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Access to generic drugs in the 1950s: the politics of a social problem.

Access to generic drugs in the 1950s: the politics of a social problem. Access to generic drugs in the 1950s: the politics of a social problem. N J Facchinetti and W M Dickson From the published literature of the 1950s, the social history of anti-substitution law is analyzed in terms of sociological theory on the construction of social problems. The analysis reveals how the substitution of generic drugs for prescribed brands came to be recognized as a social problem in need of remedial legislation. The most influential party in the process was the brand-drug industry which centered the debate on matters of public health and professionalism instead of industrial profitability. The industry was able to form a coalition of interests and establish the saliency and legitimacy of the problem, even though there was no objective evidence to establish brand substitution as a hazard to health. The case fits well into the theory of social problem construction. Other issues in health care, particularly drug issues can be studied from this same perspective. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Public Health American Public Health Association

Access to generic drugs in the 1950s: the politics of a social problem.

American Journal of Public Health , Volume 72 (5): 468 – May 1, 1982

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Publisher
American Public Health Association
Copyright
Copyright © 1982 by the American Public Health Association
ISSN
0090-0036
eISSN
1541-0048
DOI
10.2105/AJPH.72.5.468
Publisher site
See Article on Publisher Site

Abstract

Access to generic drugs in the 1950s: the politics of a social problem. N J Facchinetti and W M Dickson From the published literature of the 1950s, the social history of anti-substitution law is analyzed in terms of sociological theory on the construction of social problems. The analysis reveals how the substitution of generic drugs for prescribed brands came to be recognized as a social problem in need of remedial legislation. The most influential party in the process was the brand-drug industry which centered the debate on matters of public health and professionalism instead of industrial profitability. The industry was able to form a coalition of interests and establish the saliency and legitimacy of the problem, even though there was no objective evidence to establish brand substitution as a hazard to health. The case fits well into the theory of social problem construction. Other issues in health care, particularly drug issues can be studied from this same perspective.

Journal

American Journal of Public HealthAmerican Public Health Association

Published: May 1, 1982

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