Disease mongering is a the practice of widening the diagnostic boundaries of illnesses, and promoting public awareness of such, in order to expand the markets for those who sell and deliver treatments, which may include psychiatry, pharmaceutical companies, physicians, and other professional or consumer organizations.
Gifts create both expectation and obligation. “The importance of developing loyalty through gifting cannot be overstated,” writes Michael Oldani, an anthropologist and former drug rep [26]. Pharmaceutical gifting, however, involves carefully calibrated generosity. High prescribers receive higher-end presents, for example, silk ties or golf bags. As Oldani states, “The essence of pharmaceutical gifting…is ‘bribes that aren't considered bribes’”
During training, I was told, when you're out to dinner with a doctor, “The physician is eating with a friend. You are eating with a client.” —Shahram Ahari
http://www.plosmedicine.org/article/inf ... ed.0040150
The Fight against Disease Mongering: Generating Knowledge for Action
http://www.plosmedicine.org/article/inf ... ed.0030191