Companies often pay kickbacks to doctors and hospitals. These kickbacks can be disguised any number of ways, but in the end the cost is baked into the price of the drug, device, or service. That tends to result in doctors and hospitals using the more expensive product, not because it is better, but because the company with the highest-priced product is the one that can afford to pay the largest kickback. The whole thing is a self-reinforcing perversion of the marketplace, and one reason kickbacks are illegal.

FCA | Patrick Burns, Ignaz Semmelweiss, kickbacks, prescription drugs, medical devices, ACA, payments to doctors