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Alexander Cockburn
Alexander Cockburn
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How the Networks Went into the Drug Peddling Business

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When, sometime in the 1960s, the late Frank Stanton, overseeing news operations at CBS, asked his boss William Paley, the network's founder, for more time for newscasts, Paley shook his head. "The minute's just too valuable," he told Stanton, meaning he wasn't prepared to surrender one more second of commercials in the prime-time slot.

By the year of 1997, top executives at the major TV networks were gazing uneasily at the trend lines. Inexorably, it seemed, they were pointing down. The networks were losing audience share as people surfed to new choices on the remote. As with newspapers and magazines, such reliable sources of revenue as auto commercials and detergent ads were suddenly looking frail, as companies like GM and Procter and Gamble (America's two biggest advertisers) began to plan shifts of their advertising outlays to new media channels. Consumers were starting to have increasing recourse to the Internet to figure out which car to buy and where to buy it. Shadows were looming over network revenues, maybe darker even than on that dreadful night, Jan. 2, 1971, when the congressional ban on advertising tobacco on radio and TV came into effect.

And then … a miracle! A very American kind of miracle to be sure, being the sort of miracle achieved by the usual megatonnage of campaign contributions from the drug industry, dropped into the pockets of the relevant FDA overseers in Congress, plus direct lobbying of the FDA by media companies such as Time-Warner. The miracle went by the name of Direct-to-Consumer Advertising, or DTC.

Broadcast advertising of prescription drugs in the United States had actually been legal for years, but in 1997 the FDA "clarified" the rules about alerting consumers to any risks in a number of deft ways that suddenly made the game a whole lot easier for the drug companies. Thirty-five years after Congress moved to curb pharmaceutical company advertising of amphetamines, antidepressants and barbiturates, the floodgates were opened once again. Through them poured the drug companies and their advertising dollars.

Soon, prime-time TV viewers were listening to the drug peddlers telling them to make haste to their doctors to request prescriptions for medical conditions, from depression to high blood pressure, by way of allergic reactions supposedly requiring Claritin. This prescription antihistamine was the subject of the first huge prescription ad campaign after the FDA opened the door in 1997. Its sales promptly shot up from $1.4 billion in that year to $2.6 billion in 2000.

At the end of each ad, risk advisories to the consumer would come in the form of an 800 number or the familiar cautions gabbled out at a speed probably intelligible only to ultrasensitive equipment at the National Security Agency.

Back at the start of the 1990s, the drug companies were spending $55 million on DTC ads.

By 2003, the outlay had soared to $3 billion — by 2005 to $4.2 billion. Another $7.2 billion was spent in 2005 on promotion to physicians, according to the U.S. Government Accountability Office. By 2006, the outlay on DTC ads went to $5.2 billion.

DTC sales-pitching of prescription drugs has been a huge boon to the networks, whose revenues from this source have surged since 1997. 2007 saw NBC, ABC and CBS pull in $1.64 billion in prescription drug advertising, with CBS leading the pack with its $681,932,100, well ahead of ABC's $449,902,600 and NBC's $420,235,100. Fox lagged far behind, with $92,804,900.

For the drug lords in the big pharmaceutical companies — America's most profitable industry — the FDA's 1997 decision has, indeed, been a license to print money, bales of it. There are plenty of credible surveys establishing that as much as a third of consumers see an ad for some prescription drug on TV and then go off and talk to their doctor about it. Nearly half of the people asking for the drug they've seen advertised end up getting a prescription for it. One Kaiser study cited by the Lehrer News Hour disclosed the gloomy news that almost half these drug ad-watchers believe what they're being told. The consequences have been as predictable as sales drives by the soft drink companies. Hype a product, and people buy it. Between 1999 and 2000, according to one study cited by Katharine Greider in her book "The Big Fix," "prescriptions for the 50 most heavily advertised drugs rose at six times the rate of all other drugs. Sales of those 50 intensively promoted drugs were responsible for almost half the increase in Americans' overall drug spending that year."

Advertising, particularly in the area of drugs, thrives on the arousal of such unwholesome emotions as fear, insecurity, envy. The 1990s were a decade which could be labeled the Second Great Depression, although in this case the phenomenon was not economic collapse as in the 1930s, but the intensive drug-company-driven campaign to sell America on the idea that "depression" was the nation's number one problem, to be relieved by hurrying off to the doctor to get a prescription for an antidepressant. With a few honorable exceptions, the press bought into this Second Great Depression in the crucial period of the early '90s, solemnly citing "expert opinion" from such drug industry flacks as the American Psychiatric Association. Then, after 1997, communications moguls have gotten rich, feeding from the DTC trough, while occasionally raising their heads to bellow out their hymns to "freedom and independence of the press." But what is "free" or "independent," in any honorable use of the words, about a journalistic medium such as the CBS News division, whose journalistic act as touts for the drug companies that are helping to pay their salaries? COPYRIGHT 2009 CREATORS SYNDICATE, INC.


Comments

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Sir;....Ever since that criminal Jackson was our president the alternative to taxing the rich has always been to run up deficits, and sell America Cheap to the rich for revenue...This nation's airwaves are just one example of many of selling the people's property only to see it used against the interest of the people...Is there some reason the people must be uniformed??? Is there some reason garbage finds a home on every channel??? People don't want to think about reality... Who can blame them so long as without democracy they cannot fix reality??? I would flounder about in the surf too if I did not feel the power to make a difference in spite of so much evidence against drawing that conclusion....People know...People can see their lives going down the tubes without the help of the news...They are desparate for change, and care when change comes their way; but the know that change will be preverted long before it can be made to occur....How is it that the rich, who can afford so much to influence elections, not afford taxes???Why do the public airwaves take so much of the cost of elections...It is not just the messages, airbrushed, glossy, directed, and nuanced that costs so much; but broadcast time..What does it take to buy the time, which also knocks your competitor out of time???.Government could not be bought if election were not so god awfully expensive...Do you think the people like it??? Does anyone like the fact that the parties squabble like children while the ship of society sinks???We cannot get anything good out of television and radio until government will govern that which without governance would govern it...If the government will not govern the economy the economy will govern it...If the government will not govern the airwaves the airwaves will govern it...If the government will not govern the churches, it will be governed by them....If the people will not take the government and demand democracy, consent on all that passes the government, and meaningful protection and control for their lives, then we are finished...This nation is still ours and must support us all.... It should not be the government against the people... The people are the govenment, and the people are the law...And to leave our airwaves in the hands of the rich makes certain we will not know the truth, or even be able to have TV for our improvement or education.. Public property in the hands of private individuals must support us all, and for what other reason should it be given as a monopoly??? Since clearly, much of this public property is not serving the people, it should be returned again to the people...Thanks...Sweeney
Comment: #1
Posted by: James A, Sweeney
Sat Mar 14, 2009 6:31 AM
The reason drugs are so much a part of our culture is they promise instant gratification for any known problem, and instant gratification is more American than apple pie or baseball (forget Chevrolet). If you can't get an erection without prescription, maybe you should just listen to what nature is telling you and find something else to occupy your time, like the war, loss of civil liberties, collapsing economy or global warming. One of my buddies tought 36 hour Cialis meant you had a hard-on for that amount of time. Oh well.
Comment: #2
Posted by: michael nola
Sat Mar 14, 2009 8:46 AM
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