(15 Minutes, Chapter Objective 6, AACSB: Reflective Thinking)
9.34. We can think of college students who live away from home as having a substitute
“family.” Whether you live with your parents, with a spouse, or with other students, how
are decisions made in your college residence “family”? Do some people take on the role
of mother, father, or child? Give a specific example of a decision that had to be made and
the roles members played.
Scenarios and examples will vary by student but should identify the roles of various
(10 minutes, Chapter Objective 7, AACSB: Reflective Thinking)
9-35 The promotional products industry thrives on corporate clients that order $19 billion per
year of T-shirts, mugs, pens, and other branded items that are intended to keep their
organizations at the forefront of their customers’ minds. This has caused a lot of backlash,
especially in the medical/pharmaceutical industry where critics worry about the undue
influence of these advertising messages. Stanford University Medical Center prohibits its
physicians from accepting even small gifts, such as pens and mugs, from pharmaceutical
sales representatives under a new policy that it hopes will limit industry influence on
patient care and doctor education. The new policy is part of a small but growing
movement among medical centers (Yale and the University of Pennsylvania have similar
policies). The policy also prohibits doctors from accepting free drug samples and from
publishing articles ghostwritten by industry contractors in medical journals (a fairly
common practice). These changes come at a time when many of us are concerned about
the safety and rising cost of drugs and medical devices. About 90 percent of the
pharmaceutical industry’s $21 billion marketing budget targets physicians. Some studies
have shown that even small gifts create a sense of obligation; one critical study charged
that free drug samples are “a powerful inducement for physicians and patients to rely on
medications that are expensive but not more effective.” Indeed, some industry documents
from a civil lawsuit show that big pharmaceutical companies sometimes calculate to the
penny the profits that doctors could make from their drugs. Sales representatives shared
those profit estimates with doctors and their staffs, the documents show. In response to
pressure in the market, the pharmaceutical industry is largely banning the use of
promotional products. One result is that the businesses that supply these premiums will
lose around $1 billion per year in sales. What do you think about this initiative? Is it fair
to deprive an industry of its livelihood in this way? Why or why not? Where is the line
between legitimate promotion of one’s products and unethical practice? Should
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