[howlgarnish]

"Of course I always have the best interests of my patients in mind, but, you know, it's not like they'll pay more if I prescribe Lexapro instead of Zoloft. They won't come back more often or refer more friends. So I'd sorta just be, like, donating this money if I paid you for this thing, right?"

But you know who would pay more if they prescribe Lexapro? The manufacturer of Lexapro, and that's who he should have pitched this to. And they have the marketing muscle needed to make it scale.

That said, there's all sorts of conflict of interest/slippery slope issues going down that path, and I'm not sure they would buy this either, but they'd still have been his best bet.