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          Our Daily Meds: How the Pharmaceutical        Petersen pounds home the personal, indi-
          Companies Transformed Themselves into     vidual cost of medical care because once she
          Slick Marketing Machines and Hooked the   EHJLQV WR UHSRUW RQ WKH SUR¿WV RI WKH SKDUPDFHXWL-
          Nation on Prescription Drugs              cal industry, the numbers soon reach proportions
          By Melody Petersen                        that can no longer easily be held in one’s head. In
          Farrar, Straus and Giroux, 2008           1980, Americans spent $12 billion on prescrip-
                                                    WLRQ GUXJV  %\      WKDW ¿JXUH KDG ULVHQ WR
              One way to assess the current state of health  billion. In the same time period Americans had
          care in the United States is to look back just a  doubled what they paid for cars, and tripled what
          couple of decades to world longevity statistics.  they paid for clothing, but their spending on phar-
          $ VL[W\ ¿YH \HDU ROG $PHULFDQ ZRPDQ LQ       maceuticals had increased seventeen times.
          could expect to enjoy a longer life span than     Then there is another personal cost paid
          could her contemporary in most other places in  every day by Americans who are the customers
          WKH ZRUOG  %\       KRZHYHU  D VL[W\ ¿YH \HDU   of the pharmaceutical industry. In 2006, accord-
          old woman, with access to the nearly unlimited  ing to Petersen, the average American collected
          supply of the newest and most expensive drugs  twelve prescriptions; the average senior citizen
          the American pharmaceutical industry has to  WRRN KRPH PRUH WKDQ WKLUW\  $QG WRGD\ QHDUO\
          offer, had slipped from her comfortable spot  percent of the entire American population daily
          in expected life expectancy. Among longevity  takes at least one prescription medication.“There
          spans determined for thirty countries in that  is a problem, however,” Petersen goes on, “. . . one
          year, the American woman would come in sev-  that the drug companies and doctors prescribing
          enteenth. American men have fared even worse,  the medicines do not like to talk about. Experts
          DQG D VL[W\ ¿YH \HDU ROG $PHULFDQ PDQ WRGD\  estimate that more than one hundred thousand
          can expect a shorter life than a man his age in  Americans die each year not from illness but
          Mexico.                                   from their prescription drugs. Those deaths,
              Melody Petersen presents these statistics  occurring quietly, almost without notice in hos-
          in Our Daily Meds as one means of examining  pitals, emergency rooms, and homes, make medi-
          WKH SXUSRUWHG YDOXH RI WKH ÀRRG RI SUHVFULSWLRQ  cines one of the leading causes of death in the
          PHGLFLQHV HQJXO¿QJ WKH $PHULFDQ SXEOLF  1R  United States. . . . Prescription medicines, taken   Experts
          one can seem to account for the dismal showing  according to doctors’ instructions, kill more   estimate that
          of Americans in international longevity com-  Americans than either diabetes or Alzheimer’s   more than
          parisons, she points out, even though the United  disease.” On a daily basis that is two-hundred-
          States spends more per person on medical care  VHYHQW\ SHRSOH²RQH HYHU\ ¿YH PLQXWHV²NLOOHG   one hundred
          than any other nation on earth. How much more?  by prescription drugs.               thousand
          More than do all the people of Japan, Germany,     Could these deaths and serious injuries pos-  Americans die
          France, Italy, Spain, the United Kingdom, Aus-  sibly be one reason the nation’s longevity ranking
          tralia, New Zealand, Canada, Mexico, Brazil and  has plummeted?                      each year not
          Argentina combined  ,Q       WKDW ZDV DQ DYHU-     Hand in hand with these dismal facts of   from illness
          age of $6,700 for each person per year; $26,800  death and destruction wreaked by prescription   but from their
          for a household of four. More money than was  drugs comes what is really a macabre American
          spent on housing, food, transportation, or any-  success story. All that aggressive marketing   prescription
          thing else.                               works, for which Petersen repeatedly offers   drugs.

          SUMMER 2009                                Wise Traditions                                           73
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