I think there's something analogous to parasites or cancer in large organizations. People who are bad for the health of the organization, through things like creating too many inefficient meetings or stifling useful behavior, accumulate in time. They're not so egregious that the immune response kicks them out, but they adapt to the system and fatten themselves up at the expense of the host.
You know the archetype. The "product guy" who's always looking busy with a spreadsheet, but mostly just slows down meetings.
As a real cheapskate, you should keep an eye out for places give them out for free. There's an LGBT center near me with a giant basket for free, and a free clinic a longer walk away that gives them out and also does free STI tests.