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ORGANISATION OF MEDICAL SERVICES:- Samuel asserts that the health system is structured in many ways for the benefit of service providers, rather than consumers. This is not true. It is structured for the administrative purposes of those who fund the service and organise it. This is not ideal for either those providing care or those receiving it. It introduces unproductive competition and makes many of the services more difficult to provide effectively. It makes integration difficult. Samuel now suggests we compound this problem by restructuring health care for the purposes of economic ideology and the benefit of the market.
I suggest that the current divisions should be abolished and that it be restructured cooperatively along the lines of the services provided so that the services can be brought most efficiently and effectively to the citizens who need them. How this would be best accomplished should be a matter for the community to decide in consultation with those who provide the services.