At the Beginning preferably.
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Just something to take into consideration Hector--(unless you think the medical business in the USA is a level playing field.)
The kick backs are just a side bar and of course are not common practice for all labs--but it does happen--there are plenty of news items if your skeptical--just google.
The ACLA is a very big outfit in the US if your doubting their importance--its hard to know if cutting them out of the equation would influence decisions,but many things are interconnected in the US medical industry.---Its a country where things often work as a result of lobbying. (the main point)
sometimes the whole system over there seems like a giant conspiracy theory.
Where else would the vice president (Dick Cheney),who was on the board of a company that builds military bases (Halliburton)in foreign countries ,be in on decisions about going to war.
A little more info on the Canterbury deal,
http://m.nzdoctor.co.nz//in-print/20...er-cancer.aspx