The stakes -- A practitioner's history of medical innovation -- Enter the conflict-of-interest mania -- The mania mongers -- Abusing evidence -- Bad policy process -- Flawed and damaging policies -- Misunderstanding innovation -- Economic illiteracy -- Misplaced criticism of incremental innovation -- Rushing to judgment with product safety alarms -- Demonizing marketing is false advertising -- The 'gift' smoke screen -- The lawyers' ball -- The price we pay -- What is to be done?.