Aspiring to be global

The British can seem strange. Martin Amis, one of Britain's most successful authors, describes how his father, another successful author, was introduced in Nashville: “‘We have another gentleman from Britain with us tonight,'[said the chairman], displaying the modest pride of a provincial zoo official who reveals its possession of not one but two Arabian oryxes” (p 319).

Perhaps the BMJ seems similarly strange to our readers in Nashville (if we have any), but we aspire to be as international as air or water. We want to be as useful in Nashville as in …