- Raj Bhopal, emeritus professor of public health
- Usher Institute, University of Edinburgh, Edinburgh, UK
- raj.bhopal{at}ed.ac.uk
I thank Pereira Gray and colleagues for debating my provocative contention that neither prevention nor improved primary care, though valuable and even essential, saves money.12 Pereira Gray and colleagues emphasise the importance of continuity of care, providing four references with evidence—mostly in studies of cohort design but also a review of the literature—that there is an association between better continuity and better healthcare, including reduced costs. This makes sense, and although we might quibble about study design, causality, …