Bmj Usa: Editor's Choice

Small change

BMJ 2005; 331 doi: (Published 15 December 2005) Cite this as: BMJ 2005;331:E393
  1. Douglas Kamerow, editor (

    “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 …

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