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You either play the game as a drug researcher and produce the results your employer wants, or you start looking for a new job. So when you hear people talk about so-called 'evidence-based medicine,' remember that most of the people whose mouths those words emerge from actually live in a world of outrageous scientific distortion. In fact, by 1995, drug companies had tripled the amount of money they formerly allotted to consumer-directed advertising, writes to Gary Null in Death by Medicine." So, let's say that a consumer who has been feeling a little sad lately sees a commercial for the antidepressant drug Zoloft. Suddenly, he or she thinks, "I'm not just sad. Pharmaceutical companies are willing to spend this kind of advertising money on only their most recently approved medication. In addition, since niacin is a widely available "generic" agent, no pharmaceutical company stands to generate the huge profits that the other lipid-lowering agents have enjoyed. The goal was to derail efforts to make pharmaceutical benefits an integral part of Medicare. Death By prescription by Ray D Strand, page 169 Surveys reported in our medical literature reveal that when a patient comes into a doctor's office and requests a specific drug that he has seen advertised in the media, the doctor writes the exact prescription the patient requested more than 70 percent of the time.D. In fact, they are summaries of after-hours conferences sponsored by pharmaceutical companies. Overdose by Jay S Cohen, page 56 In fact, pharmaceutical companies spend more than 21 billion dollars a year on promoting and marketing their products, of which about 88 percent is directed at physicians.