We need to be more pragmaticBMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39423.425174.1F (Published 03 January 2008) Cite this as: BMJ 2008;336:8
- Adam Paul Fitzpatrick, consultant cardiologist
- 1Manchester Royal Infirmary, Manchester M13 9WL
I worked for two years as an attending physician at the University of California, San Francisco, and the past 12 years as a consultant in the NHS. Rampant commercialism in health care doesn’t work well,1 2 but nor does health care by slavish social dogma, as in the United Kingdom.
In my experience in the United States, university medicine was of a high calibre; knowledge and procedural skill levels were the best I have encountered, and patients were treated …