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    I think you may misunderstand my direction here.

    Much as I do not want to seem confrontational Bern, I think that you dumbed it down by suggesting that it could mean the same as 'purely about money', which of course is a term that can, and often is, mutually exclusive from quality.

    I totally agree with many of your points but think this is about far more, as I do with the NHS. Barry often mentions the emotions that blur logic when talking about such things, but it is these very emotions that instill more in us than economics. We have to consider what we are doing on more levels than just 'value for money', a term that really requires no dumbing down at all.

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