Re: When I use a word . . . . Too much healthcare—observational studies

Agreement: 
I Agree
Body: 

Dear Editor

Dr Aronson’s article make me think of the distribution of KNOWLEDGE resulting from a medical intervention.

The Bell curve of response might well show us how to treat the majority of afflicted patients. It tells us nothing about why some patients respond and others don’t.

The knowledge lies at the tail ends of the curve. The questions to be asked are: why did some patients do so well, and why did others do so badly.

Too often, the tails are ignored in research.

No competing Interests: 
Yes
The following competing Interests: 
Electronic Publication Date: 
Monday, November 14, 2022 – 12:54
Workflow State: 
Released
Full Title: 

Re: When I use a word . . . . Too much healthcare—observational studies

Check this box if you would like your letter to appear anonymously:: 
Last Name: 
Arnold
First name and middle initial: 
Peter
Address: 
Sydney
Occupation: 
Retired GP
Affiliation: 
Nil
BMJ: Additional Article Info: 
Rapid response
Twitter: 
Peter Arnold

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