patients' and women's groups, doctors and medical experts, lobbyists and political organizations interested in the disease, sometimes in ways that skirt disclosure requirements or obscure the companies' involvement. ... In the United States, hundreds of doctors have been recruited and trained to give talks about Gardasil -- $4,500 for a lecture -- and some have made hundreds of thousands of dollars. Politicians have been lobbied and invited to receptions urging them to legislate against a global killer. And former state officials have been recruited to lobby their former colleagues. " This big push is making people crazy -- thinking they're bad moms if they don't get their kids vaccinated ," said Dr. Abby Lippman, a professor at McGill University in Montreal and policy director of the Canadian Women's Health Network. Canada will spend $300 million on a cervical cancer vaccine program. ...And why the sudden alarm in developed countries about cervical cancer, some experts ask. A major killer in the developing world, particularly Africa, where the vaccines are too expensive for use, cervical cancer is classified as very rare in the West because it is almost always preventable through regular Pap smears, which detect precancerous cells early enough for effective treatment. Indeed, because the vaccines prevent only 70 percent of cervical cancers, Pap smear screening must continue anyway. "Merck lobbied every opinion leader, women's group, medical society, politicians, and went directly to the people -- it created a sense of panic that says you have to have this vaccine now,"