Although I am quite sympathetic to the idea of being able to give something
to a starving baby, I can't imagine that having free formula company samples
available is the only solution to that.  It appears that the Texas law is
designed to prevent HCPs from participating in free advertising, not
designed to prevent altruism.
Surely, if it is okay to buy groceries for a family, it would also be okay
to buy food for a baby if you felt the need.  Neither is likely to be a
permanent solution for the family, and our current systems of safety nets
are of course needed.
As to what docs get from formula companies - it varies but in my experience
certainly isn't worth it.  I don't accept formula samples or gifts, but my
partner does.  Usually the reps leave pens, or occasionally food, or other
small gifts.  In the hospital the sometimes sponsor CME conferences.  One
rep drove a long way to see me since she heard I was "into breastfeeding."
She wanted me to give out sample bags that were little coolers which she
said were "perfect for storing breastmilk."  Of course the formula name was
emblazoned over everything and there were coupons for free formula "if you
have to supplement."
Mothers definitely do perceive that the formula given to them by the
hospital or doctor to be superior.  I hear this again and again from my own
patients.  I try to dispel this notion, even with the formula feeding
parents and explain the nature of advertising and brand loyalty!
Jennifer Tieman
Family Physician
Mom to 4, including my toddler nursling Caroline Rose

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