{"id":31522,"date":"2014-05-09T10:06:01","date_gmt":"2014-05-09T09:06:01","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=31522"},"modified":"2014-05-09T10:06:01","modified_gmt":"2014-05-09T09:06:01","slug":"the-bmj-today-crises-each-to-their-own","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/05\/09\/the-bmj-today-crises-each-to-their-own\/","title":{"rendered":"The BMJ Today: Crises\u2014each to their own"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/kristina_fister.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft full wp-image-31524\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/kristina_fister-300x283.jpg\" alt=\"kristina_fister\" width=\"194\" height=\"183\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/kristina_fister-300x283.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2014\/05\/kristina_fister.jpg 532w\" sizes=\"auto, (max-width: 194px) 100vw, 194px\" \/><\/a>In Crimea, heroin users have more to worry about than disputed referendums and suspended bank accounts. Since 1 May, the 803 clients of a methadone programme must go cold turkey, given the region\u2019s policy on harm reduction has now aligned with that of Russia. \u201cA blatant example of health policy being hijacked for political ends rather than being led by evidence,\u201d writes Michel Kazatchkine in <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3118\">this Personal View<\/a>. If trends in Russia are anything to go by, Crimea might be in for a worsening of the HIV\/AIDS epidemic\u2014not only among heroin users but also in the wider community. Banning harm reduction is believed to have contributed to the sharp increase in the number of people with HIV that Russia has seen\u00a0over the past decade, from 170 000 to 1.2 million.<!--more--><\/p>\n<p>The UK\u2019s healthcare system has worries of its own. A think thank <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g3129\">has declared <\/a>that a financial crisis in the NHS is \u201cinevitable\u201d by 2015-16, and possibly sooner. Over 8% of gross domestic product (GDP) is now spent on the NHS, up from 5% in 1997; still, no marked increases have happened since 2010, making it difficult to keep up with the rising costs. While pay freezes and management cuts are deemed \u201call but exhausted,\u201d the answer may lie in strengthening primary care which, however, requires investment.<\/p>\n<p><a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2866\">Elsewhere<\/a>, read about how healthy candidate bias can affect assessments of clinical effectiveness for implantable cardioverter-defibrillators; the ins and outs of <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2928\">spontaneous pneumothorax<\/a>;\u00a0and <a href=\"http:\/\/www.bmj.com\/content\/348\/bmj.g2965\">drugs to use<\/a> for sedation and analgesia in people undergoing procedures in the emergency department.<\/p>\n<p><em><strong>Kristina Fi\u0161ter<\/strong> is The BMJ&#8217;s Associate editor<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In Crimea, heroin users have more to worry about than disputed referendums and suspended bank accounts. Since 1 May, the 803 clients of a methadone programme must go cold turkey, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/05\/09\/the-bmj-today-crises-each-to-their-own\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-31522","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Crises\u2014each to their own - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/05\/09\/the-bmj-today-crises-each-to-their-own\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: Crises\u2014each to their own - The BMJ\" \/>\n<meta property=\"og:description\" content=\"In Crimea, heroin users have more to worry about than disputed referendums and suspended bank accounts. 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