PT - JOURNAL ARTICLE AU - Joshua Parker TI - Too much medicine: not enough trust? A response AID - 10.1136/medethics-2018-105257 DP - 2019 Nov 01 TA - Journal of Medical Ethics PG - 746--747 VI - 45 IP - 11 4099 - http://jme.bmj.com/content/45/11/746.short 4100 - http://jme.bmj.com/content/45/11/746.full SO - J Med Ethics2019 Nov 01; 45 AB - In their paper ’Too much medicine: not enough trust?' Zoë Fritz and Richard Holton explore the connection between trust and overtreatment and overinvestigation. Whilst their paper is insightful, here I argue that much more could be made of a doctor’s (mis)trust and how this exacerbates overtreatment and overinvestigation. By taking Fritz and Holton’s view of trust as having ‘our best interests at heart’ as my starting point, I argue that doctor’s do not always trust that patients or the system has their interests at heart and so use overtreatment and overinvestigation to protect themselves. I also point to the tensions created by a lack of trust on the doctor’s part as a focal point for much needed sustained ethical analysis.