Who needs health care?

doi:10.1136/bmj.330.7503.1330-c

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Health care may be an oxymoron

Christopher M Buttery, professor of public health (rokimbo@comcast.net)

Virginia Commonwealth University, Richmond, VA 23298, USA

EDITOR—Before decrying preventive medicine in her article “Who needs health care—the well or the sick?” Heath should have defined the term.1 The best of preventive medicine has saved more lives and reduced more suffering at far less cost than all medical interventions, whether in the shape of immunisation, improved sanitation, or better diet. Prevention is about …