Intended for healthcare professionals

Editor's Choice

Premature deaths should be the priority for prevention

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

Re: Less is more : more or less

Remarkably honest of you Richard.

The laying on of hands from a wise and trusted person, with charisma
or extraversion - counts for a lot.

And I strongly agree that it is peer-pressure ( especially from
doctors - whether in Big Pharma, or flash new Specialisms ) who are
pushing unnecessary or over-treatment.. Then comes fear of litigation,
and therapist-anxiety. Much the least pressure comes from patients, who
often want benign paternalistic reassurance, and not admission to the
hospital grinding-mill.

But be careful.. Physiotherapy could be next on the list of BMA votes
against unevidenced therapies, after homoeopathy.

Competing interests:
a job or a life

Competing interests: No competing interests

25 July 2010
L Sam Lewis
GP Trainer
Surgery, Newport, Pembrokeshire, SA42 0TJ