When I was in Philly, I went to an allergist who really knew the game and how it’s played and used it for the benefit of his patients.
You didn’t really see much evidence of the cheapo stuff like tissues, pens, pads etc. but he had an entire closet full of floor to ceiling shelves stocked chock full of all the latest really expensive asthma drugs. And if you were a patient of his without any insurance coverage for prescriptions, you got whatever was needed straight out of that closet. (It’s not as if you could just walk in and take whatever, but if it was in your chart the nurse gave it to you whenever you needed it.)
At the time I was on two different types of inhalers and a steroid nasal spray on a regular basis as well as antibiotics when needed.
Asthma inhalers are HUGELY expensive and all that stuff would have cost me an arm and half a leg if I’d had to buy them. I was extremely grateful for a Dr. who did that for that benefit of his patients.
Most Dr’s. avoid drug salesmen like the plague and didn’t want to be bothered seeing them. So, the drug reps would only leave a small batch of samples.
But Dr.A. got a WHOLE LOT more simply because he was willing to spend 3–5 mins. with a rep. The first time I saw that closet, I laughed and jokingly asked the nurse if he spent his nights knocking over pharmacies.
She laughed and told me his method very simply. He never saw any rep for more than a few minutes as most had their spiel down pat. But when it came time for sample talk, he wasn’t shy about asking for huge batches of the really expensive stuff that he prescribed the most of.
And he regularly made out like a bandit. Obviously these reps had access to huge quantities of the current meds, so he figured that as long as these drug companies were spending all this money, he might as well use that to benefit his patients.
So he played the game. A tiny bit of his time in exchange for lots of freebies. But he went for the high cost freebies which had the most effect on the quality of life for his patients. Who cares about pens and stuff, it’s those costly meds which really matter.
He was a really smart guy who knew how to play the game and I was very grateful for it.