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The Lancet, Volume 367, Number 9512, 04 March 2006 Contents in Full
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The Lancet 2006; 367:722

DOI:10.1016/S0140-6736(06)68288-3

Pill pusher recants

Marilynn Larkin email address

Side Effects Money Talks: Profits Before Patient Safety

A film and documentary by Kathleen Slattery-Moschkau. Order DVD from http://www.sideeffectsthemovie.com/

A coming-of-age film whose main character is a drug company sales rep? I was intrigued. Karly Hert (Katherine Heigl) is conflicted. She loves the perks of the job, but feels guilty that she is forced to hide concerns about certain drugs when she makes her sales pitches. Despite her conscience, she is seduced by the huge cheques and becomes the company's new darling. On the eve of the launch of the company's blockbuster drug, however, some potentially deadly side-effects surface. The data are squelched, but not before Karly finds out. Will she blow the whistle during a meeting, where she will be honoured as rep of the year?

Producer/director Kathleen Slattery-Moschkau worked as a sales rep for a large drug company for 10 years. She wrote the script for Side Effects, then left the industry. Rather than succumbing to Hollywood pressures to “dumb down” the script, she produced it herself, releasing it in theatres that play independent films in various cities in the USA (plans for a UK release are underway). At the same time, she produced a chilling documentary, Money Talks: Profits Before Patient Safety, in which physicians, a medical journalist, and others familiar with the drug industry talk candidly about selling drugs, rewarding prescribers, courting physicians with gifts, the impact of direct-to-consumer advertising, and ghostwriting of journal articles. Both film and documentary push the message that “most-of-what-they-do-is-profit-driven”, but in a quirky and engaging way.

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