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What Do Patients Think About Physicians' Conflicts of Interest?: Watching Transparency Evolve.

Medical conflicts of interest were perfectly evident to patients long before anyone took an active interest in revealing them. These conflicts have been obvious from the moment the first physician accepted the first coin to enter the first plague-stricken home and do what little could be done. 
 
Some are the moral dilemmas inherent in medical practice, a profession an ethicist described in 1983 as “an incessant conflict” between self-interest and altruism.1 This tension is clearly visible to patients in a score of mundane details: one physician is exhausted but refuses to go home, another is needed to provide care but leaves for vacation anyway. One physician shuns contagious patients whereas another contracts their illness and dies; the list goes on.