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Another Study Finds Link Between Pharma Money and Brand-name Prescribing

A group of researchers at Harvard Medical School has found that medical industry payments to physicians in Massachusetts are associated with higher rates of prescribing brand-name drugs that treat high cholesterol.

 

The study's finding, published today in JAMA Internal Medicine, is in line with a ProPublica analysis and story from March, which showed that physicians who receive industry money tend to prescribe higher rates of brand-name drugs 2014 and thus, lower rates of similarly effective, more affordable generic drugs 2014 when compared to peers.

 

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An aim of the study, said lead author Dr. James S. Yeh, was to determine and reduce any industry influence that could produce bad behavior.

 

"You want your doctors to be objective rather than doing something because there is a financial gain, be it subconscious or conscious," Yeh said. "That's not the way we should be doing medicine."

 

Yeh added that not all industry relationships with physicians are problematic. Often pharmaceutical companies fund large research projects that could produce advances in medical care.

 

The Harvard study concluded that physicians' rate of prescribing brand-name statins 2014 the category of drugs that treat high cholesterol 2014 increased by 0.1 percent for every $1,000 in industry money received. Under $2,000 in payments, there was no significant increase in brand-name prescribing.

 

A 0.1 percent increase in brand-name prescribing might not seem like much, but the study notes that brand-name statins cost two to four times wholesale as much as generics and that cost is an important factor in patient health outcomes. Patients are less likely to keep taking drugs that are more expensive.

 

Both ProPublica and the Harvard researchers were careful not to assign a causal relationship between payments and brand-name prescribing because there's a lot that the data alone can't show 2014 for instance, why a doctor chose a certain drug, or the list of preferred drugs used by a patient's insurer. It's also possible that pharmaceutical companies market their drugs more to doctors who are already high brand-name prescribers.

 

"I think the causal relationship is really difficult to determine because there's so many other factors that impact the physician's prescribing behavior," said Yeh, a research fellow at Brigham and Women's Hospital and Harvard Medical School.

 

The Harvard study differs from ProPublica's analysis in a few ways. ProPublica looked at doctors nationwide in the five most populous specialties, using data from the U.S. Centers for Medicare and Medicaid Services' Open Payments program, which included all payments to doctors from drug and device makers in 2014. The Harvard researchers only looked at Massachusetts doctors, using a 2011 physician payment database kept by the state's department of health.

 

Also, ProPublica focused on overall brand-name prescribing rates, not just for statins. The researchers chose statins because they are frequently prescribed and because there are both generic and brand-name options.

 

Both analyses used prescribing data from Medicare's Part D program to determine physicians' brand-name prescribing rates 2014 in fact, the Harvard researchers purchased Part D data prepared for analysis by ProPublica. Part D currently provides drug coverage to nearly 41 million seniors and disabled people.

 

One of Yeh's co-authors, Dr. Aaron Kesselheim, provided feedback on the design of ProPublica's analysis.

 

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QNet: “It is a chain where a person is fooled and then he is trained to fool others to earn money” says Bombay HC order
The Bombay High Court while rejecting anticipatory bail applications of five accused in the multi-crore QNet scam, has observed that "the deceit and fraud is camouflaged under the name of e-marketing and business". This scheme is undoubtedly a multi-level marketing (MLM) activity and a pyramid structure of such scheme is prepared so that the members are promised to get money on purchase and sale of products, the Court said.
 
In a hard-hitting order on 6 May 2016, Justice Mridula Bhatkar said, "The motto of the company 'sell more, earn more' appears very attractive and innocuous. However, this motto is fully camouflaged. The company stands on a basic statement that people can be fooled. Thus, the true motto is 'sell more earn more' by fooling people. In fact it is a chain where a person is fooled and then he is trained to fool others to earn money. For that purpose, workshops are conducted where study and business material is provided with a jugglery of words, promises and dreams. Thus, the deceit and fraud is camouflaged under the name of e-­marketing and business."
 
"It has very grave and serious impact on the economic status and mental health of the people on a large scale. On considering parameters of section 438 of the Code of Criminal Procedure, I am not inclined to protect the accused. It won't be out of place to mention that such circulation is required to be stopped. It is necessary for the prosecution to take injunctive steps against this business activity, which is prima facie, illegal. Though by stopping this business, a large group of people may get financially affected, however, it will save larger groups of people from becoming prey of this activity," the Bombay HC said. 
 
The HC rejected bail applications of five including, Srinivas Rao Vanka and Magaral Veervalli Balaji, both directors of Vihaan Direct selling (India) Pvt Ltd, Suresh Thimiri, director of Transview Enterprises India Pvt Ltd, Malcolm Nozer Desai, who is a 20% stakeholder in Vihaan and Michael Joseph Ferreira, former world champion of billiards and an 80% stakeholder in Vihaan.
 
"I have gone through the plan which is given by QNet to every individual representative (IR)," Justice Bhatkar said. "I have gone through the statements of many witnesses, who claimed that they have been cheated under the scheme launched by QNet. I have also considered the conclusive report of Serious Fraud Investigation Agency (SFIO) under the Company Act) SFIO Prima facie, there is material to hold that the business conducted by Qnet is covered under PCMC Act and also under Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954."
 
"However," the Bench added, "the things are not as straight as they are perceived on the surface. Assuming that the scheme was launched with a noble object to give benefit to maximum people to make money quickly and easily by selling products of the company, however, after going through the material placed before me including the statements of the witnesses, I am of the view that in the mid­way, the intention of the applicants/ accused, who are the directors and shareholders of the company, became dubious. They had knowledge that more members are suffering financial losses and they are not satisfied with the products. The claim that the wellness products i.e., Biodisk and Chi Pendent are medicinal and spiritual products, are after all, a matter of faith. However, the applicants/ accused have launched these wellness products with ulterior motive and with correct judgment of vulnerability of the people. The holiday packages, which were sold or offered, without any choice left to the buyers. The entire business was Internet based and, therefore, the persons who are responsible i.e., the top brass i.e., the applicants/ accused, were not approachable to the persons who were aggrieved. The nature of the business was knitted in the interest of the Directors and shareholders in such a manner that the persons who are at the lower level of the pyramid cannot get any access to put up their grievances. The manner in which the persons were contacted, incentives offered, the workshops were conducted, are best examples of inducement."
 
Earlier, Pradeep Gharat, special Public Prosecutor submitted before the Bench that Vanmala Hotels, Travels and Tourism Services Private Ltd and Pallava Resorts Private Limited have created a Website and travel packages. "The commission was not paid on the products though the new members were introduced. The registered office of Vanmala Hotels, Travels and Tourism Services Pvt Ltd company is a call center," he said. 
 
He further submitted that in December 2014 the Ministry of Corporate Affairs sealed their office at Chennai and declared Gold Quest International Pvt Ltd and QuestNet Enterprise (P) Ltd as the fraud companies. "Thus, money is collected on­line and though the Independent Representative number is given, actual money was not available for withdrawal. Said money was laundered outside India. The police in the investigation have come across 73 bank accounts of Q Net Ltd and total laundering of is around Rs135 crore," Adv Gharat had said.
 
Below is the order passed by the Bombay HC…
 
 
Earlier in February 2016, the special Maharashtra Protection of Interest of Depositors (MPID) Court had also rejected anticipatory bail applications of these five. The Economic Offences Wing (EOW) of Mumbai Police, which is probing the case, had invoked the stringent MPID Act against controversial multi-level marketing (MLM) company QNet, which has denied any wrongdoing on its part.
 
Gurupreet Singh Anand, a computer consultant from Lokhandawala, Andheri in his first information report (FIR) stated that his wife was duped for Rs30,000 by some people who had introduced themselves as the independent representatives (IRs) of QNet. 
 
While arguing before the HC in person, he contended that the illegal money circulation scheme is being conducted in India by changing names from GoldQuest to QuestNet to the current QNet.
 
Earlier, the SFIO in its detailed ‘secret’ report on GoldQuest International Pvt Ltd and Quest Enterprises India Pvt Ltd has called multi-level marketing (MLM) schemes run by overseas operators as “a potential threat to national security”.
 

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COMMENTS

Jayanth BS

23 hours ago

Many DENTAL specialists are heavily involved in Bangalore, MYSORE, COORG. They are forcing students and colleagues to buy it
What will they do after investing when they are told after enrolling to fetch more clients... To recover they enroll further friend and family members. It's a vicious cycle. Many get to know that they R fooled and keep quite since they are educated enough to suffer silent ly with out discussing the matter for their qualifications. God save them as Govt. Has not taken cognisance of it inspite of court rulings.

Jayanth BS

23 hours ago

Many DENTAL specialists are heavily involved in Bangalore, MYSORE, COORG. They are forcing students and colleagues to buy it
What will they do after investing when they are told after enrolling to fetch more clients... To recover they enroll further friend and family members. It's a vicious cycle. Many get to know that they R fooled and keep quite since they are educated enough to suffer silent ly with out discussing the matter for their qualifications. God save them as Govt. Has not taken cognisance of it inspite of court rulings.

[email protected]

23 hours ago

Thanks Sachin for your suggestion and I would like to know, are they still working in same place?

REPLY

sachin

In Reply to [email protected] 14 hours ago

Yes. But No board Outside. Go with Police and fuck the bastards.

[email protected]

23 hours ago

Thanks Sachin for your suggestion and I would like to know, are they still working in same place?

sachin

23 hours ago

@[email protected]

Want Refund go to the hidden office where QNet is playing hide and seek game. Above Shoba hyper Market 2nd Floor, Kalyan Nagar, Bangalore.

sachin

23 hours ago

@[email protected]

Want Refund go to the hidden office where QNet is playing hide and seek game. Above Shoba hyper Market 2nd Floor, Kalyan Nagar, Bangalore.

[email protected]

23 hours ago

Hi Friends and victims of QNET people, I'm still struggling to take action on person who cheated me and duped me into this scam and I request please suggest me to proper way to take against these cheater and they should be jailed and punished severely.

Tarakant Dwivedi

24 hours ago

They are criminals, looting innocent public. Kindly check the link : http://www.abinet.org/qnet-india-qnet-scam-hyderabad-crime-branch-arrests-12-qnet-officials/

sachin

6 days ago

Want Refund go to the hidden office where QNet is playing hide and seek game. Above Shoba hyper Market 2nd Floor, Kalyan Nagar, Bangalore.

[email protected]

1 week ago

gurupreet bro i will show my case no, but first you answer to Mr. Rafiq question and then come to me

[email protected]

1 week ago

Hi All,

It is a fraud company and feeling pain for loosing huge money perhaps still fighting for the justices. It's all started with one of my friend working with same company and slowly approached me how he changed his life after joining Qnet. He arranged me a meeting with his senior person and they showed me their bikes and cars saying they bought earning through this business and making innocent people to believe and lure them into this fraud business. They explained me how to earn in short duration which makes people suspicious and convert them to involving in this business. It took them 3 hrs to explain about MLM and they went blah..blah..and finally they where very adamant that I should sign up with minimum investment 70,000 along with registration charges immediately to enclose my position. Then after few weeks i did everything and i realized about this MLM later joining. I think i was fooled by them and i got totally frustrated. When i approached to my mentor and seniors for cancellation of product rather they didn't help me to this instead they convinced me to stay and that made my product to lapse and couldn't have option to cancel also and finally they denied me helping saying you'll not get the refund as the time limit has crossed. So I got totally annoyed and then I came across with high court lawyer and as well RTI activist Mr. Rafiq seeking his help for fighting against this case. Finally i filed a case in high court and besides this I've lodged a complaint to commissioner office and I hope Mr. Rafiq will help me in this case. So you people are really in trouble with QNet scam and need refund please get in touch with Mr. Rafiq.

REPLY

gurupreet

In Reply to [email protected] 1 week ago

Stop fooling people here... Please give the case number of the proceeding filled in high Court...

Nandini Mahajan

1 week ago

Hi All,
It is a fraud company. I was lucky that I changed my mind & didn't get involved in this. It all started when one of my college friend with whom I was not in much contact, called me and starting telling me how life has changed for her after joining qnet. She arranged for a meeting with one of her senior. He explained to me about MLM, blah blah.... For like 2.5 hours. He was adamant that I should pay them 25,000 immediately to enclose my position, and when I resisted & told him that I will consult my father who is an advocate & then invest, he became frustrated, I got suspicious, I quickly end the meeting and refused them the next day. PLEASE don't get involved in these schemes they only need scapegoats, they are shameless people.

VINOD KUMAR M D

1 month ago

Hi All,

I understood about QNET how it works and I witnessed by loosing investing lump sum of money in this QNET. It is a big scam and beyond this I suggest my brother and sisters to be safe and don't fall in trap by getting fooled by scammers and it is total waste of time and money investing yours' hard earning money. Its all shit business and kind of network chain link where you need to find a person to form a team under you and then only you get an income. In despite of this case you have to wait for more than 6 months to earn first very small income which your mind makes frustration than ever.

Willson Mathur

2 months ago

Hi All ,
I read all discussions . I do agreed , Q NET is a big shit and scam. I am also a victim of this scam. Same set of questions roaming around in my mind every day
1. How I can recover my money ?
2. To whom I should contact ?
3. How I can proceed further ?
4. If I file FIR then to whom against ?
5. Can government or any authority help me ?
.6. How Can I proof , I cheated ?
...
....

I can go any limit to teach them a lesson, So that no one become fool like us.
Please help me , If you can ..eager to listen to you ..

Manish Mathew

2 months ago

but some people are earning like hell.... Actually we are buying a product and we can use that product then tell me how is it Illegal..??

REPLY

Vivek Kumar

In Reply to Manish Mathew 2 months ago

No One earns other than the owner of the comapny. They fool people saying that one can earn like hell and introduce such "SO CALLED" successful people whom others think they have reached there only by doing this but they are there by fooling people bottom down in the pyramid.

gurupreet

In Reply to Manish Mathew 2 months ago

Who all earning like HELL?

HS

In Reply to gurupreet 1 month ago

My friends tried to dupe me into this. Knowing the unethical tactics of the scheme, I luckily did not fall into their net; QNet. Some of them have resigned their jobs, thanks to the money they get from this scan; at least as they pretend it to be. Few of them have helped themselves with luxury cars; couple of my friends got new luxury cars a fortnight back; don't know how many innocent guys grief will be behind it. To buy those cars, even on EMI, for people like us who earn money without any gimmick, is a tough task. So, seeing them enjoying with someone else's hard earned money, leaves me livid.

HUL's Q4 net up 7%
Consumer goods major Hindustan Unilever Ltd (HUL) on Monday reported a 7% rise in its standalone net profit in the quarter ended March to Rs.1,089.59 crore as compared to Rs.1,018.08 crore in the year-ago period.
 
Net sales increased by 3.36 percent for the quarter to Rs.7,809 crore as against Rs.7,555 report in the corresponding period last year.
 
"During the quarter, the domestic consumer business grew at 4 percent, with 4 percent underlying volume growth. Growth in the quarter was impacted by the phasing out of excise duty incentives, a one-time credit for excise duty refund in the base quarter and marginal price de-growth," the company said in regulatory filing at Bombay Stock Exchange (BSE).
 
The FMCG giant said that lower input costs resulted in 240 basis points reduction in cost of goods sold.
 
Net profit for 2015-16 was at Rs.4,082 crore with the growth rate impacted by the higher exceptional income arising from subsidiary and property related sales in the previous year, it reported.
 
"In challenging markets and a deflationary cost environment, we have delivered another year of competitive and profitable growth. Our sustained focus on investing behind brands, sharpening our executional capabilities and driving market development has enabled us to keep wining with consumers in a rapidly changing market," said company chairman Harish Manwani. 
 
Disclaimer: Information, facts or opinions expressed in this news article are presented as sourced from IANS and do not reflect views of Moneylife and hence Moneylife is not responsible or liable for the same. As a source and news provider, IANS is responsible for accuracy, completeness, suitability and validity of any information in this article.

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