Conflicts of interest in healthcare: where are we now?

Conflicts of interest in medicine have been a problem for decades but what are we doing about it? What evidence do we have that it is making any difference? Are conflicts of interest in medicine destined to be a 'forever wicked' problem? This talk is unlikely to give any helpful answers but will try to define the problems that we (still) need answers to.
Comments in chat:
LILIANA RISI: This is a ‘wicked problem’ because the Royal Colleges set the bar www.bmj.com/co...
Susan Be: The ton of conflicts - those people who think they are immune as they take money from everyone - or "spread betting"!
Aaron Mitchell: (If anyone has any citable sources for doctors making that claim of “I can’t be conflicted because I take money from everyone,” please send my way! We are in the process of testing this claim. [e-mail])
margaret: www.ourhealtho...
Susan Be: It would help if no editorials were never written by people who've got COIs. A declaration is not enough. We CANNOT have people marking their own homework. NICE at least publicly explains how they handle each DOI.
margaret: our health our knowledge has info on COI
Susan Be: Sorry, got to go, brilliant webinar. We must also keep improving DOIs/ COIs - NICE is finally asking about private practice and medicolegal work. Of course experts are wanted and should be paid. BUT being the 'expert' on a NICE guideline makes you more credible to stand up in court
David Colquhoun: I've been going on about ghost authors for ages www.dcscience....
LILIANA RISI: In challenging the RCGP in receipt of over 1M sponsorship from the the Sultan of Brunei at a time when there were human rights abuses in that country I have asked the RCGP to set the criteria for sponsorship. If there is to be sponsorship at all then perhaps the RCGP could consider accepting only from those companies who pay their tax in the UK, have racially diverse senior executive boards, diversity in clinical trials and have overt commitment to climate change. x.com/lilianar...
James Larkin: The College of Psychiatrists of Ireland have a policy of not taking any pharma money: irishpsychiatr...
Alan Cassels: I have no question but just a comment. The sheer volume of Conflicts of Interest in some sectors in Canadian medicine is truly astounding. The Canadian Diabetes Association’s Guidelines, for example, have 17 pages listing all the various multiple conflicts of its guideline members. It’s clear what is happening: Pharma is putting its own people on the guideline committees which make therapeutic recommendations. And yet the Diabetes Association claims its guideline is solidly ‘evidence based.’ In my mind it has been completely corrupted.
Clare Turnbull: Remember biotech as well as pharma -
Lobbying of congress by GRAIL...
LILIANA RISI: Its the three ‘f/phs’ - ‘fear, faith and pharma’ which drive this era of medicine and healthcare
Clare Turnbull: Patient Advocacy Groups. Supported by Pharma. Lobby All Party Parliamentary groups