Uh. Micro doses of. Karma? I dunno. Well exactly and this is the problem I think with binary approaches, it’s exactly the same issue we had under the quality and outcomes framework where GPs were incentivised to ask patients whether or not they smoked regardless of whether it was an appropriate time and place to ask that person if they smoked and wanted help to stop smoking. We can see that some things might be a good idea but in the context of an individual consultation it might be quite insulting to be treating someone as though they were just like a factory patient willing to be processed in the same way as everyone else. And when we lose that humanity and sensitivity from consultations I think we’ve really lost the plot with the NHS..
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