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The real problem with Babylon


(1) As I always say , sign of the times . A virtual market was created , whether we like it or not , both demand and need have gone up exponentially. Both will have to be met by supply. Question is what kind of supply and how to provide that. (2) Being a generalisation X , I would argue need is far more important than demand . Hence , logically,providing the supply for need should be rewarded more. ‘Cherry picking’ is an issue here because there is no such grading of reward . One can be so liberal about a market but if certain virtues are not maintained, liberty will simply take equality for granted as seen in globalisation up to now. (3) I would be happy if all the minor/trivial patient problems encountered are passed to somebody else for televised consultation(phone calls , whatever) if the our practice incomes remain the same. I can concentrate with more of my time ( my new resource) to deal with patients in need . (4) Whether one wants to work in a job to provide supply for demand or need is entirely a personal choice and judgement. We are where we are , it is my opinion that some politicians (Lord Vader , Ozzy , some Lib Dems etc) could never repay for their historic sin even if they died ten thousand times......... (5) Following through the progress of the new Scottish GP contract , my mixed feelings remind me to be open minded about changes. I agree that people don’t like changes but changes are part of life. Still , I would stick to this quote: ‘’Arguments about justice and rights are often arguments about the purpose, or telos, of a social institution, which in turn reflect competing notions of the virtues the institution should reward and honour .’’ Michael J Sandel on Aristotle's ideology What are our ‘new’ telos and virtues of NHS general practice.

Posted date

02 Dec 2017

Posted time