The story of vaccination against human papillomavirus in teenage girls is one of success. Cervical cancer rates have dropped markedly in all socioeconomic groups (doi:10.1136/bmj-2023-077341).1 An equitable implementation plan has achieved equitable benefits (doi:10.1136/bmj.q996).2 A less good health story is the murky use of dubious medical labels to deflect from unlawful death. “Excited delirium,” a term used to explain protestor George Floyd’s death in police custody, is now banned in California and Colorado and removed from police forms in the UK (doi:10.1136/bmj.q1047).3 What binds these extremes is the role of the leadership of health professionals and health systems (doi:10.1136/bmj.q1033 doi:10.1136/bmj.q1069)—the power to do good alongside culpability or complicity in harm. Health professionals need the right environment to …

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谁该对医疗失业危机负责？

在少女中接种人乳头瘤病毒疫苗的故事就​​是成功的例子之一。所有社会经济群体的宫颈癌发病率均显着下降 (doi:10.1136/bmj-2023-077341)。1 公平的实施计划取得了公平的效益 (doi:10.1136/bmj.q996)。2 一个不太好的健康故事是阴暗的使用可疑的医疗标签来避免非法死亡。 “兴奋性谵妄”是一个用来解释抗议者乔治·弗洛伊德在警察拘留期间死亡的术语，现已在加利福尼亚州和科罗拉多州被禁止，并从英国的警察表格中删除 (doi:10.1136/bmj.q1047)。3 限制这些极端情况的是卫生专业人员和卫生系统的领导作用（doi:10.1136/bmj.q1033 doi:10.1136/bmj.q1069）——行善的权力与有罪或共谋伤害的权力。卫生专业人员需要合适的环境……