In this edition of CHEST (see page 664), Tonelli reviews conflicts of interest (COI) affecting clinical practice. His scholarly approach is gentle and diplomatic. Others have been much less kind. For example, The New York Times has published a series of articles that paint a very unflattering portrait of us. Rather than discount this as liberal demagoguery, consider, instead, a moment of introspection. In each of the following areas, I ask myself whether I am guilty of similar COI and am therefore contributing to the problem. I encourage you to do the same.