Service is abused because it is perceived as being free

doi:10.1136/bmj.312.7043.1422d

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Jon Tuppen

General practitioner Avenue Road Surgery, Brentwood, Essex CM14 5EL

EDITOR,—I agree with many of the points that Per Fugelli and Iona Heath make about the nature of general practice.1 I believe that general practice should lead the shift from an authoritarian to a democratic model of decision making. This model, however, must emphasise the joint responsibility of the doctor and patient in the careful and judicious use of scarce resources.

I prioritise the future in a different way from that of Fugelli and Heath. …