Box 6

Tensions between change and traditional practice – excerpts 10–12

10I think that as a professional group, as doctors, our ability to practise our profession in fact depends on a party [health insurer] that won’t even involve itself in the discussion
 Look, this is a very tricky problem, nationwide. It's cultural problem and an organizational problem at the health insurance companies. Because at the overarching level they make all sorts of promises and say all sorts of things, but you've probably noticed in GP practices that if you talk to the salespeople, the purchasers, there's a huge gulf and they do their own thing
11And what I feel is lacking is that, umI feel that the government is capable of making quick decisions about health care now, but that their thinking is very short term and I'm missing the long-term view
12What was achieved during the initial crisis, we really ought to perpetuate that. And that immediately raises practical questions, like how onEarth can I perform on five different platforms simultaneously? … And then, at a certain point, it reaches information overload. So not to be obnoxious or, uh, against cooperation, but at some point it's a question of how, how are we supposed to do that?

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