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For La La to get this as a platform to repeat his mantra is an insult. The assumption that competition will make things better is not evidence based. Greater competition will increase transaction costs (per USA system) and if honest intention is to channel greatest resource into clinical care then this hardly seems the way to go. Good for privatisation but not the patient. You can't help but think a proper consultative period following a green paper would have been better all round than the smash it in approach of the white paper.