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Too Much Medicine?

BMJ 1999; 318 doi: https://doi.org/10.1136/bmj.318.7178.268 (Published 23 January 1999) Cite this as: BMJ 1999;318:268
  1. Peter Richards, medical director
  1. Northwick Park Hospital, Harrow

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    Ray Moynihan

    ABC Books, $A19.95, pp 308

    ISBN 0 7333 0652 7

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    This is a meticulous and thoughtful critique of the amount of investigation and treatment experienced by patients in modern medicine. Take, for example, the worldwide explosion of diagnostic endoscopy for indigestion. Firstly, there is no evidence that it has resulted in a major improvement in health outcome. Secondly, an army of endoscopists has been created, who see this as all or most of their life's work. Thirdly, …

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