A good analysis of the problems of state or institutionally funded
medicine; it accords all too well with my thirty years experience as a
full time fee for service G.P.
I am less sure about your solutions; a bit simplistic at the very
least. I do agree that a complete redesign of health care has to be the
starting point but my instincts tell me that only when the patient is
directly responsible to the doctor for the cost of a consultation will
both parties be satisfied. If such an arrangement can be worked into a
state funded system we may regain some of the professional satisfaction
that used to be ours.
Competing interests: No competing interests