[refurb]

As someone who has worked in the pharma industry, most doctors are very skeptical of anything a drug rep says, not in the sense that they're lying, but more that they're trying their best to make their products look good.

One shouldn't underestimate other factors in opioid prescribing: 1) the idea that pain is the "fifth sign" and should be aggressively treated and 2) that good pain control leads to positive customer experience.

It's not as simple to say "jesus those docs are stupid to believe Purdue". Some maybe are, but most probably never even saw their rep.