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The Diary wonders if cash-strapped medical schools in Britain are planning to follow in the footsteps of the Johns Hopkins medical school in Baltimore. It recently held a "Botox Night" where 40 people got botulinum injections to eliminate pesky facial wrinkles for $100 (a saving of $400). Consumer lobby group Public Citizen called for the university's dean of medicine, Edward Miller, to cancel the event. "We are astonished that a respected institution such as Johns Hopkins would permit so inappropriate an activity. Can this be the most productive use of faculty members', students' or residents' time?"