This month sees the publication of a philosophy themed edition of the Journal of Evaluation in Clinical Practice. The edition contains a number of articles on the nature of health, disease, diagnosis and care, and a section on rethinking medical epistemology. There is also a debates section, which is made up of responses to papers from a previous edition of the journal. The topics discussed there include the nature of causality and also whether evidence-based medicine is failing as a result of industry contamination of research. I recommend that interested readers of The Reasoner take a look at the edition.