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BMJ 2006;332:1096 (6 May), doi:10.1136/bmj.332.7549.1096-c
| The first 150 words of the full text of this article appear below. |
EDITORYou know you've upset the profession when a local colleague stops you in the car park to say you've got it wrong. I merely suggested on a Scottish news programme that the general practitioners' pay rise was excessive and divisive.
We have seen record spending on health careto catch up for years of the NHS underfunding.1 We were the backward medical child of Europe, with our French, German, and Italian cousins enjoying much better health care. This of course was a complete false premisemerely doing more operations, having more specialists, and taking more medicines should not be confused with qualitybut that's politics. More spending indeed runs the very real risk of overdiagnosis and unnecessary interventions. The NHS had for decades made the best of its lotpoverty giving it clarity and priority. We were well paid, with a generous pension, and we worked hard. Grumbling was a popular and
Des Spence, general practitioner
Glasgow G20 9DR destwo@yahoo.co.uk
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