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The UK Government's ‘Agenda for Discussion’ is a political tract, written by a combination of politicians, philosophers and economists without any direct input from the professions providing primary care. There was no consultation with the medical profession prior to its publication. The document is not based on carefully researched and tested ideas for developing primary care. Nevertheless, the British Medical Association's response attempts to apply logic and rationality to a debate which has thus far been heavily influenced by political opportunism.

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