The BMA – passionate in its defence of the state and in its attack on markets. Unless the state is against their members' interests, or markets are in favour of them.

The BMA’s recent letter (on 1st March) calling into question the NHS reforms and arrangements for commissioning support was a masterpiece of its kind. At one and the same time they were anxious that the reforms gave the central state too much power over CCGs and anxious that markets were being given too much power over GPs.

I felt it summed up over 60 years of political pain that the BMA has suffered at the hands of government and markets. It must be really hard for them.

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