As president of a company encouraging dermatologists to office dispense, I feel compelled to respond to Epstein's recent letter in the ARCHIVES.1 Epstein mentions loss of integrity connected with dispensing. While most dermatologists are not selling products, all are selling services. I would argue that if dermatologists can sell their services with integrity it seems unlikely that they will somehow have a different moral standard for products they sell to patients. I personally would be concerned about seeing a physician who does not dispense for fear of losing integrity. How can a dermatologist who cannot trust himself to behave ethically with dispensing be counted on to act in my best interest with less obvious fee-for-service decisions?
Precopio MJ. Don't Dispense With Dispensing. Arch Dermatol. 1998;134(9):1159. doi: