And even the pressure on medics has been greatly reduced by regulation.

My friend who is an independent prescribing nurse in the NHS [which means she can go off-piste like a regular doctor writing arbitrary prescriptions, she's not just limited to a handful of standard recipes to solve well understood problems] says after she qualified her blow-out birthday party was entirely paid for by drug reps out of their marketing budgets. These days that would get them fired, and the best you can hope for is stress toys, stationery, that sort of thing.