Richard Smith: Polypill summit hears of slow progress

The idea of combining antihypertensive drugs, a statin, and sometimes aspirin into a polypill to prevent heart attacks and strokes is now a dozen years old, but still no drug is licensed in a high income country. This week researchers, funders, regulators, policymakers, and drug manufacturers gathered together in Hamilton, Canada, to review and perhaps […]

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Richard Smith on doing the right thing – but at a snail’s pace

One of the things about being an “old guy” is that you realise how extraordinarily slow we are at doing the right thing. You also see wheels being constantly reinvented. This morning, for example, I heard on the radio how the Health Select Committee had “discovered” that 10% of people suffer harm on being admitted […]

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Richard Smith: The polypill is about demedicalisation not medicalisation

One of the things I love about the polypill is that it upsets everybody. (Just in case there are still people who haven’t heard of the polypill, it’s one pill that contains a statin, several drugs to lower blood pressure, and possibly aspirin that if everybody over 55 started taking daily might prevent three quarters […]

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Richard Smith on countering the “wicked problem” of the chronic disease pandemic

I spent two days last week in the seductive grandeur of Trinity College, Oxford, fretting about the global pandemic of chronic disease, but I left feeling optimistic—despite the pandemic raging as fiercely as ever. […]

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