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April 05 2008
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Former Drug Sales Rep Tells All

drug rep, sales, salesmanShahram Ahari, who spent two years selling Prozac and Zypraxa for Eli Lily, told a Senate Aging Committee that his job involved "rewarding physicians with gifts and attention for their allegiance to your product and company despite what may be ethically appropriate."

Ahari claims that drug companies often hire former cheerleaders and ex-models, as well as former athletes and members of the military, even if they have no background in science.

During their five-week training class, Ahari says he was taught sales tactics such as:
  • How to exceed spending limits for important clients
  • How to be generous with free samples to leverage sales
  • How to use friendships and personal gifts to foster a "quid pro quo" relationship
  • How to exploit sexual tension
Ahari claims that he‘s even heard stories about sales reps helping to pay the cost of a doctor‘s swimming pool, or taking a doctor to a nightclub where a hostess was paid to keep him company.

For this work, sales reps often earned more than researchers. On top of a base salary of $50,000 for starting reps, Ahari says, "there were four quarterly bonuses, an annual bonus, stock options, a car, 401K, great health benefits, and a $60,000 expense account."

Dr. Mercola Dr. Mercola's Comments:
Shahram Ahari must be one of the drug companies’ worst nightmares; he is one of the few who has witnessed the corruption firsthand, and then moved on to speak out about it.

By now, it’s old news that drug companies use extreme sales tactics to influence doctors’ prescribing habits, but to hear the extent of just how far things go -- buying doctors’ swimming pools or using sexual innuendos to make sales -- is still shocking.

"The nature of this business is gift-giving," Ahari said, and indeed it seems that in the world of pharmaceuticals, everything has a price.

Your Doctor Probably Has a Relationship With a Drug Rep

It is the rare physician who refuses to meet with drug sales reps. In fact, as of April 2007, the percentage was just 7 percent of U.S. doctors.  

Even I met with drug reps until the year 2000, at which time I just refused to see any. Before that I was actually a paid speaker for the drug companies. They would fly me to various physician education events around the country and pay me a VERY generous stipend to lecture to these groups. That was more than two decades ago, before I was able to remove myself from their very powerful brainwashing techniques -- and I was finally able to understand the truth of what they were doing.

So there is a very good chance that the doctor you see right now is being subjected to similar intense sales tactics like the ones Ahari describes. According to one study published in The New England Journal of Medicine:
  • 94 percent of doctors have some type of relationship with the drug industry
  • 80 percent of doctors commonly accept free food and drug samples
  • One-third of doctors were reimbursed by the drug industry for going to professional meetings or continuing education classes
  • 28 percent of doctors have been paid for consulting, giving lectures, or signing their patients up for clinical trials
Drug reps can be very sneaky. According to a report in PLoS Medicine co-authored by Ahari:

“Physicians who refuse to see reps are detailed by proxy; their staff is dined and flattered in hopes that they will act as emissaries for a rep's messages.”

Clearly these are no ordinary sales meetings; this is psychological warfare.

Sales Reps are Trained to Brainwash Doctors

Pharmaceutical sales reps are trained in tactics that are on par with some of the most potent brainwashing techniques used throughout the world, according to the PLoS report. Said Ahari:

“It's my job to figure out what a physician's price is. For some it's dinner at the finest restaurants, for others it's enough convincing data to let them prescribe confidently and for others it's my attention and friendship ... but at the most basic level, everything is for sale and everything is an exchange.”

Drug reps must target doctors because it is only through a physician that a consumer can purchase their product. Although in the United States they have also ramped up their direct-to-consumer ads on television and in magazines, their real “meat and potatoes” comes from their marketing directly to physicians.

This is why drug companies spend $4 billion each year on direct-to-consumer ads in the United States, but $16 billion to influence physicians. That is $10,000 for every single doctor in the United States.

The Drug Sales Rep Ambush

Most doctors don’t even stand a chance against a seemingly innocent drug sales rep. They appear friendly, eager to please, and knowledgeable about their product, and most physicians think there is no harm in accepting a free sample here, or a free lunch there.

Well, studies have shown that those free samples and lunches DO impact doctors' prescribing habits. So you can imagine what a more lavish gift -- like a free vacation, “consulting fee” or even companionship -- can do.

What they don’t get to see is the well-oiled machine that is controlling these reps, and ultimately the physicians as well, like marionettes.

From the instant a drug rep enters your office, the ambush is underway. Says Ahari:

“A photo on a desk presents an opportunity to inquire about family members and memorize whatever tidbits are offered … these are usually typed into a database after the encounter. Reps scour a doctor's office for objects -- a tennis racquet, Russian novels, seventies rock music, fashion magazines, travel mementos, or cultural or religious symbols -- that can be used to establish a personal connection with the doctor.”

In their PLoS Medicine report, Ahari and Adriane Fugh-Berman, an associate professor in the department of physiology and biophysics at Georgetown University Medical Center, even put together this chart of the specific tactics used to manipulate physicians.


 
What is the Moral of the Story?

Your doctor may have the best intentions in the world, but if they are being visited by drug reps, there is a strong likelihood they have been influenced by highly skilled, multinational, self-serving corporate interests and their opinions about prescription drugs are likely highly biased as a result. This can certainly happen even at a subconscious level, and the end result is a higher tendency to prescribe the drugs that have been marketed to them.

This is why I remind you often, taking ownership for your own health by leading a healthy lifestyle, and only resorting to drugs as a last option, is the key to surviving, and thriving, in the 21st century.

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Community Comments ( 145 )
Comment on this Article
  
  
HealthCoachSandraG
[ Joined on 03/08 ] [ Posted on March 14, 2008 ]
26 Points        
   
 
Apprentice User
Pharma companies gifting physicians is barely the tip of the iceberg of this incredibly broken system.  I think any negative press that reminds/prompts people to think is helpful.  Its also true that research institutions and universities need funding for their research and it's not hard to guess where that's coming from.  So the doctors are wooed into brand loyalty, but what about the fact that they're trained in school is to medicate (and they barely spend 3 minutes with a patient).

 [ Reply ]
Mercola
  
skyblupink
[ Joined on 03/08 ]  [ Posted on April 6, 2008]
2 Points        
   
Novice User
  Mercola

I had a very good dr who leaned to the holistic side at a university med center warn me about vioxx before any bad press aboout it, saying there werent many studies, expensive etc.... unfortunately she had a lot of trouble with them and left...

i have heard our rights to buy supplements is in jeopardy, that 'codex alimentatis (sp?) could make them all condidered a drug and illegal, and there will no longer be places like the vitamin shoppe... anyone else hear that?

Mercola
  
Gr8Health
[ Joined on 04/08 ]  [ Posted on April 7, 2008]
3 Points        
   
Novice User
  Mercola

Skyblupink, your fears are well-founded. Big Pharma would love nothing more than to put the supplement and natural health industry out of business. They tried, with the FDA's help, to overturn the U.S. law passed in the 80s that classified supplements as "food" and not subject to FDA regulation. The FDA wants to reclassify supplements as "toxins," regulate them, and allow them to be "prescribed" only by medical doctors who, coincidentally, are not formally trained in nutrition, know little or nothing about supplements, and have been taught to push drugs. In essence, regulating supplements would put the supplement industry out of business. Fortunately, through massive efforts by the Natural Solutions Foundation (www.healthfreedomusa.org) and others, the FDA and Big Pharma failed in their attempt—this time. They will try again because, after all, Big Pharma’s profits are at stake.

As for the Codex Alimentarius, that too, is real. See “Codex Crash Course” on the link above for a brief description of what it is. Basically, it is a U.N.-mandated code, established in 1962, to define standards for the international trading of food. To quote the website:

“Codex' decisions are heavily influenced by the desires of multinational special interest groups who send representatives to sit on national committees and as NGO delegates. Because Codex is so heavily influenced by corporate interests, its decisions are, in our opinion, often helpful to corporate well-being but strikingly detrimental to human and environmental health.”

“Codex pertains to every … kind of … food traded internationally and allows high doses of pesticides, veterinary drugs, synthetic hormones, contaminants, artificial sweeteners, and other dangerous compounds and processes (like mandated irradiation of food) while it forbids health claims for food.”

This is just the tip of the iceberg of what’s really going on out there. Do a little research and stay informed!

  
  
sobber
[ Joined on 10/07 ] [ Posted on April 5, 2008 ]
24 Points        
   
 
This user is BELOW novice level and all their comments need to be reviewed with great caution.

Big Pharma and M.D.wont go away till the insurance companies start paying for natural medicine practice ; if people would have choice and the insurance pays fully, chemical drugs and chemical doctors wont stand a chance to the holistic approach;

people please demand from your insurance companies to pay for the holistic  !!!!!!!!!!!!

 [ Reply ]
Mercola
  
RockLakeYachtClub
[ Joined on 03/08 ]  [ Posted on April 5, 2008]
27 Points        
   
Novice User
  Mercola

Better yet, dismantle the tax incentive the government gave employers to pay for their workers' health insurance, and get insurers out of the health care business.  Insurance works best when it's used for catastrophic events, not routine health care!

  
  
Duanne
[ Joined on 03/08 ] [ Posted on April 5, 2008 ]
21 Points        
   
 
Novice User

Not suprising...  but i want MORE TO COME OUT AND START TALKING. I want more people to know this information! Im tired of people dying from preventable sickness. SO many lives could have been prolonged from just knowing thi information and knowlegde.

Just as it states in the Bible... "My people are destroyed from lack of knowledge...."(Hosea 2:4)

I cant take this.. I can't take this anymore

These companies need to stop deceiving the people of America

P.S people still think that acid reflux is caused by too much acid in your stomach!!!! Are YOU KIDDING ME!?!?!?

 [ Reply ]
Mercola
  
ToothChick
[ Joined on 12/07 ]  [ Posted on April 5, 2008]
4 Points        
   
Novice User
  Mercola

I can't take it no more!

I can't take it no more!

I'm sick and tired of your dirty little war.

I can't take it no more!

~John Fogerty

Mercola
  
healthymum
[ Joined on 04/07 ]  [ Posted on April 7, 2008]
       
   
Novice User
  Mercola

I hate to sound ignorant but what is acid reflux caused by?

Mercola
  
Mom2BandC
[ Joined on 07/07 ]  [ Posted on April 10, 2008]
       
   
Novice User
  Mercola

To HealthyMum:

From what I've seen (and read), the # 1 cause of acid reflux is a poor diet (high fat, fried, processed, high sugar, etc.) closely followed by eating too quickly and overeating.

Mercola
  
jve
[ Joined on 06/08 ]  [ Posted on June 14, 2008]
       
   
Novice User
  Mercola

Acid reflux can be caused by too little stomach acid.  Try digestive enzymes.

  
  
Jon aspartamekills.com
[ Joined on 06/07 ] [ Posted on April 5, 2008 ]
21 Points        
   
 
Novice User

Zyprexa (Olanzapine) killed my father, Dr. Siegmund Baum, a brilliant nuclear biological researcher.

Need I say more?

 [ Reply ]
Mercola
  
New to Natural
[ Joined on 11/07 ]  [ Posted on April 5, 2008]
4 Points        
   
Savvy User
  Mercola

Sorry for your loss.  Vioxx killed my father - I know what you're going through.  

  
  
mmc88121
[ Joined on 11/06 ] [ Posted on March 13, 2008 ]
21 Points        
   
 
Moderator User
I wonder where the objective academic literature is going to come from,  Especially since most schools that research pharmaceuticals are heavily influenced by pharmaceutical companies.

Mary
 [ Reply ]
Mercola
  
Islander
[ Joined on 03/07 ]  [ Posted on March 14, 2008]
14 Points        
   
Moderator User
  Mercola
Mary, that is exactly the crux of the matter. Who but pharmaceutical companies have the do-re-mi to pay for drug trials? And of course they have a vested interest in the outcome. Historically they bury the unwanted results and promulgate the ones that put the new drug in a favorable light. Sadly, I don't see how it will change.
Mercola
  
Charisse
[ Joined on 10/07 ]  [ Posted on April 7, 2008]
4 Points        
   
Apprentice User
  Mercola

Islander, you and Mary make excellent points.....my sister is a doctor(MD) and even in the honor's program in med. school...she didn't have much in the way of pharmaceutical training...not nearly as much as a pharmacist....that really bothered her (and me)...so these "well-meaning" doctors don't have time to dig up adversarial research??? so they depend on the research from the drug Rep???

Looks like the fox is guarding the henhouse....If your not getting your info from any other source on a regular basis than the drug rep, then...it's a conflict of interest plain and simple.....I don't care how trusting and well meaning they are....they're all intelligent enough to know better......

Mercola
  
Joan Courtenay
[ Joined on 01/07 ]  [ Posted on April 8, 2008]
1 Points        
   
This user is BELOW novice level and all their comments need to be reviewed with great caution.
  Mercola