Australian Doctor Australian Doctor 28th July 2017 | Page 10

News Review A billboard from the Advanced Medical Institute spruiking treatments for erectile dysfunction in 2009. Compounding Why do some medical clinics survive despite condemnation from doctors? Australian Doctor investigates. T THE ad for the clinic said, “It’s not all about sex, it’s about being the man you want to be.” So Australian Doctor rings up for a free phone consult to find out about being the man it wants to be. The young man on the phone tells us all we have to do is get a blood test. “So we know your full hormone profile and where your deficiencies are. “It’s a treatment to allow you to reproduce high volumes of your 10 | Australian Doctor | 28 July 2017 own testosterone. It’s not syn- thetic testosterone; it’s just getting the system going with dramatic changes in energy levels, sex drive, sex function. “It decreases body fat. It’s great for moods, sleeping patterns and that type of stuff as well.” How much for this existential transformation? “It’s normally around $4000 for 12 months. We’re doing a promo- tion offer available to the public this week which is 50% off — so it’s only $2000 over the course of 12 months. It’s a great deal.” Rise of commercial medicine This clinic appears to be the latest in a long line of commercial medi- cal ventures rooted in what has become a highly evolved business model. The model works something like this: First, identify a target market — say people with sexual dysfunc- tion or weight problems or prema- ture hair loss. Next, advertise your therapeutic www.australiandoctor.com.au ‘COMPOUND TREATMENTS ... HAVE THE ADDED BONUS THAT THEY ESCAPE THE SAME REGULATION APPLIED TO MAINSTREAM DRUG TREATMENTS.’ — Dr Ken Harvey, Monash University solution in local newspapers, on billboards, maybe on TV or even on the back of supermarket dock- ets. Encourage your potential patient to ring a hotline number, where they will be put through to a sales person to discuss the treatment. If the patient’s keen, transfer them while they are on the phone to speak to a real doctor you employ to prescribe your wonder treatment. Then put them back to the sales team for those all-important pay- ment details. Sound familiar? It is important to point out there is nothing ille- gal in this. The set-up is legitimate — although it is true to say some clinics have ended up flirting with the numerous regulators meant to keep healthcare on the straight and narrow. The most famed exponent of this business model has been the