AMA: Make Morning-After Pill More Available
CHICAGO – The American Medical Association (search) voiced its support for over-the-counter sales of morning-after birth control, saying the Food and Drug Administration (search) was wrong to reject such sales and urging doctors to write advance prescriptions.
The AMA approved a resolution Monday during its annual meeting opposing the FDA's position. The resolution passed without debate and had drawn applause and wide support at a committee meeting the day before.
Taken within 72 hours of unprotected intercourse, the drug can cut a woman's chances of pregnancy by up to 89 percent. But it can be hard to find a doctor to write a prescription in time, especially on weekends and holidays.
"The overwhelming data is that it is safe, effective and usable across age groups," said Vivian Dickerson, president of the American College of Obstetricians and Gynecologists (search), in remarks to the committee. "Clearly we know accidents can happen to anyone."
FDA acting drug chief Dr. Steven Galson overruled his own staff to issue the rejection last month. The FDA cited concern about young teenagers' use of emergency contraception without a doctor's guidance, but Galson said the agency will reconsider the decision if given more data.
In other action Monday, the AMA approved two anti-smoking measures — one saying that tobacco products should only be sold in tobacco specialty stores and another that encourages the movie industry to place an "R" rating on all new films in which characters smoke.
"Profanity in movies isn't going to kill anybody. But smoking in movies, that encourages kids to take up smoking, might well kill them," said AMA trustee Dr. Ronald Davis of Detroit.
The nation's largest doctors' group also rejected a proposal that would have softened the group's stance against pharmaceutical industry "freebies" including paying for doctors' trips to industry-sponsored educational conferences.
The proposal was offered by Dr. Peter Lavine, a Washington, D.C., orthopedic surgeon who argued that doctors deserve to be compensated for attending such conferences, where they often learn crucial information about new medical equipment and procedures.
It doesn't make ethical sense to allow money for tuition "but not hotels," he said Sunday during a committee hearing on his proposal. "The policy is a mess."
Lavine said many physicians ignore the existing policy, which says doctors should only accept gifts that have some direct benefit to patients and discourages things like free trips, hotel accommodations and other personal expenses for attending conferences.
But several other doctors said that physicians are bombarded with pressure from drug companies marketing their products and that the proposal would increase the chances for them to be unduly influenced.
The AMA's policy-making delegates, who meet again Tuesday, agreed without debate to accept a committee's recommendation rejecting the proposal.
On a related topic, the delegates deferred action on a proposal aimed at strengthening the AMA's policy discouraging "shadowing," the practice of drug company representatives sitting in on patients' visits with doctors.
The proposal would have urged doctors to refuse payment — sometimes hundreds of dollars daily — for shadowing, which critics say is meant to influence what drugs are prescribed. The proposal was referred for further review and a clarified version may be reintroduced at the AMA's December meeting.