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The urologist replied that yes, he was on the advisory board for the company, which had supplied the slides. Notice anything different. Instead, we put our trust in the market. Whatever was left of an ethic of service gave way to an ethic of salesmanship. Yet many reps are so friendly, so easygoing, so much fun to flirt with that it is virtually impossible to demonize them. The more scripts their doctors write for their drugs, the more the reps make. Of course, most doctors are never offered free trips to Monaco or even a weekend at a spa. for them an industry gift means a Cialis pen or a Lexapro notepad.

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Gene Carbona was almost a criminal. My medical-school alumni magazine recently featured the Class of valedictorian, who has written a diet book, started her own consulting firm, and become the national spokesperson for a restaurant chain. But it is impossible to avoid the hard reality informing these ritualized exchanges. Whatever was left of an ethic of service gave way to an ethic of salesmanship. In , it sponsored nearly twice as many educational events led by doctors as by reps. Gifts from the drug industry are nothing new, of course.

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As long as our health insurance has been paid up, we have usually gotten good care. He spent eleven or twelve hours a day at the clinic for months. The company began giving him PowerPoint slides to use, which he also ignored. When an encounter between a doctor and a rep goes well, it is a delicate ritual of pretense and self-deception. The next time, the company asked him to talk not to the public but to practitioners at a community hospital. Whatever idealism they may have had about the practice of medicine is being pushed aside by the concrete realities of hustling in the new medical marketplace. If reps are lucky, their drugs are good, the studies are clear, and their job is easy.

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Description: Oldani used to take residents to Major League Baseball games. After a moment of silence, Dr. They wrote up a contract. We simply live in a country that has decided that the traditional figure of the doctor is not worth preserving in the face of modern economics. Detail men were usually sober, conservatively dressed gentlemen who would not have looked out of place at the Presbyterian church across the street. Oldani grew up in a working-class family in Kenosha, Wisconsin. Instead, she is brutally honest.
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