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> who presumably considers whether the drug a patient is requesting is appropriate.

Sure.. presumably, but let's not forget about drug reps. You know, those salesmen from the prescription companies (who run the ads) who "advertise" to doctors with fancy vacations and other perks. I've heard plenty of stories where a doctor prescribed something he/she knowingly wasn't supposed to (or there was a better alternative available), but had an "in" with the drug representatives allowing for perks they just weren't willing to give up.




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