The actual frontline docs who interact with real patients don't receive shit.

However, the frontline docs are also too overworked, overleveraged and jaded to fight the good fight.

This is actually a somewhat common misconception, people believe private practice Doctors engage in this but Hospital Doctors don't. Weirdly I think this is from all the 'Doctor' TV shows and movies, but that's a totally different topic.

Pharma Reps basically camp out at Hospitals and hit everyone they can from top to bottom, administration to barely certified Nurses. They also do private practice but Hospital administrators are their real goal.

They go after any Doctor and if someone doesn't seem interested they begin spreading the word about it. Think of corrupt cops, if everyone is taking a bite of the apple then they are all safe. If a few refuse they are a danger to the rest. That's the mindset for medical professionals as well, if everyone is over prescribing ____ but one doctor is recommending a cheaper alternative that the pharma rep isn't pushing he'll get pushed out of the Hospital.

The pharma reps carry tremendous, TREMENDOUS power at a Hospital.