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12 Hastings Comm. & Ent. L.J. 535 (1989-1990)
Doctors Can Just Say No: The Constitutionality of Consumer-Directed Advertising of Prescription Drugs

handle is hein.journals/hascom12 and id is 555 raw text is: Doctors Can Just Say No: The
Constitutionality of Consumer-Directed
Advertising of Prescription Drugs
by
MICHELLE D. EHRLICH*
Introduction
Americans who suffer from arthritis, allergies, baldness, heart ail-
ments, or who use oral contraceptives or want to quit smoking, may now
learn of prescription remedies without a physician's guidance-through
advertising directly targeted at them. Until 1988, the general consensus
within the pharmaceutical industry was that federal law prohibited ad-
vertising of prescription drugs by name to the general public., Federal
law has not changed, but the industry's opinion has. The Upjohn Com-
pany blazed the trail in late 1989 with advertisement of its anti-baldness
treatment by name;2 other pharmaceutical companies have since found it
desirable to follow suit. One explanation may be that, as brand-name
drugs' patents expire, the drug manufacturers are concerned with main-
taining the lead against generic drug manufacturers.
The biggest explosion caused by these ads is not in their numbers,
but in the surrounding ethical debate. The interests of three groups are
at stake: consumers/patients, physicians, and manufacturers. Advertis-
ing prescription drugs to the public meets strong opposition from mem-
bers of Congress, certain consumer groups, and the medical profession.
The arguments against advertising such products include harm to the
consumer/patient, harm to the patient-doctor relationship, increased
costs of drugs, increased demand for drugs, unnecessary drug consump-
tion and, that this type of commercial speech is unprotected by the first
amendment.
* B.A. University of California, Los Angeles, 1985; J.D., University of California, Has-
tings College of the Law, 1990. This Note is dedicated to my parents, Janet and Morton
Ehrlich, for their endless support and encouragement.
1. Horovitz, Upjohn Must Keep a Cool Head in Marketing its Baldness Drug, L.A.
Times, Aug. 19, 1988, at D1, col. 3.
2. Bernstein, Prescription Drugs: Pitching Directly to the Patient, U.S. NEWS & WORLD
REPORT, Jan. 15, 1990, at 46.

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