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When good care means less pay

BMJ 2013; 347 doi: (Published 04 October 2013) Cite this as: BMJ 2013;347:f5997
  1. Edward Davies, US news and features editor
  1. edavies{at}

Last year the BMJ launched its campaign against the harms of overtreatment (Too Much Medicine:

It did not do this as a lone voice in the wilderness but as part of a group of organizations and individuals who are slowly realizing that some screening, diagnosis, and treatment is doing more harm than good to patients.

One other such organization is the American Board of Internal Medicine, which launched the Choosing Wisely initiative ( at about the same time as the …

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