Has anyone had any conversation with any senior strat bod inside pharma that positions their drug inside a genuine big ‘social determinants of health’ context?

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I have no idea what that means

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Call 911. You may be having a stroke.

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Sounds like it would be a hard thing to execute in a manner that regulatory would approve. I'm not sure I totally understand what you're talking about (at all), but it sounds far enough removed from what the drug does that is feels outside of indication. Which makes it hard to execute in a recognizable way.

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Do you mean things “building herd immunity” in vaccines? In HIV there is thus concept of U=U meaning undetectable (viral loads) mean your are untransmittable. That’s a fairly socially deterministic strategy. But not sure any drug does it. Seen it more from
Health authorities. And of course antibiotic resistance superbug story. That’s maybe the best example. Maybe an opportunity to do in depression but I’ve never seen it done

I was thinking, why prescribe a drug to treat asthma if the person’s living in a household of smokers? Are any clients interested in influencing the wider context in which their products are used?

That’s more of a payer/population health play. We do payer marketing and they care about the “our drug can do X and that will improve the population at large so put our drug on your formulary and it will save $$$ in healthcare costs” message. HCPs generally only care how the drug can help their individual patients when it comes to marketing messaging.

Any time a drug convo starts with "Xx million people have this disease," that is the social context that the drug is helping with. Same for messages that say "people are undiagnosed." I agree with a previous response, that HCPs care about the patient they have, they cannot fix the people they don't have. And if an asthmatic is living in a household of smokers, all the more reason to treat their asthma forcefully.
Remember, drug messaging is completely circumscribed by the prescribing information. Only a drug with actual data showing lack of transmission can make that claim; and even that drug cannot say "lack of transmission will reduce the number of people with this infection by y%". Cannot say "it benefits society when there is less transmission OR fewer infected people."
I think a manufacturer may be able to make these statements, but that could show no ROI, or even worse, HCPs prescribe the competition.
I personally would love to do that, OP, but not when trying to market a brand.

Has anyone had those conversations now?

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