Medical care continues to be important for health

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6978.529b (Published 25 February 1995) Cite this as: BMJ 1995;310:529
  1. George Godber
  1. Retired chief medical officer Cambridge CB1 4NZ

    EDITOR,—John P Bunker's estimate of the part medical care has played in improving life expectancy1 is a valuable correction to McKeown's much quoted negation of 20 years ago. One of McKeown's main arguments concerned tuberculosis, and this features large in the Canadian report quoted by Ken Judge.2 The introduction to that report reproduces McKeown's graph of mortality from respiratory tuberculosis in England and Wales, showing that the rate standardised for age fell steeply from 4000 per million in 1840 to less than half that figure in 1880, when …

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