Drug Pushers

On Thursday, the NY Times ran this scary article on the increasing use of multiple psychotropic drugs by children. Over 3.5 million kids in the US are being medicated with stimulants (mainly for A.D.H.D.), which can cause stunted growth and sleeping problems. Nearly 2 million are given antidepressants, which have been shown to trigger suicidal thoughts and behaviors in some children. Others receive anticonvulsants, which can cause liver and pancreas damage and fatal skin rashes, or antipsychotics, which can cause rapid weight gain, diabetes, and irreversible tics. And fully 1.6 million are given at least two drugs in combination, either because a single drug is not effective enough or in order to treat its side effects, even though there is virtually no scientific evidence showing that such combinations are helpful in young patients.

Coincidentally, on Friday night the Wallingford Neighbors for Peace and Justice hosted a film/discussion on "Big Bucks, Big Pharma," an expose of the pharmaceutical industry. If you've ever wondered why health care in America costs so much and yet ranks only 37th in effectiveness worldwide, alongside impoverished Cuba, consider the fact that 100,000 Americans die each year of adverse effects from prescription drugs administered at recommended doses. How much more morbidity is being created by the ubiquitous use of costly and often unneeded drugs instead of more effective - but far less profitable - healthy lifestyle changes and preventative care?

How has legal drug pushing become so prevalent in our society? Relaxation of laws in recent years have allowed the pharmaceutical industry to market their products directly to consumers in magazine and television ads, creating consumer curiosity and even brand loyalty for products that may not even be appropriate, much less necessary. Add to this the $8 billion spent each year on medical journal ads and promotional gifts and trips for physicians under the rubric of "education," the effectiveness of which has prompted the American Medical Student Association to promote a Pharm Free Pledge to its members stating they will "accept no money, gifts, or hospitality from the pharmaceutical industry" and "seek unbiased sources of information."

I am not trying to downplay the existence of serious illness and suffering that could be helped by medication. But it seems clear to me that pharmaceutical companies are more concerned with creating demand for their products, charging all that the market will bear, and keeping sick people alive but dependent on their drugs, than they are with providing safe, effective, affordable healthcare. And it doesn't surprise or upset me - it's just as any big business would behave in a capitalistic society. It is our responsibility to reign them in, to raise our voices against their huge lobbying forces in Washington and our state capitals and demand more rigorous regulation, to ask for fewer and less expensive drugs from our doctors, and to refuse the medicalization of natural human variation in our society - particularly in our schools, where our most vulnerable citizens are paying the price.