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No, just no. Having a sympathetic person listen and provide good advice can be extremely valuable. And these things do not require anything but the attention of someone who cares, who maybe has gone through the same thing. These people are not few and far between, and they are not random.

Also, therapists cannot prescribe drugs. No one with the ability to write a prescription calls themselves a therapist. And I seriously doubt that anyone who can prescribe drugs gets paid a commission for doing so. That would almost certainly be considered a massive ethics violation.



Sorry about the wrong term, though I think it was clear from context. s/paid therapist/psychiatrist practicing psychotherapy/.

If you don't believe the medical industry suffers from the same problems as the political industry, with "sales reps" taking on the roles of "lobbyists", you should do some googling. Here's a nice database: http://projects.propublica.org/docdollars/


There's a lot of difference between a therapist and a psychiatrist. There's even more difference between getting paid on commission and being wooed by lobbyists. Having doctors influenced by lobbyists is almost certainly a negative overall, but it's nowhere close to having doctors literally paid on commission for writing prescriptions.


"As part of that promotion, Allergan provided kickbacks to doctors in the form of cash, travel, and meals and held seminars instructing physicians on how to bill Medicare for off-label procedures. "

http://www.fbi.gov/news/stories/2010/september/settlement-in...


If the FBI prosecutes for it, it doesn't really count. That's kind of like saying you can't eat at a restaurant because some chefs poison their customers. Sure, but it's illegal and not the typical state of affairs.

I don't believe that kickbacks are common (I'll change my stance if evidence shows that they are wide-spread), even for on-label uses. I'm pretty sure they're still considered a serious ethics violation and probably illegal.


I'm sure you're right.

A slightly different twist: a friend of mine is a pharmacist and he was decrying the end of free lunches provided by pharma companies after he finished first year (a few years ago). The influence of drug companies may exert is a recognized problem, even where it doesn't take the cash for prescription model (that I agree with you is probably illegal but I haven't looked into it). I do think it's likely though that there are creative ways out there that drug companies have come up with to encourage prescriptions.




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