They create a culture in which you must fight against these conditions--even if it means risking serious side effects (the anti-fungal drugs for nails can damage the liver, Propecia's anti-testosterone action can decrease libido).
A culture is created where fighting these conditions is made to seem important enough that even serious side effects don't keep people from taking the drugs.
After the 1970s, there were no longer any problems that plagued the accounting profession.