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Pharmacopolitics - Drug Regulation in the United States and Germany (Paperback, New edition)
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Pharmacopolitics - Drug Regulation in the United States and Germany (Paperback, New edition)
Series: Studies in Social Medicine
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Advocates of rapid access to medicines and critics fearful of
inadequate testing both argue that globalization will supersede
national medical practices and result in the easy transfer of
pharmaceuticals around the world. In Pharmacopolitics, Arthur
Daemmrich challenges their assumptions by comparing drug laws,
clinical trials, and systems for monitoring adverse reactions in
the United States and Germany, two countries with similarly
advanced systems for medical research, testing, and patient care.
Daemmrich proposes that divergent ""therapeutic cultures""--the
interrelationships among governments, patients, the medical
profession, and the pharmaceutical industry--underlie national
differences and explain variations in pharmaceutical markets and
medical care. Daemmrich carries the United States-Germany
comparison from 1950 to the present through case studies of
Terramycin (an antibiotic), thalidomide (a sedative), propranolol
(a heart medication), interleukin-2 (a cancer therapy), and
indinavir (an AIDS drug). He points to different political
constructions of ""the patient"" in the United States and Germany
to clarify important differences in government policies and in the
distribution of power among key social actors. Daemmrich advises
that international regulatory harmonization and globalization in
medicine must retain flexibility for social and political variation
between countries, even as they achieve technical standardization.
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