s.'"
             It is a well known fact that our healthcare needs reform through cutting costs, reducing waste, spurring innovation, recognizing scarcity, avoiding replication of services and expensive technologies, educating physicians to be more active gate-keepers of health services, increasing access and minimizing costs. After acknowledging the need for renovation and reform the author moves on to refute the oppositions rejection of the business model by correcting misinterpreted terms. We are accurately reminded, "self interest is a concept different from selfishness and greed, and that the former is perfectly compatible with serving other moral ends while the latter is not."
             Mr. Wicks does an effective job in convincing us to share his opinion that the way people view medical ethics should be tempered somewhat, along with people's view of business ethos. He does this by pointing out that very few physicians are capable of the altruistic ethic imposed on them and very few businesspersons are selfish and greedy as some have implied. The truth about motives, regardless of profession, lies somewhere between the two extreme views, and it would be beneficial to the healthcare system and patients to recognize this reality. With this recognition we can begin to agree that combining ethics and self-interest is about rehabilitating our extreme views and adopt a new view or 'moral code' that makes trust, respect for others, decency and fair play central concepts that can and should be applied to both medicine and business individually and cooperatively.
             I want to say it is oversimplified – which is true if you try to apply this moral code as the solution to the specific issues of conflict of interest. However, the real problem is that it only addresses an individual piece of the issue. The author is working from the side of business to develop a kinder view of business; he does not address...