The dilemma in Pakistan is that people prefer to buy counterfeit or substandard products to genuine or branded products due to their cheap price, accessibility and availability in the market. The average consumer, for instance, just does not know about the manufacturer or the quality of the product and ends up using expired, degraded or substandard products. Consumers can get better and safe medicines and devices if we can find ways to turn to modern technologies.
The widespread use of spurious, misbranded or adulterated drugs is reflective of lax standards in the medical community, the pharmaceutical fraternity and the related licensing and supervising authorities. We cannot even begin to scratch the surface of the content of medical and surgical practice with unnecessary surgeries, and, increasingly, the deals of everybody, including patients, with health insurance companies. Before public trust erodes further in the health system due to the consumption of substandard drugs by patients, we need to take concrete action.
One possible way is to reduce by a drastic amount essential medicines as per the WHO List of Essential Drugs. We must applaud ethical behaviour and design systems so that not only is good rewarded but it is also seen to be rewarded.
Published in The Express Tribune, June 8th, 2018.
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