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.
There is indeed nothing wrong with being honest with the public on any issue whatever as long as it concerns them.
Two important aspect in comprehensive medical care are, firstly, coordination between Royal colleges, GMC, NHS, Home Office as it concerns shortage of doctors in certain fields, and the second aspect is policies ofthe GMC (UK) which overseas several working conditions without being involved directly, especially in cases of overseas manpower..
GMC (UK) has put off doctors from overseas relying on the UK for a career. With one stroke GMC (UK) in 2007 practically abolished limited registration of thousands of overseas doctors who had passed PLAB in previous decades using flimsy arguments. It has allowed itself to be so much lay led that doctor shortages have resulted in certain fields in the UK. Allow me to quote from a source:
"The figures from NHS Jobs highlight the difficulties trusts face in filling medical vacancies – especially in specialties such as emergency medicine. The analysis is published by NHS Digital.
They show that in six months last year, trusts in one region, Thames Valley, were unable to appoint any doctors through advertisement in spite of advertising nearly 600 vacancies".
If someone does not believe in a rising power struggle between political self styled superclass and Technocrat class, it is not just the UK but many many other countries where state structures have allowed non technical persons to make medical policies.
The death of science is a real possibility in the next few decades as the best brains avoid science, especially medical science, as it will not give them sufficient money, respect, sleep or peace of mind.
The attitude of the press to doctors' outcries does make it a political statement.