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BMJ 2004;328:407 (14 February), doi:10.1136/bmj.328.7436.407-b
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EDITORRussia's tsars were despots.1 Their lineage lost ground in the late 19th century and some time later ended in bloody murder. Tsars were not appointed: they inherited power and abused it. Sometimes their power was usurped by those with the ear of the throne.
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Credit: BAL
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Peter the Great sought favour with the French court and played at boats with William of Orange. There was only one tsar at a time.
How can a title so suffused in historical imperfection ever be taken seriously? Or was that the intention?
James N Hardy, general practitioner principal
Bethnal Green Health Centre, London E2 6LL james.hardy@nhs.net