Docket Management
Docket: 02N-0209 - Request for Comment on First Amendment Issues
Comment Number: EC -242

Accepted - Volume 4

Comment Record
Commentor Miss Laura Chapman Date/Time 2002-07-28 18:05:00
Organization Mannatech
Category Dietary Supplement Industry

Comments for FDA General
Questions
1. Are there arguments for regulating speech about drugs more comprehensively than, for example, about dietary supplements? What must an administrative record contain to sustain such a position? In particular, could FDA sustain a position that certain promotional speech about drugs is inherently misleading, unless it complies with FDA requirements? Does anything turn on whether the speech is made to learned intermediaries or to consumers? What is the evidentiary basis of such a distinction? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!
2. Is FDA's current position regarding direct-to-consumer and other advertisements consistent with empirical research on the effects of those advertisements, as well as with relevant legal authority? What are the positive and negative effects, if any, of industry's promotion of prescription drugs, biologics, and/or devices? Does the current regulatory approach and its implementation by industry lead to over-prescription of drugs? Do they increase physician visits or patient compliance with medication regimes? Do they cause patient visits that lead to treatment for under-diagnosed diseases? Does FDA's current approach and its implementation by industry lead to adequate treatment for under-diagnosed diseases? Do they lead to adequate patient understanding of the potential risks associated with use of drugs? Does FDA's current approach and its implementation by industry create any impediments to the ability of doctors to give optimal medical advice or prescribe optimal treatment? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!
3. May FDA distinguish claims concerning conventional foods from those relating to dietary supplements, taking into account limits on claims that can be made about foods in the Nutrition Labeling and Education Act, 21 U.S.C. 301, 321, 337, 343, 371? What must an administrative record contain to sustain or deny claims on food labels? How can information best be presented in a succinct but non-misleading fashion? To what extent do assertions in claims need qualifications or disclaimers added to the label to avoid any misconceptions that consumers may draw? Is there a basis to believe that consumers approach claims about conventional foods and dietary supplements differently? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!
4. Should disclaimers be required to be in the same (or smaller or larger) size of type and given equal prominence with claims? Is there any relevant authority or social science research on this issue? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!
5. How can warnings be made most effective in preventing harm while minimizing the chances of consumer confusion or inattention? Is there any evidence as to which types of warnings consumers follow or disregard? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!
6. What arguments or social science evidence, if any, can be used to support distinguishing between claims made in advertisements and those made on labels? Does the First Amendment and the relevant social science evidence afford the Government greater latitude over labels? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!
7. Would permitting speech by manufacturer, distributor, and marketer about off-label uses undermine the act's requirement that new uses must be approved by the FDA? If so, how? If not, why not? What is the extent of FDA's ability to regulate speech concerning off-label uses? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!
8. Do FDA's speech-related regulations advance the public health concerns they are designed to address? Are there other alternative approaches that FDA could pursue to accomplish those objectives with fewer restrictions on speech? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!
9. Are there any regulations, guidance, policies, and practices FDA should change, in light of governing First Amendment authority? Please keep Dietary Supplements and their research available to the American Public. We need acces to the research and the products so we will have a choice about our own health instead of being trapped in the current deadly medical system of HMO's and toxic drugs. Our family has been greatly helped by dietary supplements and the research available on them. Please do what is right! Do not take the supplements and their research away from us. Allow us freedom of choice! Allow us to make our own decisions! We need and deserve these rights as American Citizens!




EC -242