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The American Medical Association places limits on the use of placebos in clinical practice

The American Medical Association places limits on the use of placebos in clinical practice. Specifically, the AMA says that a placebo is not to be used unless the patient is informed of and agrees to its use.

The AMA indicates that a placebo may still be effective if the patient knows it will be used. Discuss whether you agree with the AMAs position and why.

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Consider in your answer the use of a placebo for an ordinary condition (say, using a placebo to treat a cold, much like the common practice of prescribing antibiotics for viral infections) versus using a placebo administered to a terminal cancer patient for whom the placebo could offer pain relief without the mental impairment common with the use of opioids (with the knowledge that if the placebo was not useful, opioids could be used instead).

2. Drug companies are forbidden by law from marketing their products for off-label, or unapproved, uses.

On November 4, 2013 Johnson & Johnson agreed to pay $2.2 billion in settlement for, among other things, off-label promotion of three of its prescription drugs. Yet, doctors are free to use a prescription drug to treat any condition, whether approved or not.

Discuss whether it makes sense to impose an absolute prohibition on drug companies from off- label marketing of prescription drugs. Be sure to consider whether there are any circumstances in which it is acceptable for a drug company to engage in off-label promotion.

Also consider whether the prohibition against drug company off-label marketing makes sense in light of a physicians ability to prescribe a drug for any use, approved or not.

3. In an episode of a television show called The Big Bang Theory, the Dean asks of four university scientists What is the business of this place [the university]? The scientists, after conferring with one another, hesitatingly answer, Science? The Dean responds with one word: Money.

How would you answer the Deans question (and you dont have to pick from Science or Money, you can provide any answer you like, as long as you can justify it)?

Does the patenting of scientific research conducted at the University have any role in your answer? Why or why not?

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