From: Joan B Lee [joanblee@juno.com] Sent: Wednesday, November 13, 2002 5:26 PM To: fdadockets@oc.fda.gov Subject: Public Comment on RX advertising Dear Sirs: As Legislative Liaison for Gray Panthers California, I am writing to offer my comments to the US Food and Drug Administration with regard to the FDA's authority over "commercial speech" as it relates to the manipulation of the consumer by pharmaceutical companies through advertisement of prescription drugs. I can personally speak to the disgust I feel when watching ads for Claratin, Allegra and other allergy medications, Hollywood-style, which attempt to brainwash those of us in the suffering public that these drugs are the end- all/be-all for our suffering. The resulting push by desperate patients for their doctors to prescribe these drugs has been a big factor in driving up the cost of healthcare. Indeed, the huge media push for Allegra as a seeming cure for allergies has made it the number one prescription for that ailment with an accompanying inflated rate of 11%. The law of supply and demand would dictate that companies could lower the price and still realize necessary profit. Instead, through what many would consider fraudulant and inaccurate advertising, they have convinced the American Public to buy into their marketting plan. The pharmaceutical industry needs strong tightening up of advertising laws, to bring some ethical accountability to the over $2.5 billion in direct-to-consumer marketing in 2000, the $4 billion spent on marketing to doctors, and the some $8 billion in prescription "samples" and giveaways,all of which has resulted in some $154 billion spent for their products in 2001 alone. Surely it should give some pause for reflection that in this time of struggling national growth and wobbling stock market confidence, the pharmaceutical industry is essentially unaffected, standing at the very top of the Fortune 500. The industry has taken the lead in every measure of growth in the year 2001. Not that we would begrudge corporations success, but there is much room to question tactics and methods and whether they have exceeded the legal boundaries by fantastic claims in advertising, then driving up prices for those drugs, which result in obsese profits. The senior population is targetted by The pharmaceutical industry in much the same way that tobacco companies were found to be targetting young people and women. The result is that persons who are sick, infirm and aging desperately seek solutions to their health problems. The FDA has been charged with the oversight of products which Americans use and should be more vigilant that price manipulation and advertising scams are not effectively destroying our American healthcare system. Gray Panthers California asks that the Food and Drug Administration be a more active watchdog for the American public, study the true effect of the relaxed rules on drug advertising which have resulted in unaffordable drug costs. The FDA should concentrate on looking out for the needs of its citizens and assisting federal officials in finding ways to keep costs down, not helping them rise further out of control. Joan B. Lee Legislaive Liaison Gray Panthers California Please post to http://www.fda.gov/dockets/ecomments