Druin Burch is a consultant physician, a former junior doctor, and the author of books on history and medicine.
From our UK edition
What is it that doctors actually do? The answer is not obvious and I say that as a physician who has spent the past 30 years in hospitals. But the question matters. Which tasks can be done better or more cheaply by nurses, paramedics or AI depends upon it. So, too, does the government’s push
From our UK edition
Two people have died of meningitis in Kent: an eighteen year old year 13 student named as Juliette, and an unnamed 21-year-old. The outbreak has centred on a nightclub, Club Chemistry, and on a private party. Since news of the outbreak broke, the newspapers and television have been full of images of students queuing patiently
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The BBC has described itself as being set to enter ‘managed decline’. The government is currently reviewing the broadcaster’s charter, and yesterday the BBC issued a response to its green paper saying that if the status quo remains, public service broadcasting will die. ‘Huge changes in the media market, audience behaviours, and an outdated funding
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Health Secretary Wes Streeting has tried using the NHS for social engineering before. Previously, he’s suggested that weight-loss jabs could get people back to work. This week he’s gone further. Yesterday, Streeting said that ‘for the first time’ he would be ‘making the NHS accountable for patients’ employment outcomes’. Streeting is right that ill health
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‘If there is one thing I dislike,’ said P.G. Wodehouse, ‘it is the man who tries to air his grievances when I wish to air mine.’ His grievance was conversational, mine is nominative: I pity those with made-up names. There was a time when names came from a modest catalogue: the Bible, aunts and uncles
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New research reveals a startling truth about the people paying thousands for weight-loss drugs: they’re mostly middle-aged, wealthy women. In other news, February is cold and the snowdrops are here. The Health Foundation, a British health charity backed by a billion-pound endowment, confirmed today what most people would have guessed: those paying thousands of pounds
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Last month the World Health Organisation removed Britain from its list of countries where measles had been effectively eliminated. The disease has been circulating continuously since late 2023. Last year there were almost a thousand cases, and a child died in Liverpool. Now there is a measles outbreak in Haringey and Enfield. So far it
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People who drink coffee and tea are less likely to suffer dementia, according to a large study published this week. The research is from Harvard and appears in the Journal of the American Medical Association (JAMA), one of my profession’s top outlets. There is every reason to presume its conclusion is wrong. A total of
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Junior doctors have voted to extend their strikes – by a whisker. Turnout for yesterday’s vote collapsed to less than 53 per cent – a whisker above the threshold needed to make it legal. Framed as a pay dispute, the strikes are the result of a needlessly ruined career structure, and a government perversely willing
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By the calendar it is winter, but the days are longer and the birds are singing. Snowdrops are scattered around the front door, and crocuses have already broken through on my lawn. Mostly they are slim and pale, but when the sun has shone they have opened their purple cups to its warmth. Virginia Woolf
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Tesla’s last quarterly report revealed that deliveries had declined for the second year running and, for the first time, annual revenues had fallen. “It is starting to look as if Tesla is finished,” concluded a piece in The Spectator. To what extent Musk will succeed can’t be known, but his track record demands thoughtful uncertainty at
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Lego – I can’t bring myself to capitalise it more than once – was born today in 1958, when it was granted its Danish patent. Parents have been performing staccato hops over the plastic bricks ever since. I will not be alone in remembering a Lego set as being an object of endless desire. As
A patient, an old woman with white hair, stripped of speech by dementia, followed us each shift, staying an inch behind, wanting nothing more than human presence. We let her into the staff room, where she hovered behind whoever was nearest, her tattooed number visible on her forearm. They found a young girl, Doris, who
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‘We will tread more lightly on your lives,’ promised Keir Starmer in his first speech as Prime Minister. Yet his government has not lifted the weight of the state in their 18 months of power but made it more intrusive. Today, as part of a new road safety strategy, Labour is proposing cutting the drink-drive
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Of all the months to choose for abstinence, January seems the strangest. May is intoxicating by itself; winter, when life feels threatened by the silent ministry of frost, needs cheer. Christmas and New Year are past, the birds are already singing loudly in the early mornings, snowdrops push up their green fuses, hellebores grow fresh
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Christmas is now a festival of family and overeating, yet it keeps its pockets of quiet reflection, even for those for whom the sacred has slipped away. There are times when life insists we do nothing, and some come at Christmas. Holidays bring downtime, moments when work and parties, preparations and cleaning, computer games and
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In 1946, buoyed by post-War optimism, the World Health Organisation adopted a famous definition. Health, it declared, was more than the mere absence of disease or infirmity, it was ‘a state of complete physical, mental and social well-being’. A beautiful and tyrannical idea, sentimentally idealistic and setting an impossible standard for human lives. In these
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That time of year thou mayst in me beholdWhen yellow leaves, or none, or few, do hangUpon those boughs which shake against the cold,Bare ruin’d choirs, where late the sweet birds sang.In me thou see’st the twilight of such dayAs after sunset fadeth in the west,Which by and by black night doth take away,Death’s second
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Each winter our NHS is struck by an ‘unprecedented’ number of cases of seasonal illness. Politicians talk gravely of the hard work done by our doctors and nurses, and ask the public to do what they can to help. Newspapers and scientists describe the influx of cases in meteorological terms – a ‘surge’, a ‘wave’,
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Micheál Martin, Ireland’s Taoiseach, said he is shocked by the anti-Semitic slaughter on Sydney’s Bondi Beach. Ursula von der Leyen, the president of the European Commission, is shocked too. So is Christopher Luxon, the prime minister of New Zealand. Yet there is really nothing shocking about the Australian attack. Insanity, as the saying goes, is
