I empathise with Dr Sinha's dilemma of what to do with inefficient doctors (sometimes your own peers and colleagues) who are negligent, unsympathetic and sometimes unskilled, often to the detriment of the patient . While keeping silent is not the solution, one also wonders whether whistle-blowing will really change practices. Indeed, what is needed is to develop a culture in which medical errors can be discussed in a manner that will prevent them from occurring again. This means acknowledging that all of us doctors are human, prone to errors and each ofthese errors has a potential to cause distress or even death to patients.