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Cohen is president of the Institute for Safe Medication Practices (ISMP), a nonprofit organization that derives its reports from the USP-ISMP Medication Errors Reporting Program. Not only is it easy for patients to fudge their symptoms, but also the doctor has no way to make an independent diagnosis.

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With the explosion of medications for sale on the Internet, defense lawyers for the pharmaceutical industry are worried that the absence of an intermediary doctor will make it easier for plaintiffs to sue manufacturers directly for failure to warn if someone is injured by the product.
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