Are dermatologists greedy? A better question: are doctors greedy? The most relevant question is this: why is the subject of physician greed ignored by organized medicine? Certainly, the public talks about physician greed. ''Fraud and Abuse Are Milking Medicare'' runs the headline in a recent magazine article that featured the subtitle, ''Dermatologist Removes a Simple Growth and Bills for Multiple Growths.''1 The question remains: why, despite the present uproar over escalating medical care costs, does the medical profession fail to engage the issue of inappropriate reimbursement? This article explores some of the reasons and possible remedies for our diffidence.