On the money .... as they say Doc. I got out of the Pharma biz in 1993. Too dirty. As a Hospital District Manager and Then the Director of Government Sales for a J&J division I saw first hand where pharma was headed. When the FDA authorized tv, radio and magazine marketing of Rx drugs, the nature of the beast changed quickly. It was about profits before then but after the marketing approval it ramped up.

Big pharma discovered that most docs would prescribe a drug that a patient asked for unless they thought it would harm the patient. Side effects were always down played (see OxyContin marketing).

Why will you do that doc? Because if I don’t, the patient will find a doctor that will. So, the docs caved just as pharma knew they would.

Terrible to indict the entire industry however it is justified. Pfizer, Merck, BW and J&J leading by example.