Published 11 November 2009, doi:10.1136/bmj.b4678
Cite this as: BMJ 2009;339:b4678

Observations

On the Contrary

The years of magical thinking

Tony Delamothe, deputy editor, BMJ

tdelamothe@bmj.com

The government’s commitment to evidence based policy is belied by its ministers’ initiatives on drug misuse, dementia, and screening

The first 150 words of the full text of this article appear below.

As the parent of offspring who fit both the ecstasy taking and horse riding demographic, my ears pricked up at the claim that horse riding was more dangerous than ecstasy. It turns out to be true. If you track down Professor David Nutt’s editorial in the Journal of Psychopharmacology (2009;23:3-5, doi:10.1177/0269881108099672) you’ll see that horse riding is associated with acute harm once every 350 episodes and that the figure for ecstasy is once every 10 000 episodes.

The then home secretary, Jacqui Smith, told Professor Nutt, the then chairman of the Advisory Council on the Misuse of Drugs, that she was "profoundly disappointed" by his comparison. That Ms Smith was profoundly disappointed by this truth made a deeper impression on me than Professor Nutt’s original statement on relative risk.

Since then Ms Smith has returned to the backbenches in a welter of revelations and recriminations over expense claims . . . [Full text of this article]


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