Intended for healthcare professionals

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Premature deaths should be the priority for prevention

BMJ 2010; 341 doi: (Published 22 July 2010) Cite this as: BMJ 2010;341:c3946

Less or More? That is the question.

There lies the rub Dr Hegde.

Most European police forces believe that reducing the fear of crime
is very
important. Much effort goes in to this, e.g. more token bobbies on the
Yet most burglary victims would prefer the rozzers turning up on their
doorstep within half an hour of the crime.

This has always been the problem with regards to physiotherapy (if
problem is
the right word), in that most patients in pain or with stiff joints want
relief, however temporary. Laying of hands delivers this every well, just
like a
speedy response from Five-O to a crime scene.

Yet every Police Chief Superintendent knows that budgets don't
stretch that
far for the type of service people want. Likewise, laying of hands on
patients is
all very well, but who pays for it?

I admit I’ve hijacked this thread, but I am quite sure that what I
allude too has
some merit. The counter argument, especially when applied to medicine, is
that most patients want a rapid response from their doctors, not long-term

chemotherapy with dubious benefits.

Competing interests:
None declared

Competing interests: No competing interests

27 July 2010
Richard Bartley
Wales, UK