Letters Top-up fees

Not allowing top-up fees is unethical

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.a164 (Published 29 May 2008) Cite this as: BMJ 2008;336:1205
  1. Christoph C Lees, NHS consultant
  1. 1Cambridge CB2 2QQ
  1. cclees{at}compuserve.com

    Bloor bases the argument against top-up fees on fairness, particularly the desire not to allow the wealthiest automatic access to the best drugs, while those who cannot pay for private care are disenfranchised.1 The flaw in this argument is that the wealthiest already access their …

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