This article (a) examines physicians' ethical obligation to report medical errors to their patients, (b) discusses the literature which analyzes why they fail to do that, (c) explains how New Jersey made an ethical requirement into a statutory one with the passage of the Patient Safety Act, N.J.S.A. 26:2H-12.23, and (d) suggests how statutory mandatory error reporting in New Jersey may impact the culture of health care and medical malpractice litigation. Excerpted from "The Consequences of Truth: Compulsory Medical Error Reporting in New Jersey," Medical Malpractice Law and Strategy, Volume 26, Number 9, June 2009, by John Ratkowitz.