Rapid responses are electronic letters to the editor. They enable our users to debate issues raised in articles published on thebmj.com. Although a selection of rapid responses will be included online and in print as readers' letters, their first appearance online means that they are published articles. If you need the url (web address) of an individual response, perhaps for citation purposes, simply click on the response headline and copy the url from the browser window. Letters are indexed in PubMed.
This idea is not workable in any western country like Great Britain. Transparency of income is already in place through regulated tax system. People know how & where to get referrals at the point of first contact i.e primary care places.
Population in the UK must be around 62 million & I am not sure the total number of health care professionals. Out of the 62 million people , at-least 10 million must be adults who may contact their Doctor or other health professionals periodically. Are you suggesting that there will some kind of educational lessons for vast number of Doctors & patients to make them aware about the conflict of interest regarding their choices of treatment. I thought Doctor - Patient trust is already at its lowest and this exercise will further undermine that trust. Common sense must prevail to address this sensitive issue, without damaging the credibility of the Doctors. They are responsible professionals & can sort out this issue themselves by simply declaring their income to their Accountant and pay the necessary income tax & that should be end of the matter. Furthermore, if any professional is involved in publishing a piece of research, he or she has to sign at the end that they have no conflict of interest in a particular piece of research. Otherwise they wouldn't sign or tick that statement.