I do believe this is too restricted, but it is also for good reason. Getting gifts worth more, even if it is health based, can seem as a bribe and could be used against the doctor in the future. Or let’s say if they use this gift and something goes wrong, this could become a legal case as well. I do believe, however, that if the doctor and their spouse are out at dinner for a business event, that he spouse’s dinner should be paid for as well. Dinner without the spouse is still a social, more causal event so having the wife or husband there will not change the business aspect of the evening. It is another thing if it is a social event and not a business event. I believe if the spouse is there for a business-related event, then this should be included in the expenses but if its more than that, such as kids or other people, than it should not be covered.