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Vol 278 No 7437 p120
3 February 2007

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Leading Article

We call this free speech

Correspondents have raised a number of issues related to The Journal's advertising policy following our decision to include copies of a document supported by AstraZeneca in the same wrapper as the issue of 20 January. These correspondents (pp129–131) have prompted us to publish our policy for advertisers. It will be posted online in the next few weeks and we hope it will clarify some of the issues and preconceptions raised.

In the meantime, we would like to point out that the document was neither an advertisement nor an advertorial. (If it were the former it would have to carry prescribing information; if the latter it would have appeared in the pages of The Journal and would have been labelled an “advertisement feature”.) Neither was it a supplement to The Journal, since it was not branded, or endorsed, either by us or by the Royal Pharmaceutical Society.

So what was it? As far as The Journal is concerned it was a discussion document written by two health professionals (a well known GP and a well known pharmacist), inviting readers to consider how National Institute for Health and Clinical Excellence guidance might be implemented. It was not masquerading as NICE guidance, as one correspondent put it. Some comments made by others about the authors’ integrity were too libellous for us to publish.

What seems to have offended the correspondents is that the document drew conclusions that were counter to NICE guidance (although this is not a new phenomenon — the BNF publishes guidance that is counter to what NICE advises). Worse than that, they say it was a marketing device that might influence pharmacists who came across it. The Journal is not prepared to take such a patronising line: pharmacists can assess the validity of the document’s content for themselves.

Who are we to prevent the distribution of a document (which is neither illegal nor indecent, and which does not break any industrial or regulatory codes of practice as far as we are aware) that has been written by practising health professionals with reputations that, presumably, they would not want to squander on an argument that they did not believe was worth airing? We are inclined to call this free speech.

We put this sort of document in the same category as MeReC bulletins and other such independent publications for which we charge an insert fee and which are carried in the same wrapper as The Journal. Pharmacists may not like the subject matter of inserts (into which we have no editorial input) or the way it is presented but it is up to readers to accept or reject the material; it is not up to us to prevent them from seeing it.

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