Sickness certification system in the United Kingdom

doi:10.1136/bmj.328.7437.461

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Doctors are indeed agents of social control

James N Hardy, general practitioner principal (james.hardy@nhs.net)

Bethnal Green Health Centre, London E2 6LL

EDITOR—Doctors are agents of social control and get paid accordingly. And you'd better believe it because it ain't about to change.

A cold ain't a cold until you say it is. A person ain't fit to drive until you say they are, and nobody ain't fit to go back to work until you say they are.

Enter the patient. There are the driven folk, those …