"Sadly many of the docs on the speaker circuit are well-compensated but often don’t even know they’ve been assigned this role. They’re led to believe that it’s more of an educational entertainment thing to get the drug sales rep’s face to face with other physicians to give their pitch. They often don’t realize that their discussion of off-label use is really indirect advertising that opens up a new market for the drug while saving them the 150M dollars or more required to meet all the hoops and hurdles that the FDA requires for formal approval, the most important one being safety."

Really? I have never met an MD who is shilling for Pharma who does not know exactly what is involved. And I have met/know many of them. You know such individuals?