It was a sad day when they changed all the rules on drug reps
entertaining their customers. When my wife was a Fellow, one of them
took 3 couples (us + 2 other Fellows/spouses) to a really nice (one of
the nicest) restaurant in Houston. The waiter brought over the wine
list, she handed it to me and says to order wine. I ask her what the
parameters were, and she says, "I have a lot of budget to spend by the
end of the year, have fun."
And so we did. A LOT of fun. While those days are passed, there is an
occasional "thank you" that comes along.
The interesting thing about health care these days, at least in the
oncology side, is that reimbursements for actual doc time and procedures
is not enough to even begin to cover costs of providing that service.
The money is made on significant mark-up margins of drugs, esp.
chemotherapy agents. That is the rule-based system they work under,
gummint is a big driver of the system. It will be interesting to see
how it all sorts out for the system to actually operate like something
rational. I hold out no hope in that regard, and neither do most of the
other docs (including deans and other big shots).
--R
On 7/7/12 3:43 PM, Peter Frederick wrote:
All those salespeople clear $200,000 a year in BONUSES as a general
rule, with base pay in the upper 80's. I'm sure many make more than
that.
Most pharmas have huge profits from grossly overcharging for patented
drugs, many of which they only had a small part developing (all the
basic research is being done at the University level on the Goverment
dollar).
One of the reasons we have economic problems, eh?
Peter
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