I am in complete agreement with the points that Dr LaRosa makes in his letter. As sentient, conscious human beings, we are all subject to a variety of personal, institutional, historical, ethnic, national, and financial pressures, each of which influences our point of view. It is virtually impossible to isolate ourselves from these forces, and hence it is virtually impossible for any person to be completely objective and dispassionate, even in scientific endeavors. Therefore, the only option is a clear declaration of our potential conflicts of interest. It is particularly important to declare financial conflicts of interest as pointed out in our commentary. I appreciate Dr LaRosa's insightful comments in this ongoing national discussion.
Alpert JS. Conflict of Interest: Authorship Issues Predominate—Reply. Arch Intern Med. 2002;162(14):1646-1647. doi: