Doctors have an idea that could save a ton of money: No more drug ads.
It'll take an act of Congress to ban the practice, but the AMA is on board.
Have you ever thought about how weird it is that drug companies can advertise something you can't even buy without a prescription?
I always thought the process was supposed to be: feel sick, go to the doctor, explain my symptoms, get diagnosed by a professional, and if needed, get a prescription for a drug based on what's wrong with you.
But no, these commercials always end with the same refrain: "Ask your doctor if [our product] is right for you."
That can't be how it's supposed to work, right?
"I saw an ad that told me I should ask you if this medication is right for me, Dr. Stockphotoman." Image via iStock.
The American Medical Association announced it also thinks there's something weird about those ads.
"Today's vote in support of an advertising ban reflects concerns among physicians about the negative impact of commercially-driven promotions, and the role that marketing costs play in fueling escalating drug prices," AMA board chair-elect Patrice Harris said in November. "Direct-to-consumer advertising also inflates demand for new and more expensive drugs, even when these drugs may not be appropriate."
And while the amount of money these companies spend marketing and selling their products to doctors is also a big concern, this is a pretty big deal, too.
There are only two countries in the world that allow drug manufacturers to advertise prescription drugs direct to consumers: the United States and New Zealand. And after this announcement, the AMA hopes that number drops by half.
Drug manufacturers spend $4.5 billion on advertising to consumers each year, up 30% from just two years ago.
And $1.1 billion of that ad money in 2014 was spent by a single company, Pfizer, in promoting drugs like Lyrica, Viagara, Celebrex, and Chantix.
In addition to being a really poor way of storing medication, this just can't be sanitary. Buy a wallet, please. Image via iStock.
A strong majority of the public believes prescription pricing is a top health care issue.
An October report from the Kaiser Family Foundation found that 77% of those polled viewed "Making sure that high-cost drugs for chronic conditions are affordable to those who need them" as a top health care priority. The next most pressing issue, supported by 63% of individuals was urging the government to take action to lower prescription drug prices.
"Direct-to-consumer advertising also inflates demand for new and more expensive drugs, even when these drugs may not be appropriate."
And that's what the AMA's resolution hopes to address: the skyrocketing cost of drugs.
"In the past few years, prices on generic and brand-name prescription drugs have steadily risen and experienced a 4.7% spike in 2015, according to the Altarum Institute Center for Sustainable Health Spending," reads AMA's press release.
"I take a couple uppers. I down a couple downers But nothing compares to these blue and yellow purple pills." Image via iStock.
But if companies don't advertise, how will people know what to ask for? By trusting our doctors.
The Pharmaceutical Research and Manufacturers of America (PhRMA) is not in favor of AMA's resolution.
A representative tells Bloomberg, "Providing scientifically accurate information to patients so that they are better informed about their health care and treatment options is the goal of direct-to-consumer pharmaceutical advertising. Research shows that accurate information about disease and treatment options makes patients and doctors better partners."
And that sort of makes sense, right? But that's kind of the problem. The reason we go into doctors' offices is to have our symptoms diagnosed and treated. When we go in with a diagnosis already in mind (and with a brand name treatment to go with it), we're effectively sidestepping the whole point of having doctors.
I want to live in the world where I go to the doctor, not wait for an ad to tell me about a solution for a problem I didn't know I had. I want to live in a world where I can trust my doctor, not rely on self-diagnosis through marketing dollars. The whole thing is a distraction.
Doing research-y things. Image via iStock.
Unfortunately, the AMA's decision doesn't actually change ... well ... anything. That's up to Congress.
And Congress has forces pushing on all sides of this issue. The most common force? Cold hard cash. That's capitalism for you.
In 2014, the AMA, which represents around 235,000 doctors and medical students, spent $19.7 million lobbying Congress. On the other side of this, PhRMA spent $16.6 million on lobbying in 2014.
A medical technical assistant studies the influenza virus in 2009. Photo by Carsten Koall/Getty Images.
For better care, we need to get rid of the distraction advertising plays in the process of getting diagnosed.
You can start by contacting your member of Congress and asking about their position on the AMA's recent resolution.
There's a reason why some people can perfectly copy accents, and others can't
Turns out, there's a neurodivergent link.
A woman in black long sleeve shirt stands in front of mirror.
Have you ever had that friend who goes on vacation for four days to London and comes back with a full-on Queen's English posh accent? "Oooh I left my brolly in the loo," they say, and you respond, "But you're from Colorado!" Well, there are reasons they (and many of us) do that, and usually it's on a pretty subconscious level.
It's called "accent mirroring," and it's actually quite common with people who are neurodivergent, particularly those with ADHD (Attention Deficit Hyperactivity Disorder). According Neurolaunch, the self-described "Free Mental Health Library," "Accent mirroring, also known as accent adaptation or phonetic convergence, is the tendency to unconsciously adopt the accent or speech patterns of those around us. This linguistic chameleon effect is not unique to individuals with ADHD, but it appears to be more pronounced and frequent in this population."
Essentially, when people have conversations, we're constantly "scanning" for information—not just the words we're absorbing, but the inflection and tone. "When we hear an accent, our brains automatically analyze and categorize the phonetic features, prosody, and intonation patterns," writes Neurolaunch. For most, this does result in copying the accent of the person with whom we're speaking. But those with ADHD might be more sensitive to auditory cues. This, "coupled with a reduced ability to filter out or inhibit the impulse to mimic…could potentially explain the increased tendency for accent mirroring."
While the article explains further research is needed, they distinctly state that, "Accent mirroring in individuals with ADHD often manifests as an unconscious mimicry of accents in social situations. This can range from subtle shifts in pronunciation to more noticeable changes in intonation and speech rhythm. For example, a person with ADHD might find themselves unconsciously adopting a Southern drawl when conversing with someone from Texas, even if they’ve never lived in the South themselves."
People are having their say online. On the subreddit r/ADHDWomen, a thread began: "Taking on accents is an ADHD thing?" The OP shares, "My whole life, I've picked up accents. I, myself, never noticed, but everyone around me would be like, 'Why are you talking like that??' It could be after I watched a show or movie with an accent or after I've traveled somewhere with a different accent than my 'normal.'
They continue, "Apparently, I pick it up fast, but it fades out slowly. Today... I'm scrolling Instagram, I watch a reel from a comedian couple (Darcy and Jeremy. IYKYK) about how Darcy (ADHD) picks up accents everywhere they go. It's called ADHD Mirroring??? And it's another way of masking."
(The OP is referring to Darcy Michaels and his husband Jeremy Baer, who are both touring comedians based in Canada.)
Hundreds of people on the Reddit thread alone seem to relate. One comments, "Omfg I've done this my whole life; I'll even pick up on the pauses/spaces when I'm talking to someone who is ESL—but English is my first language lol."
Sometimes, it can be a real issue for those around the chameleon. "I accidentally mimicked a waitress's weird laugh one time. As soon as she was out of earshot, my family started to reprimand me, but I was already like 'oh my god I don’t know why I did that, I feel so bad.'"
Many commenters on TikTok were shocked to find out this can be a sign of ADHD. One jokes, "Omg, yes, at a store the cashier was talking to me and she was French. She's like 'Oh are you French too? No, I'm not lol. I'm very east coast Canada."
And some people just embrace it and make it work for them. "I mirror their words or phrase! I’m 30. I realized I start calling everyone sweetie cause my manager does & I work at coffee shop."