Intended for healthcare professionals

Letters Professional hierarchies

Hierarchies serve us well

BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k5087 (Published 04 December 2018) Cite this as: BMJ 2018;363:k5087
  1. David M Bowker, retired consultant psychiatrist
  1. Manchester, UK
  1. malcbowk{at}aol.com

Is this article a mild but largely political polemic or a somewhat rhetorical essay?1 Taken with the Editor’s Choice,2 we seem to be guided into the untenable and ideological position that hierarchies are malign.

In all life, hierarchies evolve naturally. As there are neither rewards nor punishments in nature, we …

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