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Dear all: The problem of primary care attenders will never be resolved. The perception of the population at large is that they are entitled to free care 24 hrs a day 365 days a year. Demand will continue to outstrip our ability to supply. This is happening not only in general practice and A&E but also with the monumental increase in the utilasation of ambulances. Is the time right to start discussing charging. Only by severely restrciting the services by introducing finacial burdens will the inappropiate attender to all the services be deterred. The money thgus raised could then be plowed back into the primary care and the interphase to secondary care i.e ambulances and A&E Dept. Safety nets can be put in place and programs for fisrt aid and self help can be finances by the income generated. Lets have a serious discussion and see what the list thinks. Carlos %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%