Advance advance directives

“Fight, fight, fight!” The children thronged around the two kids wrestling each other. It was a school spectacle, before children spent their lives on Facebook. It was generally the same people—“trouble makers”—crazed guys that you never made eye contact with. But sometimes you have to fight, to save your honour, to protect your friends, to do the right thing. And so it is with the BMJ: fighting generally breaks out in the rapid responses; everyone enjoys the spectacle; it’s what people pay their subscriptions for. I don’t mind fighting, especially among polite, …