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With the
recent controversy over the issue of veterinary prescribing ACVMG
have been painted as the villains of the piece in the eyes of many
in the veterinary fraternity. With all the tunnel vision on this
one important issue there is another opportunity that has been let
slip by.
ACVMG had
a proposal that was probably in the best interests of the profession
at large, viz. the banning of companies from advertising PARs directly
to the general public. This now looks like being done away with
while the prescribing issue continues to be pushed by ACVMG, the
difference being the force of lobby groups.
As veterinarians
we may sometimes be critical of our own association but we have
to realize, as any one promoting a minor sport in NZ can testify
to, that lack of action is not necessarily due to a lack of effort
but to relative size and economic impact (just think of George Bush’s
campaign budget this year!).
A good
example of relative lobby size in our own industry can be seen in
the fact that vitamin injections for horses are PARs but anthelmintics
for production animals are not. This is nonsensical when one considers
the relative risks needing to be managed but is indicative of the
fact that the farming retail industry is a far more powerful lobby
group than the equine one.
This is
also very evident in the PAR advertising issue. The status quo looks
likely to remain only because of lobby pressure from industry groups.
Whereas
NZVA have been working overtime on, what most veterinarians agree
is the larger issue that of veterinary prescribing, they and ACVMG
have given in rapidly to industry lobbies on PAR advertising. Instead
of supporting the original ACVMG intention of having no PAR advertising
the thrust is now on allowing advertising but no inducements.
The lobby
groups are AGCARM and ARPPA. The former is a large body, which has
traditionally looked after the interests of larger companies and
multinationals.
ARPPA,
of which Ethical Agents Ltd was one of the original members, was
set
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up to represent
the interests of smaller NZ based companies. A few years ago, for
reasons of increased revenue, ARPPA amended its constitution to
allow multinationals to also be members and there was even consideration
to amalgamating the two bodies.
As the
body had now lost its original focus Ethical Agents Ltd opted to
resign membership because there is no longer a body to represent
the smaller NZ based companies.
So what
is this issue of PAR advertising? Industry argues that they are
able to ‘inform’ the public so that it is easier for veterinarians
to change prescribing habits. This really strikes at the core of
the profession in that the practitioner should be the one to whom
the public goes to for advice on prescription medicines.
In fact
part of one submission actually states that industry is better able
to inform the public than a practitioner.
This is
a rather arrogant attitude that really says that an advertising
agency is a better source of information than a qualified veterinarian.
Yellow tennis balls tell very little about the side effects of a
non-steroidal anti-inflammatory drug but have a powerful effect
on product demand.
Any marketer
will tell you it is not necessarily the best product that wins the
marketing war, or else we
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requires them to have
knowledge of the difference between benzathine cloxacillin and sodium
cloxacillin!
Clearly farming leaders
wish DCT to be as readily available as anthelmintics when, in an
ideal world, both would be under some sort of risk management process.
Management at Ethical
Agents Ltd believe that it is better to provide the information
to practitioners, who can then assess it for their own clients,
and are opposed to the principle of directly advertising PARs to
the general public even though, to be competitive in the marketplace,
the company may be forced into it.
Right now it looks as
though there was an opportunity to prevent this occurring but, with
the line wide open, the ball appears to be slipping through the
hands of the profession and the full time whistle is about to blow.
The next logical step
will be the lobbying to remove prescription status from DCT so the
products are freely available from veterinary traders.
That is certainly feasible
under the Act and, if veterinarians supply on demand rather than
via a consultative process, almost a certainty to happen. The profession
cannot afford to drop the ball a second time!
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would all be watching
Beta videos instead of VHS (for those who can even remember the
video war). This may be fine for the marketing gurus but is not
in the best interests of the consumer.
The issue is inextricably
linked with the issue of veterinary traders as evidenced in the
farming press in the March 2004 issue of the Dairyman. The writer
claims that farmers should now be informed of all the options, via
advertising, before consulting the vet.
What he means by this
is that farmers want to have DCT on demand. He certainly doesn’t
mean, for example, that being informed on all the options
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