I simply don't think it is accurate to state that drug reps and samples increase costs. Again, how do you want them to advertise? Are they not supposed to advertise?
I do not remember the sources, but multiple sources have stated over the years that sampling and advertising does, in fact, make a huge difference in costs. I remember being shocked when I heard this, and dismissed it, but have since read it from multiple sources. There is advertising, and there is advertising. You want to take out a full page ad in the NEJM? Fine. I can note it, and look it up at leisure. But the pretty lady with sandwiches and a free shiny gizmo is not advertising in my view; it is pandering.
