oak-hearted t1_j6dwnwe wrote on January 29, 2023 at 5:42 PM

Reply to comment by TheMountainHobbit in Pa. Gov. Josh Shapiro loosens his predecessor’s notoriously strict gift ban for top officials by CobBasey

"Another 2017 study in jama, however, suggests that even small gifts can cause doctors to change their script-writing behavior. It looked at what happened to the market share of brand-name drugs sold by reps at 19 academic medical centers from 2006 to 2012. Each institution in the study banned small gifts and regulated pharma reps’ visits more strictly at some point during this time; the first enacted its prohibitions in October 2006, the last in May 2011. This staggered timeline allowed the researchers to examine how the rate of prescriptions for the repped drugs changed when the policies went into effect. They found that these drugs lost 1.67 percent in market share to cheap generics and drugs without a dedicated sales force. If that doesn’t sound like a lot, think of it as a percentage of $60 billion, the 2010 sales revenue for the drugs covered by the study. It works out to a pretty handsome payback for some turkey sandwiches." https://www.theatlantic.com/magazine/archive/2019/01/did-free-pens-cause-the-opioid-crisis/576394/

TheMountainHobbit t1_j6emci4 wrote on January 29, 2023 at 8:27 PM

Don’t get me wrong I’m not saying that people can’t be swayed by gifts, but there’s a big difference between what’s described in this article and what I’m talking about ie a Panera boxed lunch that retails for $10. The article talks about taking people to fancy restaurants and giving them thanksgiving roasts. Those aren’t even remotely on par with a sandwich.

I didn’t even bring up pharma sales that was the other guy, the original article is talking about government employees needing to pay cash for a bottle of water, and not being able to accept it for free. I don’t think there’s anything wrong with government employees accepting small freebies, if it’s part of the normal course of business. Like an inspector is on site on a hot day and one of the workers offers him a bottle of water, that should be fine, it’s just common sense. I don’t think he’s gonna go from a fail to a pass because of that.

oak-hearted t1_j6i3t5p wrote on January 30, 2023 at 2:25 PM

The per-diem is up to $75 depending on your area, which can buy a pretty nice lunch. Pharma studies are just some of the studies we have that show a real-world scenario. Politics would be harder to study, as bills are harder to quantify than prescriptions. This study on sales (for instance, and note this isn't my field so I don't know anything about this journal) shows that a gift worth about $7.70 has a large effect, depending on timing: "We find that small gifts matter. On average, sales representatives generate more than twice as much revenue when they distribute a small gift at the onset of their negotiations. However, we also find that small gifts tend to be counterproductive when purchasing and sales agents meet for the first time, suggesting that the nature of the business relationship crucially affects the profitability of gifts."

This review article in the Journal of Bioethics comments that "[t]he presumption is that large gifts, such as extravagant vacations, have the capacity to influence behavior, but gifts of de minimis monetary value, such as donuts and penlights, do not. Yet, while it might seem both logical and practicable to distinguish small gifts from larger, seemingly more problematic gifts, a large body of evidence from the social sciences shows that behavior can be influenced by gifts of negligible value."

Overall, there are many studies showing that small gifts influence behavior, especially in certain contexts. I wouldn't be so sure that a turkey sandwich wouldn't influence my behavior. I am not aware of many of my own biases, and most people are not.