“Congress is in a stew over lobbyists’ influence on political decision-making. The Abramoff fallout is likely to strike many who participated in the money-for-favors game, yet all the churning around is unlikely to yield any long-term effect. The reason? There are hundreds of well-heeled businesses and groups with a large and expensive wish list. The predecessor to illegal behavior is the undue influence of financial deals that create tension between the legal and ethical duty of a legislator to his constituents on the one hand and to his own personal interests on the other. When we learned about flagrantly illegal activities by certain lobbyists, many acted with surprise. Why should they have been surprised? Money begets influence, influence corrupts, and corruption can cross the line into crime. But I write not about politicians (plenty of people are doing that already), but about similar corruptive influences in medicine. While lobbying groups spend about $2 billion to convince politicians to do their bidding, pharmaceutical companies spend nearly 10 times that much to influence the nation’s 600,000 to 700,000 physicians to prescribe the newest and most expensive drugs.” (02/13/06)