Deborah spoke about the impact of medical reporting when people and oragnisations with vested interests don’t want open discussion at the XXIX Paulo Scientific Symposium. This brought a group of international scientific experts to raise awareness of problems related to medical excess and to identify the best sustainable evidence-based practices. The symposium’s aim was to find methods for eliminating sources of bias from clinical trials and guidelines, to advance the dissemination of accurate scientific information and to promote critical societal debate about medicine