There is very good epidemiological evidence that melanoma is related to UV exposure that Shuster has not cited.1 Marks has shown that the public health campaign in Australia has shown not only a decrease in the incidence of melanoma but also an increase in the detection of early, treatable lesions.2 Despite this positive progress, Queensland, a tropical region, has the dubious honour of having the world’s highest incidence of melanoma. Is it Shuster’s assertion that the white Anglo-Saxon and Celtic majority living in this area somehow have inherited genetically unstable melanocytes? Alternatively, is it …