{"id":383,"date":"2008-05-28T10:15:07","date_gmt":"2008-05-28T09:15:07","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/2008\/05\/28\/joe-collier-word-watching-%e2%80%93-checking-for-tricks\/"},"modified":"2008-05-28T10:15:07","modified_gmt":"2008-05-28T09:15:07","slug":"joe-collier-word-watching-%e2%80%93-checking-for-tricks","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2008\/05\/28\/joe-collier-word-watching-%e2%80%93-checking-for-tricks\/","title":{"rendered":"Joe Collier: Word watching \u2013 checking for tricks"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" align=\"left\" width=\"160\" src=\"http:\/\/www.bmj.com\/channels\/icons\/joe_collier.jpg\" alt=\"Professor Joe Collier\" height=\"111\" \/> I love words. I love their subtlety, their precision, their power, their influence. For me, they represent the embodiment of our thoughts and so our intellects. The abuse of words hurts as it demeans our minds; likewise the failure to respect words riles as it undermines that most precious of commodities &#8211; communication. So what is it that bugs me now, why this rant?<\/p>\n<p><!--more-->Earlier this month (on\u00a08 May to be precise) the House of Commons debated the <a href=\"http:\/\/www.parliament.uk\/healthcom\/\" title=\"Health Committee\">Health Select Committee\u2019s<\/a> report on the National Institute for Health and Clinical Excellence (<a href=\"http:\/\/www.nice.org.uk\/\" title=\"NICE\">NICE<\/a>). The debate, which took place in Westminster Hall, was opened by the committee\u2019s chair, <a href=\"http:\/\/www.theyworkforyou.com\/mp\/kevin_barron\/rother_valley\" title=\"They work for you website\">Kevin Barron<\/a> MP. After summarising the broad recommendations of his report, Barron challenged <a href=\"http:\/\/www.theyworkforyou.com\/mp\/dawn_primarolo\/bristol_south\" title=\"They work for you website\">Dawn Primarolo <\/a>(Minister of State responsible for NICE) on several of the key positions adopted by Government in its initial written response to the report.<\/p>\n<p>Of particular note, Barron raised the issue of NICE as a rationing body. During the Committee\u2019s evidence sessions it became clear that NICE (and many others) saw the Institute as a rationing body, and in its recommendations the committee argued that Government should work with NICE to make this rationing role more explicit.<\/p>\n<p>Ultimately, it was argued, such a move would enhance the public\u2019s ownership and understanding of NICE\u2019s work.<\/p>\n<p>In its written reply Government failed to address the \u2018rationing\u2019 question so now Barron pressed again accusing Government of dodging the issue and asking \u2018\u2026 that Government should work with NICE to make this (rationing) arrangement clear\u201d.<\/p>\n<p>But again, nothing was forthcoming, and Barron was left ironically congratulating the minister \u201con speaking for 35 minutes and not once mentioning the \u2018R\u2019-word\u201d.<br \/>\nI get peeved when students use words wrongly (\u2018infection\u2019 when they mean \u2018inflammation\u2019, \u2018symptom\u2019 when they mean \u2018sign\u2019), or upset when clinicians misinterpret patients\u2019 words (and vice versa).\u00a0<\/p>\n<p>But when politicians wilfully stifle debate by refusing to use a crucially important word I get a sense of foreboding. Why should we trust a minister who uses this political ploy in an area as important as rationing?\u00a0<\/p>\n<p>Individuals do it when not saying \u2018sorry\u2019 or not mentioning words such as \u2018death\u2019 or \u2018cancer\u2019, but when this manipulative and unjust arrangement is institutionalised there is something sinister afoot. Patients and words deserve more respect.<\/p>\n<p><strong>Joe Collier<\/strong> is emeritus professor of medicines policy at St George\u2019s, University of London.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I love words. I love their subtlety, their precision, their power, their influence. For me, they represent the embodiment of our thoughts and so our intellects. The abuse of words [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2008\/05\/28\/joe-collier-word-watching-%e2%80%93-checking-for-tricks\/\">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":[223],"tags":[],"class_list":["post-383","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Joe Collier: Word watching \u2013 checking for tricks - 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\/2008\/05\/28\/joe-collier-word-watching-\u2013-checking-for-tricks\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Joe Collier: Word watching \u2013 checking for tricks - The BMJ\" \/>\n<meta property=\"og:description\" content=\"I love words. 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