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There are no doubt, many possible remedies, programs,
and policies that could potentially address some of
the problems presented by DTCA of prescription
drugs. Not all solutions, however, off a plan
that wholly address the problem of DTCA. Doing
nothing, that is continuing to follow the 1997
"Draft Guidance," does not seem to solve
anything, because it in no way guarantees that the
information in DTC ads results in a benefit to
consumers and the patient-physician
relationship. Forcing the drug companies to
spend as much time in ads on risks as they do
benefits, although an improvement, also does not
guarantee this type of benefit. And although
outlawing DTCA, even if possible, would guarantee that
consumers are not harmed, it does not really address
the problem. DTCA is here to stay, but the
current advertising atmosphere must be shifted from
simply selling, and move closer to informing.
The creation of mandatory testing policies for DTCA
seems to satisfy this goal. Such a program would
be overseen by the FDA, and require that all ads be
tested with focus groups made up of consumers and
physicians before airing. This solution appears
to be more pragmatic and effective than others.
Focus groups would act as representatives for consumers
and physicians. They in turn would grade each ad
on its clarity and substance, answering questions
about the clarity of the ad, its amount of risk
information and the level of balance within its
presentation. If the focus
groups acknowledge that the information presented to
them in potential ads results in a benefit, there is a reasonable chance that the information in
such ads will benefit all consumers and not harm the
patient-physician relationship. The opposite is
also likely. If the focus group feels that the
ad is misleading or vague, then it fails, and is
revised in order to guarantee a benefit to consumers.
The effectiveness of this policy could also be
evaluated relatively easily in the future. One
way of doing this would be to further evaluate
physicians' opinions involving DTCA. If
this solution does help to guarantee beneficial
information to the consumer and does not harm the
patient-physician relationship, the physicians'
attitudes towards DTCA will probably become more
positive. The drug companies claim that DTCA
provides information that benefits the
patient-physician relationship. Physicians,
however, currently seem to not feel this way. If
this policy is successful, more physicians will feel
that DTCA is having a positive effect, by providing
beneficial information to the consumers. |