Category archive: Medical ethics

Rearranging the deckchairs in the NHS

Today, we find out what changes are likely to be made to the Health and Social Care Bill that is currently making its way through Parliament. Much of the Bill as currently written, particularly the proposal to give GPs greater commissioning powers, including powers to commission from the private sector, has been controversial. It is therefore not surprising that a certain amount of negotiation is going to happen before the Bill becomes law. However, it strikes me that none of … Continue reading

Destruction of smallpox vaccine

This week, the World Health Organisation will be making a decision about whether to destroy remaining stocks of smallpox vaccine. As I’m sure you know, smallpox was eradicated more than 3 decades ago, thanks to the success of a global vaccination campaign. Given that smallpox used to kill so many people, its eradication is in my opinion perhaps the greatest achievement of medical science ever. Even those who don’t rate it quite that highly would probably put it in their … Continue reading

World Homeopathy Awareness Week 2011

This week has been designated as “World Homeopathy Awareness Week” (WHAW). This is a rather odd title, as we shall see later, but the gist of it is that it is a PR exercise by the homeopathy community, designed to increase sales of their treatments. There’s a hashtag for it on Twitter: #WHAW. The amusing thing is that the vast majority of tweets using that hashtag are from non-homeopaths, pointing out how utterly bogus homeopathy is. Anyway, in the spirit … Continue reading

Bias in papers about bias

I have just read a paper describing how Evil Big Pharma manipulates the medical literature so that they can make more money from selling their drugs, no matter what the science says. That paper made me grumpy. Why? Well, if you are going to write a scientific paper criticising someone for introducing bias into the scientific literature, would it be too much to ask that you should do it in an unbiased way? What makes me grumpy is when people … Continue reading

Water fluoridation

There are many controversies in science, but most of them have a “right answer”. Why should something which has a “right answer” be controversial? Well, it may be because people are simply ignorant of the facts or motivated by competing interests, or it may be that even though there is a right answer out there somewhere, we don’t actually know what it is. A good example of the first kind of controversy is the question of whether passive smoking (otherwise … Continue reading

The imperial war on drugs

I often write about drugs, and am doing so again today, but today’s post is not about licensed pharmaceutical products designed to treat disease; it’s about drugs of abuse: heroin, cocaine, and the like. Bob Ainsworth, a Labour MP and a former cabinet minister, has publicly declared his support for legalising all drugs. It’s certainly a radical solution. He imagines a future in which drug users can obtain heroin, cocaine, or whatever perfectly legally, either on prescription from their GP … Continue reading

The R word

Earlier this week, we learned that NICE is going to lose its powers to decide whether drugs should be funded on the NHS. This is one of the most spectacular triumphs of political fuckwittery over common sense that I’ve seen for a long time. Now I’m not going to claim that NICE was perfect in everything it did. But it did some groundbreaking work in assessing whether drugs represented good value for money. Assessing the cost effectiveness of drugs is not … Continue reading

Sterilisation of drug addicts

A story in today’s news describes a drug addict who has been paid £200 to have a vasectomy, by an organisation that believes that drug addicts should not breed. Now, you could reasonably argue that society would be a better place if drug addicts do not breed. It is likely that their children will not have a good start in life. You could probably come up with counter-arguments to that as well, although the point of this blog is not … Continue reading

My application for a job in homoeopathy

Those of you who follow homoeopathy stories in the blogosphere will be aware that NHS Tayside are currently advertising for a “Specialist Doctor in Homeopathy“. If you are not familiar with this story, and some of the excellent job applications it has generated, you might want to catch up with it here, here, or here (and probably many other excellent blogs as well, apologies to anyone I’ve missed out). I did try applying for the job myself a few days … Continue reading

Plagiarism hurts

First of all, for blindingly obvious reasons, I should acknowledge that the title of this blog post is not original. “Plagiarism hurts” was the title of an article in EMWA‘s journal The Write Stuff by Elise Langdon-Neuner, its editor-in-chief (page 13 of this issue, 1.6 MB pdf). I’m sure that Elise won’t mind me re-using her title, with proper attribution. Elise was kind enough to show me her article before she published it, and we had some interesting discussions about … Continue reading