{"id":34107,"date":"2015-05-06T10:10:02","date_gmt":"2015-05-06T09:10:02","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=34107"},"modified":"2015-05-06T10:10:02","modified_gmt":"2015-05-06T09:10:02","slug":"the-bmj-today-private-practice-so-venal-it-bordered-on-criminal","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/05\/06\/the-bmj-today-private-practice-so-venal-it-bordered-on-criminal\/","title":{"rendered":"The BMJ Today: Private practice\u2014\u201cso venal, it bordered on criminal&#8221;"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/EC-patient-pay.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-34109\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/EC-patient-pay-300x219.jpg\" alt=\"EC-patient pay\" width=\"218\" height=\"159\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/EC-patient-pay-300x219.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/EC-patient-pay-1024x746.jpg 1024w\" sizes=\"auto, (max-width: 218px) 100vw, 218px\" \/><\/a><strong>\u2022\u00a0Private practice is unethical\u2014and doctors should give it up<\/strong><br \/>\n<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2299\">Consultant cardiologist John Dean talks frankly about why he could not go on with his private medical practice<\/a>. &#8220;No matter how high I set my own moral and ethical standards, I could not escape the fact that I was involved in a business where the conduct of some was so venal, it bordered on criminal\u2014the greedy praying on the needy.&#8221;<\/p>\n<p>He&#8217;s prepared to be judged by those uncomfortable with his stance: &#8220;Is it a crass hypocrisy, though for me to sit atop a pile of money I earned and and pretend to have the moral high ground? Maybe, but I wish I hadn&#8217;t done it. Perhaps it would have been easier if I had not been allowed to.&#8221;<!--more--><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/polling_station21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-34112\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/polling_station21-300x225.jpg\" alt=\"polling_station2\" width=\"208\" height=\"156\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/polling_station21-300x225.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/polling_station21.jpg 432w\" sizes=\"auto, (max-width: 208px) 100vw, 208px\" \/><\/a><strong>\u2022\u00a0More profit and loss<\/strong><br \/>\nOne day until polling day and the NHS will no doubt remain on the agenda in the last frantic day of canvassing. But why hasn&#8217;t the internal market been more of an issue, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2296\/rr\">asks Sarah Evans, a GP principal from Bedfordshire in a response<\/a> to <em>The BMJ<\/em>&#8216;s <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2296\">letter to the next health secretary<\/a>. &#8220;The major drain on current NHS resources is the administrative and information overhead of the internal market. . . CCGs are beset by too many decision makers with few available to write detailed tenders or develop models for delivering change.&#8221;<\/p>\n<p><strong>\u2022\u00a0Improvement comes in &#8220;increments,&#8221; not breakthroughs, for patients with chronic fatigue syndrome<\/strong><br \/>\nThere hasn&#8217;t been too much good news for patients with CFS. Several notable &#8220;breakthroughs&#8221; have failed independent replication. But, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2087\">write Andrew Lloyd and Jos van der Meer, in an editorial<\/a>, as is often the case in medical research, progress is predominantly made in modest increments not breakthroughs.\u00a0The authors consider the evidence and what the next &#8220;increments&#8221; might be.<\/p>\n<p><em><strong>Rebecca Coombes<\/strong>, head of investigations and features at <\/em>The BMJ<em>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2022\u00a0Private practice is unethical\u2014and doctors should give it up Consultant cardiologist John Dean talks frankly about why he could not go on with his private medical practice. &#8220;No matter how [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/05\/06\/the-bmj-today-private-practice-so-venal-it-bordered-on-criminal\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-34107","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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