-----Original Message-----
From: Mark Pasola [mailto:[log in to unmask]]
Sent: 17 October 1998 17:04
To: Ahmad Risk
Subject: RE: What happens if we don't co-operate with PCGs?
Ahmad, some serious questions.
What is your estimate of the proportion of GPs who will walk away from the
NHS, and what level of provocation would be required for them to do so?
I suggest that the majority will be fearful of leaving the security of that
secure but mediocre income, not to mention cost-rent etc which guarantees
that they can pay the mortgage.
Few of us know anything but the public service, and beleive in it too?
How will chambers meet the health needs of the poor, the day after we all
resign from the NHS, if the Govt has not agreed to pay?
What do we do when the embarrassed and aggrieved govt decides that it can
train up nurses to do the bulk of primary care, supported by a few
"consultants" in primary care?
Mark
> -----Original Message-----
> From: [log in to unmask]
> [mailto:[log in to unmask]]On Behalf Of Ahmad Risk
> Sent: 17 October 1998 12:03
> To: [log in to unmask]
> Subject: Re: What happens if we don't co-operate with PCGs?
>
>
> On Sat, 17 Oct 1998 10:55:06 +0100, Mark Pasola wrote:
>
> >Imagine being bound by PCG decisions over which we have no
> influence - the consequences are fearsome!
>
> Commenting on this and the other bits of the doomsday scenario that I
> snipped:
>
> Non-cooperation won't work because you are still a hostage. It's like
> a hostage in Beirut refusing to eat!
>
> Imagine this:
>
> All the political capital is realised by forcing through PCGs without
> doctors, everybody onboard except the doctors, all pcg boards are happy
> bootlicking and wallowing in the power and the glory.
>
> Now imagine this:
>
> The doctors (primary and secondary) are not in this cosy setup. What's
> missing?
>
> Now imagine this:
>
> The doctors have left and formed themselves into Medical Chambers.
>
> Thus ending all this crap about gms/reimbursement/redbook/decision and
> policy making divorced from reality, etc.etc.
>
> Your *real* power, my dear learned friend, is *not* in manipulating the
> levers of power.
>
> Your real power resides in your ability to heal.
>
> You have a choice now:
>
> 1. Sell it cheap to a bully, remain a hostage pissing inside the tent
> (it won't take long before the stench gets everybody out)
> 2. Or let the market decide its true value by being an indpendent
> *medical* care provider working from Chambers
>
> In the case of the latter, the NHS that they would have created without
> you will come knocking on your door just like any other customer you
> care to mention.
>
> Want more details? Watch this space.
>
> Ahmad
>
>
> ________________________________________
>
> Dr Ahmad Risk
> http://mednetics.org
> Office: +44 (1273) 748198
> Home: +44 (1273) 724866
> Fax: +44 (1273) 748198
>
>
>
>
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