From the Bottom Up

“This is serious. Everyone has to comply. It's coming from the top down.” That was the refrain I heard over and over while researching the cover story about the Pharmaceutical Research and Manufacturers of America's new ethical guidelines on relationships with healthcare professionals. Like many of you, I applaud the industry for taking this major step to reform the culture of ethical abuses that has dominated the relationships between physicians and pharma reps in recent years.

But t

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