I certainly do not disagree with this, but I must say that never ever has a pharmaceutical rep offered me a penny. There was a time that an equipment/ device company would pay me to lecture their salesforce, but it was not significant whatsoever and our hospital used their equipment anyways(I had no choice in the matter). We occasionally (1-2/year) have cme and a sponsored dinner at a local restaurant, but the program is independent of the company. Nobody is paid off. I am not sure who receives all this $$$. I would like to be know which doctors at being paid off. It is unethical.