HR  

Dietary Supplements Trigger Debate in Congress

<<< Back to United States Health Regulatory History

By Robert B. Bluey
CNSNews.com Staff Writer
September 15, 2003

(CNSNews.com) - Marlys Gilbert takes vitamins and herbs every day, so when she heard about a bill pending in the U.S. Senate that could possibly limit her selection, she naturally let her feelings be known.

At issue is the Dietary Supplement Safety Act being pushed by Sen. Dick Durbin (D-Ill.) and three other liberal senators that requires manufacturers to report adverse health reactions - such as heart attack, seizure, stroke or death - for all dietary supplements on the market.

Gilbert said that, in her opinion, the Food and Drug Administration already has too much authority over supplements, but to hand the agency greater regulatory power would be a giant mistake.

"I don't think the FDA should be involved," said Gilbert of Panama City Beach, Fla. "These are not drugs, they're food supplements. I've healed a lot of things taking extra vitamins. I used to think I had carpal tunnel syndrome, and I found out if I took enough [vitamin] B6, the pain went away."

When Durbin introduced the bill in March, he said he was taking aim at the dangerous effects of dietary supplements like ephedra. He said the bill would put the onus on manufacturers - not the FDA - to prove their products are safe. The legislation also classifies anabolic steroids as a controlled substance rather than a supplement.

But the part of the bill that has consumers and manufacturers most upset is the requirement that any adverse health events be submitted to the FDA. The government, critics charge, already has sufficient authority and doesn't need any more.

"This fits into that philosophical mindset that we as Americans are not smart enough to make our own decisions, and the government ought to make our decisions for us. We're too gullible and too stupid to go to the drug store or GNC and pick up a bottle of vitamin C and a multivitamin," said Beth Clay, director of Project: Freedom of Access to Nutritional Supplements.

Clay warned that Flintstones vitamins and St. John's Wort could be regulated under the bill. She said Durbin's bill has particularly irritated her because it's another attempt by elected officials to hand the federal government responsibility.

The nutritional supplements industry does about $15.5 billion in sales per year and has more than 28,000 products in the marketplace, Clay said. In 1994, Congress passed the Dietary Supplement Health and Education Act, which was the last major federal action regulating the industry.

Clay said the existing law is adequate and gives the FDA plenty of authority to regulate supplements. The recent death of Baltimore Orioles minor league pitcher Steve Bechler and Illinois high school student Sean Riggins have renewed interest in the issue.

The legislation has caught the attention of the National Nutritional Foods Association, which is encouraging consumers to e-mail their elected representatives.

Durbin's spokesman, Joe Shoemaker, said it's unfortunate that a handful of manufacturers and suppliers have launched a misinformation campaign against the bill. Shoemaker disputed the impact it would have on common supplements like vitamins and herbs.

"In our opinion, the FDA has the power now to ban sales, but they've never done it, nor would they ever do it," Shoemaker said. "I can't imagine a scenario in which they've allowed ephedra to be sold in the way that they have. There have been 17 deaths [connected to ephedra], and they haven't pulled it from the market. Why in the world would they pull Flintstones vitamins?"

Shoemaker said there's plenty of evidence and congressional testimony that the makers of products like ephedra aren't conducting the necessary safety tests prior to distribution. He said that's why Durbin's bill specifies that stimulant manufacturers have to prove the product is safe. The makers of vitamins and other supplements wouldn't be subject to those regulations.

"Contrary to what manufacturers tell you, their products are being tested. They're being tested on the American public. We're the guinea pigs," Shoemaker said. "We think there's a better way to do it than wait until a sufficient number of people drop dead from buying products over the counter."

Durbin isn't alone in his concern about nutritional supplements. The original sponsors of the 1994 law, Sens. Orrin Hatch (R-Utah) and Tom Harkin (D-Iowa), have teamed together again this year to introduce the DSHEA Full Implementation and Enforcement Act, a measure that has the support of the National Nutritional Foods Association.

Hatch introduced the bill this summer to provide additional funding for the FDA's enforcement efforts and provide more money to conduct scientific research. He said his bill offers a balanced approach, while others would undermine the supplement industry.

"If these natural products were required to meet the same safety and efficacy standards as drugs, as some are threatening, it is extremely likely that dietary supplements in the future would never make it to the market place," Hatch said in a statement.

Another measure in the House, sponsored by Rep. Susan Davis (D-Calif.), who was influential in California's effort to ban ephedra, would give the FDA the authority to collect a greater amount of information about dietary supplements and require manufacturers to send reports to the agency about their products.

For the users of supplements, however, too much regulation ends up hurting the consumer, said Gilbert, who prefers vitamins and herbs to prescription medication issued by her doctor.

"I'm hoping they defeat [the Durbin] bill because it's just another unnecessary thing to put on the public," Gilbert said. "Could you imagine if they put all the health food stores out of business because one person took a vitamin E pill or a garlic pill and had a negative reaction?"





Back to top of document