Independence may be most cost effective way to improve health care ================================================================== In the second sentence of this letter by Peter R Mansfield, we might have confused readers by inadvertently reversing the meaning that he had intended (*BMJ* 2006;333:1121-2, 25 Nov, doi: [10.1136/bmj.39037.695069.3A](http://www.bmj.com/lookup/doi/10.1136/bmj.39037.695069.3A)). His intended meaning was that “it would be good to have more talks like the one given by Adriane Fugh-Berman, especially if such talks are effective at reducing subsequent drug company sponsorship of medical education because doing so may be the most cost effective way to improve health care.”