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If there is any devil that doesn't need your help, it's the pharma industry.

It's important to realize that to a first approximation, advertising prescription drugs is pure waste. The main case is pharma companies battling for fixed market share. That is, there are N people who have the problem, and companies X, Y, and Z are spending money trying to maximize their share of the market. The ad spend changes which pharma company does the best, but that money comes from the sick people, who would be better off without it.

The other case for advertising is demand generation, and for drugs I think it's mostly waste as well. I definitely know a couple people who are not sick enough to really need drugs (or perhaps not sick at all), but advertising-induced hypochondria means they badger their doctor until they get a prescription. That's an expensive boondoggle.

I'm sure there are some people who hear an ad and realize they have an actual problem. But if that's a significant issue, I'd rather we just paid for public service announcements for disease awareness, rather than hoping the very profitable drugs are the same ones people have the biggest medical need for.

And theory aside, advertising prescription drugs to the public was illegal for decades and we still did fine on the medical innovation front.




You realize there are a handful of therapeutic areas where they are really competitive?

It’s inaccurate to suggest that’s the only market for drugs.


As I said, I see two basic cases. In one, they're competitive. In the other, they aren't. I think general audience advertising is even less justifiable in the latter case.




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