Small changeBMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7530.E393 (Published 15 December 2005) Cite this as: BMJ 2005;331:E393
- Douglas Kamerow, editor (email@example.com)
“Change is scientific, progress is ethical; change is indubitable, whereas progress is a matter of controversy.” Bertrand Russell could have been speaking about medicine, where change happens constantly. Whether it is change for the better remains to be seen.
A case in point is our ever-expanding number of new drugs. Most of them are just more expensive versions of existing preparations. Steven Morgan and colleagues (p 511) calculate that 80% of increased prescription costs in Canada are attributable to new “me-too” drugs that don't …
Log in using your username and password
Log in through your institution
Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial