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BMJ 2006;332:62-63 (14 January), doi:10.1136/bmj.332.7533.62
If the NHS stops free care for all groups, charities may offer the only safety net
| The first 150 words of the full text of this article appear below. |
The decision by Médecins du Monde to open medical clinics in Tower Hamlets, east London, as an alternative to NHS primary care raises profound questions about society's attitude towards marginalised people.1 Médecins du Monde is best known for relief work in areas of disaster or war and in developing countries. Less well known are this non-governmental organisation's projects in European countriesmore than 100 in France alonefor groups with restricted access to health care. Alongside its humanitarian clinical work, the organisation is committed to speaking out about social and political conditions in which its client populations live, and calling for changes to improve their circumstances.2
Inequality in access to health services is not a new problem for east London, where inadequate recruitment and retention in general practice make access to the NHS difficult for the whole population.3 Médecins du Monde will focus on vulnerable migrants, including asylum seekers and refugees,
Sally A Hull, senior clinical lecturer
Clinical Effectiveness Group, Barts and the London, Queen Mary's School of Medicine and Dentistry, London E1 2AT
(s.a.hull@qmul.ac.uk)
Kambiz Boomla, senior clinical lecturer
Clinical Effectiveness Group, Barts and the London, Queen Mary's School of Medicine and Dentistry, London E1 2AT
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