Re: What you need to know about cancer drugs
This week's BMJ highlighted the marginal if any benefit of so many cancer drugs we dish out. The production line system adopted by the NHS in addition to the pressures you mention also encourages the doling out of chemotherapy without thought. To discuss with patients and their families the option of no chemotherapy takes time; not something we have. I used to give patients the information and review them after a week, giving them time to think things over, but this is not possible in already overbooked clinics and of course that approach might god forbid result in a target breach. No chemotherapy also reduces the hospitals income. So much for good medicine.
Competing interests: No competing interests