Rapid responses are electronic letters to the editor. They enable our users to debate issues raised in articles published on thebmj.com. Although a selection of rapid responses will be included online and in print as readers' letters, their first appearance online means that they are published articles. If you need the url (web address) of an individual response, perhaps for citation purposes, simply click on the response headline and copy the url from the browser window. Letters are indexed in PubMed.
Under the proposals, patients can choose their GP, hospital,
consultant and treatment, but not the commissioner for our health care. We
have to accept the care offered by the GP consortia where we live, we have
Surely it would be better if, similar in some ways to the Dutch
health insurance scheme, we could choose between GP consortia or other
commissioners. Commissioners would be more accountable to the public; it
would be more democratic and promote greater efficiency.