Letters Unethical health reforms

This ethical argument seems irrelevant to the real world

BMJ 2011; 342 doi: https://doi.org/10.1136/bmj.d1946 (Published 29 March 2011) Cite this as: BMJ 2011;342:d1946
  1. Stephen Black, management consultant
  1. 1PA Consulting, London SW1 9SR
  1. steve.black{at}paconsulting.com

Sheehan’s core conflict is less concerning than he supposes, as individual GPs are not allocating resources—that will be done by the consortiums, giving GPs a stronger influence but not individual responsibility.1 But rather more concerning is his assumption that “decisions about resource allocation are increasingly being made within a robust system.” The robust system that has persistently allocated …

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