Dave Sackett has been wined, dined, supported, transported, and paid to speak by countless pharmaceutical firms for over 50 years, beginning with two research fellowships and interest-free loans that allowed him to stay to finish medical school. Dozens of his randomised trials have been supported in part (but never in whole) by pharmaceutical firms, who never received or analysed primary data and never had veto power over any reports, presentations, or publications of the results. He has twice worked as a paid consultant to advise pharmaceutical firms whether their products caused lethal side-effects; on both occasions he told them “yes.” He has testified as an unpaid expert witness for a stroke victim who successfully sued a manufacturer of oral contraceptives, and as a paid expert in preparing individual suits against manufacturers of female hormones and NSAIDs and in class-action suits against manufacturers of prosthetic heart valves and oral contraceptives. He was paid by a pharmaceutical firm to develop “levels of evidence” for determining the causation of adverse drug reactions. His wife inherited and sold stock in a pharmaceutical company. While head of a division of medicine he enforced the banning of drug-detail personnel from clinical teaching units (despite the threat of withdrawal of drug industry funding for resident research projects). He received the Pharmaceutical Manufacturers’ Association of Canada Medal of Honour (and cash) for “Contributions to Medical Science in Canada” for the decade 1984–1994. A recent award (the 2010 Gairdner-Wightman Award) was sponsored by the Canadian Government and 21 research bodies, provinces, and manufacturers.