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So much for hard science. Of course, you can escape the system by avoiding all prescription drugs, and there is a way to do it intelligently and safely. That's a good question with a simple answer. Ephedra Fact And Fiction by Mike Fillon, page 77 According to a report prepared by the National Institute for Health Care Management, a nonprofit research foundation created by the Blue Cross Blue Shield health insurance plans, the fifty most-advertised prescription medicines contributed significantly last year to the increase in the nation's spending on drugs. And in 2000, in a somewhat less successful ad campaign that cost perhaps $60 million, the American pharmaceutical industry tried to discredit the Canadian system. The government is also part of the problem because it does not have the resources or the political will to do more about the dangers of prescription drags. Drug companies spend billions of dollars on advertising and promotion -- some $10 billion every year. But perhaps most telling are these results of a recent NIHCM study: Between 1999 and 2000, prescriptions for the fifty most heavily advertised drugs rose at six times the rate of all other drugs. Yet, according to a study conducted at the University of California and published in The Wall Street Journal, 60% of the pharmaceutical ads from medical journals violated FDA guidelines. They admit that they might make friends and generate goodwill for their companies in the process, but their primary goal, they claim, is education, not marketing." Herbs Against Cancer by Ralph W Moss PhD, page 75 FDA control (or lack or control) of pharmaceutical advertising Another connection between the FDA and the pharmaceutical industry is through the pharmaceutical Advertising Council (PAC). In May 2004, Pfizer pled guilty to Medicaid fraud and agreed to pay fines of approximately $430 million. Although federal agencies have control over drug advertising, these ventures apparently have escaped detection and oversight.