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July 13, 2007

Familiarity and Contempt - for Lifesaving Medicines

In today's Wall Street Journal, Dr. Paul Offit points out that pharmaceutical companies are responsbible for eliminating or reducing untold human misery - literally saving tens of millions of lives every year, particularly through vaccines.

And yet the companies that make lifesaving medicines are held in contempt by many in the media and policy communities, a trend that continues in Michael Moore's Sicko.

Offit writes that:

"During the past century the lifespan of Americans increased by 30 years, and almost all of that increase was due to one class of medical products: vaccines. Children today receive 14 different vaccines by the time they are two years old. Although people don't know it, nine of those 14 vaccines -- which save about 8 million lives a year -- were made by one man. And that man, Maurice Hilleman, spent much of his career at Merck. If he hadn't -- if he'd stayed in academia -- he would never have been able to convert his dedication and brilliance into the products that save our lives."

It is also worth considering why the reputation of the industry is in decline when so many Americans benefit from its products every day. Undoubtedly, this is partly because prescription drugs are less insured than many other types of medical goods and services. Thus consumers spend more money out-of-pocket on drugs than they do on, say, doctor's office visits. Consequently, it is easy for politicians and plaintiff's lawyers to to vilify them.

I would also argue that there is another subtle factor at work here: the disdain for the profit motive in medicine. Doctors and other medical professionals often have little or no training in economics, and little experience in how drugs and medical devices actually get developed. In short, they take the pharmaceutical industry completely for granted.

As a result, they reflexively assume that the interests of patients and profit seeking businesses are at odds, and this bias reflects itself in medical journals and in the media at large.

But, as Dr. Offit argues, this is a dangerous bias. Without men like Maurice Hilleman, and companies like Merck, the world would be a far, far more dangerous place, particularly for children.

For more on the life of Maurice Hilleman, and the history of vaccine development in general, see Dr. Offits excellent book Vaccinated.

Posted by Paul Howard at July 13, 2007 12:12 PM

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