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Most of all, there will be choices to be made between what activities go where.
As Stevens warned MPs: "Let's be clear, there are going to be significant challenges, there will be choices, there will be controversies".
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Competition will not be introduced to the NHS "for its own sake", and there "will be choice for patients", with no cherry-picking of services by private firms.
Key idea will be choice.
The variable result will be choice of treatment: type of drug, oral or intravaginal administration (pessary or cream), single or multiple doses and reasons for choosing it.
"Not everyone's first choice will be the choice we go with," explains Tessier-Lavigne.
There will be wrong choices and there will be right choices.
These will be our choices.
In all, there will be 150 choices.
And make no mistake: there will be tough choices ahead.
And there will be "tough choices" on spending.
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