Apply science, not politics

doi:10.1136/bmj.39325.444491.3A

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David Barer, professor in stroke medicine

Queen Elizabeth Hospital, Gateshead, Tyne and Wear NE9 6SX

d.h.barer{at}ncl.ac.uk

Markus leaps from a discussion about outcomes to a plea to reorganise acute stroke care to improve access to thrombolysis.1 Not one patient received thrombolytic treatment in the studies he quotes, but such subtleties will be lost in the political hubbub about the NHS letting us all down yet again. It is frustrating that after 25 years' research, we have only one drug treatment, alteplase, which seems to work, and we only manage …