New BMJ editorial: “How Medicine is Broken, and How We Can Fix It”

June 23rd, 2015 by Ben Goldacre in bad science | 1 Comment »

Screenshot 2015-06-23 16.51.17There are some big problems in medicine, and the public are right to be concerned about our shortcomings. Last week we found out that the Chief Medical Officer has written to the Academy of Medical Sciences, asking for an authoritative review into problems in the evidence we use to choose treatments, focusing especially on concerns around statins and tamiflu.

Will the Academy’s review be a whitewash? We hope not. But we are concerned that they may suffer from a lack of vision, and ambition, in trying to fix the problems in medicine.

So here is our call to arms, in a BMJ editorial. Like everything, I hope it is accessible to a general audience as well as doctors and researchers, because we need everyone’s help to fix these problems. We demonstrably cannot move forward on our own, because we have not.

And now, in whispering tones: this list of fixes is taken from a longer list in the last chapter of my super secret new book on statins, out in six months, which I am “not yet talking about” in public (you heard it here first). In that book I set out the evidence on statins, what we know, what we don’t know, and how we can get better data. Then, I set out a Better Medicine Manifesto: clear, deliverable fixes, that will make medicine better, to a soft metal soundtrack.

This link will get you free access to the BMJ piece:

bmj.com/cgi/content/full/bmj.h3397?ijkey=2mYjSgnGBlAGkOP&keytype=ref