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    Much as I agree with the principle of cutting waiting lists to help patients, there is a bigger picture Roger.

    At present the NHS must be getting good deals from the private contractors, the logic is that gradually the NHS will cut back on staff and facilities as things are working well with the likes of Spire healthcare. Once that happens the charges will rise and the effect will be longer waits for treatment.

    We have to remember that private health companies first duty is to their shareholders not patients.

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