These restrictions do seem very harsh, but I believe that they are necessary to maintain an ethical business environment. In the case of not being able to pay for dinner for the physician’s wife I think it is important to keep the relationship with the physician strictly professional and paying for his wife’s dinner may not seem like a big deal it is still important to define what is and isn’t appropriate and stick with that. The reasons these restrictions exist in this case is so that the physician doesn’t compromise his service and by keep the amount of gifts that the physician can receive will keep the relationship strictly business, as it should be.