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Recruited and trained by the drug companies, the physicians accompanied by drug reps give talks to doctors over small dinners, lecture during hospital teaching sessions and chat over the Internet. They typically must adhere to company slides and talking points. These presentations fill an educational gap, especially for geographically isolated primary care doctors charged with treating everything from lung conditions to migraines. For these doctors, poring over a stack of journal articles on the latest treatments may be unrealistic.

He went to the Commerce Department after that, and now he is one of the undisputed experts on high-tech issues. With strong GOP connections in the House of Representatives, where he has also worked, Mehlman attracts 322,000 a year from IBM and 240,000 from Hewlett-Packardmdash;just two of some 30 regular clients. The change to a Democratic Congress shouldnrsquo;t slow this firm much: Mehlmanrsquo;s principal partner, David Castagnetti, was chief of staff for Senator Max Baucus, now chair of the Finance Committee, which oversees Social Security and related health programs. His clients include drug and pharmaceutical companies. Heather Podesta, Heather Podesta amp; Partners. A former aide to Democratic Senator Bill Bradley and a graduate of the University of Virginia Law School, Podesta is well known as a patron of the arts.

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