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COMMITTEE ON GOVERNMENT OPERATIONS

WILLIAM L. DAWSON, Illinois, Chairman

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CONTENTS

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Kline, Nathan S., M. D., director of research, Rockland State Hospital,
New York Department of Mental Hygiene....

Steele, Dr. J. Murray, chairman, committee on public health, New
York Academy of Medicine___

Stevenson, Dr. Ian, professor and chairman, Department of Neurology

and Psychiatry, University of Virginia, Charlottesville, Va..

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115

Comparison between 4 drugs, based on an article published in
December 1956, footnote..

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Blatnik, Hon. John A., a Representative in Congress from the State
of Minnesota, and chairman, Legal and Monetary Affairs Subcom-
mittee:

Excerpt from an editorial by Dr. Joseph Garland, editor of the
New England Journal of Medicine, entitled, "Editorial Respon-
sibility for Medical Advertisements".

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FALSE AND MISLEADING ADVERTISING

(Prescription Tranquilizing Drugs)

TUESDAY, FEBRUARY 11, 1958

HOUSE OF REPRESENTATIVES,

LEGAL AND MONETARY AFFAIRS SUBCOMMITTEE

OF THE COMMITTEE ON GOVERNMENT OPERATIONS,

Washington, D. C. The subcommittee met, pursuant to call, at 10:10 a. m., in room 1501 House Office Building, Hon. John A. Blatnik, presiding.

Present: Representatives Blatnik (chairman), Hardy, Mrs. Griffiths, Meader, and Minshall.

Also present: Jerome S. Plapinger, counsel; Eric Weinmann, associate counsel; Curtis E. Johnson, staff administrator, and Elizabeth Heater, clerk.

Mr. BLATNIK. The Legal and Monetary Affairs Subcommittee of the House Government Operations Committee will please come into public session.

The hearings today resume the subcommittee's inquiry into the activities of the Federal Trade Commission in the control of false and deceptive advertising of medical preparations. Our attention to date has been directed to advertising of proprietary preparations— that is drugs sold directly to the public.

In this series of hearings our interest is focused on the advertising of drugs directed to the medical profession-particularly the advertising of tranquilizing drugs.

It is generally accepted that the medical profession, by virtue of its extensive scientific and medical training and experience is a highly sophisticated audience not easily misled by questionable advertising. However, we are informed by some physicians that in the last 20 years, and especially in the last 10, a virtual revolution has occurred in the drug field with the advent of hundreds of new and potent drugs for the treatment of human ailments. They contend that it has become increasingly difficult for the physician to keep abreast of the nomenclature and new drug developments in these many fields.

Traditionally the medical profession and the drug manufacturers have comprised a joint effort in the fight against disease-the physicians applying evaluating the drugs manufactured by the drug industry. In this joint activity a great responsibility rests on the manufacturers to make their advertising and promotional literature as informative and objective as possible. Its merchandising standards must be those of the laboratory not of the market place. It appears that there have been departures by some drug firms from this plane. Their advertisements on occasion have been something less than scientific documents to guide the physician.

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Our first witness is Dr. Nathan Kline, director of research, Rockland State Hospital, New York Department of Mental Hygiene.

Both of our witnesses have been most helpful in preliminary exploritory and investigatory work on the part of the staff of the committee, and both witnesses have been subpenaed in this appearance. Dr. Nathan Kline, you are the first witness. I notice you have a prepared statement. Would you introduce yourself, and give a summary statement of your background, your field of professional work, and any additional material that may be put into the record?

Mr. MEADER. Mr. Chairman, I notice he has a curriculum vitae here.

Dr. KLINE. I was going to save running through my obituary by having it written out. If I may, I would like to submit that as exhibit A.

Mr. BLATNIK. Without objection, it is so ordered. (Document referred to is as follows:)

NATHAN S. KLINE, CURRICULUM VITAE

PERSONAL HISTORY

Born at Philadelphia, Pa., March 22, 1916, and raised in Atlantic City, N. J. Married June 1942 to Margot Hess of Elberfeld, Germany. One child, Marna Ellen, born April 1945 in New Orleans, La.

Scholastic training

1934: Graduated high school, Atlantic City, N. J. Extra curricular activities included editorship of school magazine and yearbook, captaincy of debating team, presidency of literary society, and membership on tennis team.

1934-38: Swarthmore College; bachelor of arts degree with honors in the division of mathematics, and the natural sciences. Comajored in philosophy and psychology.

1938: University of Pennsylvania (summer session).

1938-39: Harvard University graduate student in the department of psychology, graduate school of arts and sciences.

1939: Harvard University (summer session).

1939-43: New York University College of Medicine (doctor of medicine, 1943). 1940-41: New School of Social Research; special courses in psychology. 1943-44: Washington School of Psychiatry courses.

1946-47: Princeton University; graduate work in the psychology department. 1947-48: Rutgers University; graduate course in neuropsychiatry.

1950-53: Clark University; graduate studies in psychology (master of arts in psychology, 1951).

Licenses and certificates

1. State licenses: Maryland, February 1944; District of Columbia, May 1944, No. 782; New York, October 1946, No. 44877; New Jersey, September 1946, No. 12004; California, June 1949, No. C-12145; Massachusetts, May 1950, No. 22491. 2. Diplomate, American Board of Psychiatry and Neurology (in psychiatry, May 1948, No. 2934).

3. Qualified psychiatrist (New York State No. 1262).

Positions

1943-44: St. Elizabeths Hospital, Washington, D. C.; intern and resident. 1944-46: United States Public Health Service; wartime service as psychiatrist. 1946-47: Union County Mental Hygiene Society's clinic; part-time child psychiatrist.

1946-50: Veterans' Administration hospital, Lyons, N. J.; supervision and carrying out of various research projects and assisting in the educational program.

1947-50: Columbia-Greystone; associate.

1948-50: New York State brain research project; associate.

1950-52: Worcester State Hospital, Worcester, Mass.; director of research. 1952 to present: Rockland State Hospital, Orangeburg, N. Y.; director of research.

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