Ahmad Risk wrote:
> 
> On 03/18/98 09:22:39,  "Ruth Livingstone" <[log in to unmask]>
> wrote:
> 
> >I know your present policy is to fight against the whole concept of PCGs, and
> >I wish you luck in your endeavours (although I do not agree with you).
> 
> No,  I am fighting for my intellectual and clinical independence.
> If people want to form into PCGs,  good luck to them,  but leave *me*
> alone.
> 
> >However, I would strongly advise  you to develop a contingency plan, if , as
> >seems likely you are forced into bed with these neighboring big spenders.
> >Remember, PCGs are not supposed to be made up of just GPs. You can dilute the
> >influence of your fellow GPs by ensuring that the community trusts, CHC, PPGs,
> >HA and any other interested party you can think of, is allowed a voice.
> 
> Immoral travesty of democracy:
> 
> Votes per Practice are allocated on capitation basis.  That is to say,
> one vote for every 500 patients on your list.
> 
> This gives me 5 votes.  Gives *every other* Practice a much higher
> number of votes.  One of them has 30!
> 
> That means that it only takes *one* Practice,  any one Practice,  to
> vote me down;  whereas I'll need an awful lot more on my side to win
> anything.  Everytime!
> 
> Now,  what do you all think of this kind of democracy?  I am particularly
> interested to hear from the 'thumping majority,  do what you like' bunch
> ;-)
> 
> >I am really concerned that if you sit back and let others run the PCG on your
> >behalf - you will end up in deep and smelly cow dung.
> 
> Ruth,  Ruth!  Do you not know me by now??  :-) ;-)
> 
> Ahmad
> 
> -----------------------------------------------------------------------------
> Dr Ahmad Risk
> http://www.cybermedic.org
> Chairman British Healthcare Internet Association <http://www.bhia.org>
> Director Internet Healthcare Coalition - USA <http://www.ihc.net>
> 
> Home: +44 1273 724866/748198
> Work: +44(1737)240022  Fax: +44 1737 244660
WE are all talking as if only GPS will be voting.  Surely all the other
professions ( pharmacsists social workers etc)and patients will be
represented on 'the management board' whatever that will be.  It will be
a very politacal lifestyle lobbying  all those to think and vote like
you against your 'big' colleagues. THere are many ways of skinnin a
chicken and you are very crearive Ahmad  have some fun with the new
systyem!  We're all talking as though it's all set in stone while we
only have a statement of intent at the moment.

Yomi




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