BMJ 2002;324:859-860 ( 13 April )

Editorials

Too much medicine?

Almost certainly

The first 150 words of the full text of this article appear below.

Most doctors believe medicine to be a force for good. Why else would they have become doctors? Yet while all know medicine's power to harm individual patients and whole populations, presumably few would agree with Ivan Illich that "The medical establishment has become a major threat to health."¹ Many might, however, accept the concept of the health economist Alain Enthoven that increasing medical inputs will at some point become counterproductive and produce more harm than good. So where is that point, and might we have reached it already?

Readers of the BMJ voted in a poll for us to explore these questions in a theme issue of the BMJ, and this is that issue. Unsurprisingly, we reach no clear answers, but the questions deserve far more intense debate in a world where many countries are steadily increasing their investment in health care. Presumably no one wants to keep cutting . . . [Full text of this article]

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Rapid Responses:

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