A note about pharmaceutical promotion: pharmaceutical representatives overallare attractive and young individuals with little if any medical knowledge or training,but are determined to have charming personalities along with a perception of obedience related to the pharmaceutical culture, and this is all Eli Lilly in particularwanted from the members of their sales force. The sales vocation is normallyassociated to contain members with a high affinity for money, it is believed, socorruptive acts such as off label promotion or overt kickbacks is not typically aconsideration of such people, overall, as history has shown. Therefore, if Eli Lilly’ssales representatives who happen to be instructed to sell Zyprexafor dementia ordepression, the orders will likely be followed by such promoters. Or if this sales forceis instructed to pay specifically targeted doctors large amounts of money for doinglittle or no work for this money given to such doctors, it still is not a problem for thesales force to maintain their obedience to their corporate God. This is theperception of not only myself, but many others as well. Plan of action meetings(POAs) are meetings that are held a few times a year by sizable pharmaceuticalcorporations to dispense orders to their sales representatives regarding thepromotion of their drugs.A few years after Eli Lilly launched Zyprexa, the maker appeared, according todocuments, anxious due to their obvious disappointment regarding the initialprediction that was speculated about the growth of this drug that was not meetingtheir expectations, so they had POA meetings throughout the nation and sharedwith the members of their sales force that there is fact a great benefit from amonetary paradigm of implementing ‘seeding trials’, as they are a mechanism forgenerating needed, although fabricated data void of any scientific gain of knowledge (this will be discussed later). This amazingly was done and implementedafterwards rather overtly. Even more unbelievable is that around this time, theZyprexasales force was instructed by Eli Lilly management to seek out clinical trialsites, along with investigators for these trials. Preferred by Eli Lilly was that theinvestigators had to either be Eli Lilly prescribing supporters or high volumeprescribers. This protocol described was written internally, along with the etiologyfor performing these sham clinical trials. Anything in writing can be golden, from anillegal situation such as this.In addition to the clinical trial plan of action of no scientific benefit identified, Eli Lillyinstructed its sales force to utilize what was in fact inaccurate promotional materialthat Eli Lilly gave its Zyprexasales representatives to be used on their sales callswithout exception. Even though this material was largely if not entirely false andmisleading, which was the intent of Eli Lilly, they encouraged their hired promotersthat such material was entirely accurate. To further saturate and corrupt theZyprexa sales force, they were coerced to blunt assertively what are at this timewidely recognized adverse effects of this medication, such as massive weight gain,along with glucose and lipid abnormalities- all of which are dangerous to the user of this medication.
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