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Comment on Pharma Paid Physicians $6.5B in 2014 – Looking into the Open Payments Dataset

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In Brazil the industry is forbidden from giving money directly to physicians, so the bribe comes in the form of expenses paid to a cardiology congress at some tropical paradise. They also sponsor talks and things like that.

Orthopedists often take off-the-books kickbacks from physiotherapy clinics they recommend, Dermatologists take kickbacks from handling pharmacies for custom "hydrating lotions", and so on.

The worst case is the field of orthopedic prosthesis: it is controlled by a mob, the same gangsters control other surgical materials like the stents used for coronary angioplasty. A congressional committee investigated the issue and indicted 10 people from 16 companies:

  * Empresas Oscar Iskin
  * Totalmedic
  * Life X
  * Orcime
  * IOL
  * Brumed
  * Strehl
  * Intelimed
  * Prohosp
  * Tellus Rio Comércio e Importação e Exportação Ltda
  * Elfa Produtos Hospitalares
  * Atma Produtos Hospitalares
  * Osteocare Serviços Médicos, Locação e Representação Ltda
  * Signus do Brasil Comércio de Materiais Hospitalares Ltda
  * Biotronik Comercial Médica Ltda
  * Biomet
  * Intraview
Like many other countries in South America, crime goes more or less unpunished.
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