Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
I repeatedly read the note, " At the bottom of the pile " and found the composition to be baffling.
Between the top-most statement,' the north is becoming another country ' and the ending bottom line, ' Britain's current record ( = of how well it treats the weakest, poorest and the neediest ) is appalling ' is a linkless body of data. Statistics pertaining to social welfare benefits in UK from 1991 to 2008, details of a rowdy football game in 1989, beliefs of a Bishop, a police cover up story, deficiencies of prison health care, locking up of twice as many people as they did twenty years ago in England and Wales--are all disorderly packed in the pile.
Referring to Liverpool and Wales as " north of England " is cartographically inaccurate.