No more free lunches: The market has us all in its grip

doi:10.1136/bmj.327.7410.342

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K S Madhavan, senior registrar (ksmadhavanuk@yahoo.co.uk)

Radiation Oncology Department, St Luke's Hospital, Dublin 6, Republic of Ireland

EDITOR—The relationship between the pharmaceutical industry and the medical profession is natural and can be constructive and cooperative, as well as dishonourable and damaging.1

Any debate on the influence of marketing on decision making and health outcome is considered to be too doctrinaire to be worth while. The subdued response to the theme issue from hospital practitioners is testimony to their belief that it is futile. The market …