Intended for healthcare professionals

Letters How much medicine is too much?

Too much medicine: symptoms matter

BMJ 2019; 365 doi: (Published 02 April 2019) Cite this as: BMJ 2019;365:l1454
  1. H Gilbert Welch, general internist
  1. PO Box 114, Thetford, Vermont 05074, USA
  1. drgilwelch{at}

Godlee lists some efforts “to pull back the harms and waste of medical excess” as well as a caution.1 I am struck, however, that the caution applies to a fundamentally different category of medical care.

The listed examples of too much medicine—routine monitoring in …

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