Personal Views

Care in the community: a conflict of interests?

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7057.632 (Published 07 September 1996) Cite this as: BMJ 1996;313:632
  1. Scott Murray

    John is tired and exhausted. Homeless, he is staying with a friend who says that he is “no bother.” His two black eyes suggest, however, that he is a bother to one of the other residents. He has AIDS and occasionally supplements the methadone I prescribe with pills and injections which he finds more to his liking. His wife and 16 month old child have left him. He has no interest in specialist hospital or community services for HIV or drug users. He was not impressed by a local dermatologist who was interested in his atypical psoriasis, or advice to start zidovudine treatment or PCP prophylaxis. What he wants is a small council flat where he can spend the rest of his days. He grudgingly accedes that …

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