I am surprise that so many people are surprised because RX sales people and doctors have been exchanging information for many years now. Indeed some doctors have invested in some of these companies. This arrangement isn't any different than any other industry where a sales people or vendors etc canvas for business.
The problem arises if a doctor or businessman makes quid pro quo arrangement that create conflicts of interests or breaches from fiduciary agents. I was a fiduciary and would not accept any favors or gifts sometimes not even a cup of coffee to spur if the appearance of a conflict of interest. A doctor guided by ethical standards and his/her conscience would confer with such RX sales people to get the best RX products for his patients
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