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BUSINESS ETHICS INBUSINESS ETHICS INMEDICINEMEDICINE



OUTLINEOUTLINE

IntroductionIntroduction

§§1 Adantages of commercial influence1 Adantages of commercial influence

§§2 Disadvantages of commercial influence2 Disadvantages of commercial influence2.1. Patents2.1. Patents ±± how they can be lifehow they can be life--threateningthreatening

2.2. Medical equipment2.2. Medical equipment ±± how it can damagehow it can damagehealthhealth

2.3. Bribery2.3. Bribery

ConclusionConclusion

BibliographyBibliography



MEDICINEMEDICINE

nonprofit medicine for-profit medicine

BUSINESSBUSINESS



THETHE USAUSA

$$22..5050 trilliontrillion

((20092009))

$$22..3939 trilliontrillion

((20082008))

** Plunkett Research, Ltd., Health Care Trends,Plunkett Research, Ltd., Health Care Trends, 20092009 AvailableAvailable

hospital care

physician andclinical services

prescriptiondrugs

nursing homeand home health

dental care

other items

THETHE USAUSA



RURUSSSSIAIA

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

100.00

110.00

120.00

130.00

140.00

150.00

160.00

170.00

180.00

190.00

year year

money (%)

money (%)

year year

25%25%

*MarketingRBC.ru, The recession of commercial medical market in Russia, 2009*MarketingRBC.ru, The recession of commercial medical market in Russia, 2009Available URL: http://marketing.rbc.ru/news_research/03/04/2009/562949957760036.shtmlAvailable URL: http://marketing.rbc.ru/news_research/03/04/2009/562949957760036.shtml



RURUSSSSIAIA

free medical

serviceself-treatment

paid medicalservice

no treatment

*MarketCenter.ru, The review of Russian market of paid medical services*MarketCenter.ru, The review of Russian market of paid medical servicesAvailable URL: http://www.marketcenter.ru/content/docAvailable URL: http://www.marketcenter.ru/content/doc--22--12672.html12672.html



H

HEALTHHEALTH

MONEYMONEY



§§1 Advantages of Commercial1 Advantages of CommercialInfluenceInfluence

pharmaceutical companies make greatpharmaceutical companies make greatinvestments into medical industry;investments into medical industry;

commercialism motivates the development of commercialism motivates the development of the industry;the industry;



H

MONEYMONEY

HEALTHHEALTH

§2 Disadvantages of CommercialInfluence



In order to restrict the commercialIn order to restrict the commercialinfluences on medicine, a special codeinfluences on medicine, a special code

of ethics supported by law must beof ethics supported by law must be

created.created.



2.1. Patents2.1. Patents ±± How They Can Be LifeHow They Can Be Life--

threateningthreatening

Patents:Patents:

promote innovationspromote innovations recover the development cost of the productrecover the development cost of the product

protect intellectual propertyprotect intellectual property



...Patents can kill...Patents can kill

PET scanning is inaccessible and prohibitivePET scanning is inaccessible and prohibitive

the cost of a PET scan machine is between $1the cost of a PET scan machine is between $1

million and $2.5 millionmillion and $2.5 million

the technology is upgraded every 3 years due tothe technology is upgraded every 3 years due toobsolescenceobsolescence

CAT scan feeCAT scan fee ±± $1100$1100

MRI scan feeMRI scan fee ±± $1500$1500

PET scan feePET scan fee ±± $4000$4000



A patient with cancer A patient with cancer

who vitally needs CT or PET scanningwho vitally needs CT or PET scanning



A patient with cancer A patient with cancer

who vitally needswho vitally needs CT or PET scanningCT or PET scanning

a waiting list of a waiting list of 20 people20 people

a hospital can complete onlya hospital can complete only 13 scans13 scans a daya day

?? 7 people7 people ??



The reasons why the PET scan should cost less:The reasons why the PET scan should cost less:

maintenance costs and personnel salaries are lowmaintenance costs and personnel salaries are low

the full cost of the machine is recovered in the firstthe full cost of the machine is recovered in the first 33months of usemonths of use

development costs are partially covered by charity anddevelopment costs are partially covered by charity andgovernment subsidiesgovernment subsidies

WHY IS IT S

OEXPENSIVE?

WHY IS IT S

OEXPENSIVE?

software and medical patentssoftware and medical patents make PET scannersmake PET scannersexpensiveexpensive



Pharmaceutical patents should Pharmaceutical patents should not last more than 7 years.not last more than 7 years.



Medical equipment. How can damageMedical equipment. How can damagehealth.health.

RUSSIARUSSIA

outdated equipmentoutdated equipment

80%80%

CANADACANADA

XX--rayray ±± 63%63%

UltrasoundUltrasound -- 53%53%



M edical equipment inM edical equipment in

hospitals must be upgraded or hospitals must be upgraded or substituted according to thesubstituted according to the

norms established by norms established by government requirements.government requirements.



BRIBERYBRIBERY

Doctors and physicians shouldDoctors and physicians should

stop accepting bribes from drug companiesstop accepting bribes from drug companies



>>

Big PharmaBig Pharma spendsspends

$19 BILLION$19 BILLION a year a year

bribing and influencingbribing and influencingphysiciansphysicians

NASA spends on Marssatellites and for exploding space

shuttles in the Earth's

upper atmosphere

entire United Statesspends on disease

prevention and healtheducation

* Mike Adams, JAMA says doctors should stop accepting bribes from drugcompanies, 2009 NaturalNews.com

Available URL: http://www.naturalnews.com/019179.html



SUMAMEDSUMAMED£10£10

SILDENAFILSILDENAFIL

£12£12

VIAGRAVIAGRA££3333..3333

AZITROMICINAZITROMICIN£2.13£2.13

PANADOLPANADOL£1.2£1.2 PARACETAMOLPARACETAMOL

£0.53£0.53



The doctors should be prohibited fromThe doctors should be prohibited from

accepting free drug samples.accepting free drug samples.The doctors should be excluded fromThe doctors should be excluded from

board of dicrectors who have financial board of dicrectors who have financial

relations with drug companies.relations with drug companies.



ConclusionConclusion

The code of medical ethics and governmentThe code of medical ethics and government

restrictions can assist in improving therestrictions can assist in improving the

situation, but it is much more important tosituation, but it is much more important to

change people's perception of business inchange people's perception of business inmedicine.medicine.



BibliographyBibliography

1) MarketCenter.ru, The review of Russian market of paid medical services, 20091) MarketCenter.ru, The review of Russian market of paid medical services, 2009

Available URL:Available URL: http://www.marketcenter.ru/content/dochttp://www.marketcenter.ru/content/doc--22--12672.html12672.html

2) Plunkett Research, Ltd., Health Care Trends, 20092) Plunkett Research, Ltd., Health Care Trends, 2009

AvailableAvailable

URL:URL:http://www.plunkettresearch.com/Industries/HealthCare/HealthCareTrends/tabid/294/Default.aspxhttp://www.plunkettresearch.com/Industries/HealthCare/HealthCareTrends/tabid/294/Default.aspx

3) MarketingRBC.ru, The recession of commercial medical market in Russia, 20093) MarketingRBC.ru, The recession of commercial medical market in Russia, 2009

Available URL:Available URL: http://marketing.rbc.ru/news_research/03/04/2009/562949957760036.shtmlhttp://marketing.rbc.ru/news_research/03/04/2009/562949957760036.shtml

4) Mike Adams, JAMA says doctors should stop accepting bribes from drug companies,4) Mike Adams, JAMA says doctors should stop accepting bribes from drug companies,2009, NaturalNews.com2009, NaturalNews.com

Available URL:Available URL: http://www.naturalnews.com/019179.htmlhttp://www.naturalnews.com/019179.html

5) FSM Magazine, Patents Kill, 2005, fsmsh.com5) FSM Magazine, Patents Kill, 2005, fsmsh.com

Available URL:Available URL: http://www.freesoftwaremagazine.com/articles/editorial_09http://www.freesoftwaremagazine.com/articles/editorial_09



Thank you for your attention.Thank you for your attention.



YOUR QUESTIONS AREYOUR QUESTIONS AREWELCOME!WELCOME!

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