Cost of protest
One of the reasons why protests gradually die down is because of the
realization that it may be futile and harmful for your future prospects.
The medical hierarchy has as many powers of patronage as the political
hierarchy and are not loath to use them. They are also entrenched and often
deprive those who raise issues of quality from membership in interview
panels, discretionary points, and budgets to improve their departments.
Many would feel it is not worth the trouble to damage your prospects for
career enhancement by standing up for what is right and those who talk
about merit, quality and clinical autonomy are considered quixotic.
that there should be constant replenishments of the entrenched medical
hierarchy so that fresh ideas can blossom. Many have been in positions
longer than the prime minister and, as one chairman in the USA memorably
said, "You have the freedom of speech but I have the freedom to fire".
Supporter of clinical autonomy and pure merit in the NHS
Competing interests: No competing interests