The report, which was supported by groups representing pharmacies, pharmacy benefit managers and oncology practices, called for the discounts to be more narrowly focused.
These groups require members to keep up to date with appraisal practices, called the "Uniform Standards of Professional Appraisal Practice," and to adhere to a code of ethics.
But the precise symbolism of bridges was often muddled, as activists also decried banking practices, called for more jobs and demanded a narrowing of the divide between the richest 1 percent of the population and the other 99 percent.
At the end of October the country's independent commission on corrupt practices called in the agency's former chairman and eight other officials for questioning over money and drugs missing from an exhibit.Organised criminals have also got into the business.
Union leaders, who have been particularly critical of Wal-Mart's workplace practices, called last week for the resignation of the chairman, S. Robson Walton, and the chief executive, Michael T. Duke.
Since the Affordable Care Act was signed three years ago, more than 370 innovative medical practices, called accountable care organizations, have sprung up across the country, with 150 more in the works.
