Dr Miller1 has succinctly stated the opinion of many dermatologists who, despite these days of falling incomes secondary to managed care, still consider the sale of nonprescription products unethical and a conflict of interest. Indeed, this may represent the opinion of the silent majority of dermatologists. As expected, not everyone is of this opinion, and in fact there is a very vocal and well-organized group of dermatologists who promote these practices. Each physician should certainly conduct his/her practice as they see fit. But because there is such controversy over these issues and legitimate arguments for and against, it would be unwise for our specialty to officially endorse either view.