Intended for healthcare professionals

Letters Unethical health reforms

This ethical argument seems irrelevant to the real world

BMJ 2011; 342 doi: (Published 29 March 2011) Cite this as: BMJ 2011;342:d1946
  1. Stephen Black, management consultant
  1. 1PA Consulting, London SW1 9SR

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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