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There is nothing, that has a more adverse effect upon patient care than a bumbling bureaucracy, in the form of an out-dated and incompetent NHS. What many doctors want, is to maintain their privileges, in the name of patient care. Life becomes very comfortable when one's income is guaranteed by the state. 67 years or there about, is long enough for a system to become rotten to the core. Patients need to be told to start taking responsibility for their health or to pay up. Downsizing the NHS must be undertaken to improve efficiencies and monies redirected to profit centres elsewhere. An inefficient and corrupt service only seeks to impoverish the country. We demand change! Now?