We are living in an era of frequent public inquiries into health professionals’ conduct, sensational headlines about failed, inadequate or unethical care, constant surveillance of performance and outcomes, concerns about NHS funding, and growing criticism from user groups and patients. Yet, the climate today in medicine and health care is not an optimistic one indeed, it may never have been so gloomy. 1 Doctors have played a significant part in delivering the findings of science to patients in a variety of health care settings. It would not be difficult to support the claim that medical achievements during the 20th century rank as high, if not higher, than those in any other field of human endeavour. Health care professionals should aspire to making medicine the most humane of the sciences
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