Health reform: reinventing the wheel

To the Editor: It is easy to contemplate redesigning the medical wheel in the face of grossly dysfunctional health services. Garling’s scholarly report1 is unlikely to be adopted to any significant extent by a government that has already sent negative signals. Menadue’s suggestions for new and reassigned responsibilities2 are counsels of perfection for systems that are not capable of making radical changes. Indeed, as illustrated by Van Der Weyden,3 there is a general perception that all informed action has been replaced by ignorance, inertia and an appalling loss of morale.