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  Totally disagree PaulB on just about every point you made though I have some sympathy over what you said about Lansley but from a different perspective.
  
  Howard - GPs are not exactly on their own, they generally work in groups and have staff. As for a 'funding shortfall' the simple fact is that NHS spending is increasing overall and no matter what you spend on the NHS there will always be a funding shortfall, it is an open chequebook and that is a massive weakness in this whole sorry NHS system.
  
  Vic, I expect I have had more recent experience of the French system than you.
  
  The biggest myth that most people sadly buy into is that the NHS is actually good. It may well be if looked at in isolation, but when you compare it to international standards it falls a long way short of meeting a reasonable expectation. Personally I believe that we all in the UK deserve the best and we will only get that if we drop this whole failed experiment of state funded medicine and adopt an insurance based system on the basis of many continental schemes (not the USA).
  
  These reforms are good for what they are, mere tinkering with a failing system.

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