We eithenhave a market in health care or monopolistic providers who are wasteful, inefficient, and unresponsive. Practice based commissioning gave us a taste of what we can do.-At last we have a government with the political will to empower GPs who, let's face it, know better than anyone else what theirpatients want and need, and who can be trusted to make decisions on the basis of overall-quality of service, ratherthan raw cost.
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