Thread by @Altostrata

"They considered their findings generalisable across healthcare....” bmj.com/content/370/bm… /1

"Perhaps most striking was the testimony from 100s of patients reporting lack of informed consent for...initial treatment, followed by years of dismissal by clinicians & regulators who did not want to associate life altering symptoms or injured children with their [products]" /2

"The review panel found that healthcare providers’ dismissive attitude toward patients was underpinned by a reluctance in all parts of the system to collect evidence on potential harms...." /3

"....by a lack of coordination that would allow clinicians and agencies to interpret and act on that information, and by a culture of denial that failed to acknowledge harm and error, impeding learning and safety." /4

"These patterns are already familiar to all patients who have been harmed by medical care. What the Cumberlege team has flagged is the stubborn flaw that lies at the heart of the practice of medicine. It is often called “culture.”" /5

"But this type of embedded attitude seems to go beyond culture, beyond fear of liability, and beyond the profit motive when that exists. It is a patronising and insufficiently curious way of doing business that is often at odds with the realities of helping patients heal...." /6

"....and is increasingly out of place in a connected modern world. How to change it is still an unsolved problem. There have been inquiries, reports, and recommendations over the years, but the fundamental issues around power, justice, and compassion are still with us." /7