“…Even so, and especially in such an environment as the present one in the Island of Malta, on medico-legal grounds, we recommend joint management and practice review on even firmer grounds than elsewhere. For the rapidly and increasingly heterogeneous population, poses new medical challenges of diagnosis and management, both from the increasingly foreign 'European' component, but even more so from irregular immigration [2]. Non-local European patients not only have recourse to local Courts, but, naturally, as a last resort, also to the European Courts.…”