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Dr. Roland Goertz, the board chairman of the American Academy of Family Physicians, says that physicians are worried that losing control over "doctor," a word that has defined their profession for centuries, will be followed by the loss of control over the profession itself.
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What was the goal behind abolishing a whole tier of bureaucracy and giving consortiums of general practitioners (family doctors) control over the commissioning of tens of billions of pounds worth of services from operations to hospital tests or out-patient care?In public, no government minister or official seemed to have a clear answer to such questions.
Veteran British game designer Charles Cecil is currently working on the BBC's well-received Doctor Who Adventure games (downloadable from bbc.co.uk/doctorwho/dw/theadventuregames) and has seen how giving fans control over the Doctor brings them closer to the plotlines.
"Let us insist on real control over what doctors and hospitals can charge," Kennedy cried.
With the law in place, critics say, hospital board members, who are subject to political pressure, have full control over whether doctors can perform abortions.
But the law still leaves insurance companies in charge: with high premiums, high deductibles and co-payments, and too much control over which doctors or hospitals we can go to and what care we get.
Under the rules of the system, the only viable way that [insurance companies] are going to be able to cheapen the coverage is to get control over the doctors.
"Obviously we give anesthetics and we've got very good control over it," one doctor tells Cole-Adams, "but in real philosophical and physiological terms we don't know how anesthesia works".
The case is being closely watched not only by drug makers and data collection firms, but also by health regulators, doctors and consumer advocates who say the decision will have profound implications for doctors' control over their prescription histories, and for information privacy, medical decision-making and health care costs.
The government also loosened doctors' control over the ancillary medical professions.
A company called Medical Justice, which helps doctors fend off malpractice suits, has encouraged its clients to have patients sign agreements giving the doctors control over Web postings mentioning their practices.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com