Salespeople like Schaefer walk the line between the common practice of buying a prospect's time with a free meal, and bribing doctors to prescribe their drugs.

像谢弗这样的销售人员游走于两种常见的做法之间，一种是请可能购买药物的潜在主顾吃一顿饭，另一种是贿赂医生使其为病人开自己公司的药。

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Now (and, some might add, at last) doctors are following suit, rejecting the assembly line of modern medical care for older, gentler options.

现在(也许有人会补充，从过去就开始了)医生们也开始效法，他们开始拒绝对老年人使用现代医药装配流水线生产的药品，而采用更为温和的手段。

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Note for example the ways in which the great professional vocations of the West - lawyers, journalists, academics, doctors - have been co-opted and corrupted by bottom line thinking.

我们须要注意，西方那些伟大的职业，例如律师，记者，学者，医生，都已经受到底线思维模式的影响和损坏。

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So doctors must use stronger, "second line" drugs when the first ones fail.

VOA: special.2009.03.25

Dr Mike Dixon, of the NHS Alliance, which represents doctors, nurses and managers on the front line, perhaps summed it up best in his interview with the BBC's Today programme.

BBC: Why the NHS has to ration care

At the end of the day, the responsibility for the ghostwriting issue rests with the doctors and scientists that put their name on the by line (and cash the checks).

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"I think at the end of the day, if you look at over the past 15 to 20 years of the company, you'd have to say the management has been pushing the bottom line, telling doctors to cut corners, basically saying we are going to evaluate you and promote you based on how well you make money, not on how well you take care of the patients, " Caplan said.

CNN: New Orleans hospital operator has checkered past