. Donohue; 10. Regulation of prescription drug promotion Thomas Abrams; 11. Off-label communications in marketing prescription drugs Scott D. Danzis; 12. The need for better health information: advancing the informed patient in Europe Don E. Detmer, Peter Singleton and Scott C. Ratzan; 13. Who should get access to which drugs? An ethical template for pharmacy benefits Norman Daniels, James E. Sabin and J. Russell Teagarden; 14. The application of cost-effectiveness and cost-benefit analysis to pharmaceuticals Joel Hay; Part III. Patents, Pricing, and Equal Access: 15. Intellectual property rights, access to life-enhancing drugs, and corporate moral responsibilities Patricia H. Werhane and Michael Gorman; 16. A future agenda for government-industry relations William Weldon; 17. AIDS activism and the pharmaceutical industry Martin Delaney; 18. The campaign against innovation Sidney Taurel; 19. Third world perspectives on global pharmaceutical access James Thuo Gathii; 20. The promise of vaccines and the influenza shortage of 2004: public and private partnerships Gary R. Noble; Part IV. Charting a Sustainable Path for the 21st Century: 21. Evolving approaches to healthcare challenges Thomas M. Gorrie; 22. Property rights in crisis: managers and rescue Nien-he Hsieh; 23. Blurring the lines: public and private partnerships addressing global health William Foege; 24. Renegotiating the grand bargain: balancing prices, profits, people, and principles Greg Koski.
