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Correspondence Edited by Stephen P. Stone, MD| Volume 40, ISSUE 6, P747-748, November 2022

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The Ethics of War, Pharmaceutical Companies, and Prescriptions

      Recently, a drug rep from one of the pharma companies came to my office (JG-K) advocating for me to write prescriptions for their newest medication. Internet research revealed that their company continues to have a strong presence in drug manufacturing and distribution in Russia. Is it ethical to prescribe this new product while Russia is at war with Ukraine, when efficacious alternatives from other companies boycotting Russia are available?
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      References

      1. Yale School of Management. Over 1,000 companies have curtailed operations in Russia—but some remain. Available at: https://som.yale.edu/story/2022/over-600-companies-have-withdrawn-russia-some-remain?utm_campaign=mb. Accessed April 11, 2022.

      2. KHN. Which companies aren't exiting Russia? Big pharma. Available at: https://khn.org/news/article/big-pharma-reaction-russia-ukraine-war/. Accessed April 11, 2022.

      3. Medecins Sans Frontieres. The practical guide to humanitarian law. Available at: https://guide-humanitarian-law.org/content/article/3/sanctions-committees/. Accessed April 11, 2022.

        • Stoff BK.
        Foundations of clinical ethics.
        in: Bercovitch L Perlis CS Stoff BK Grant-Kels JM Dermatoethics: Contemporary Ethics and Professionalism in Dermatology. 2nd ed. Springer, New York, NY2021: 3-11
      4. The New York Times. Sanctions were crucial to the defeat of apartheid. Available at: https://www.nytimes.com/roomfordebate/2013/11/19/sanctions-successes-and-failures/sanctions-were-crucial-to-the-defeat-of-apartheid. Accessed April 11, 2022.