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Why does the BMJ persist in publishing such obviously politically biased articles such as this. Dr Porter has continually moaned about not wanting change in the NHS and then suggests repealing the recent Act. This will result in yet more upheaval and no real gain. The truth is that CCGs are making real change in the way health care is run in the UK. I have had the good fortune to listen to many commissioners and providers who are making good progress in a difficult financial climate. The BMA should be supporting the changes that have placed Doctors at the heart of the reform. Can we please have some balance