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An SNF is (mostly!) an excellent idea. Perhaps the way to ensure that unintended consequences are avoided in to make it the default, but with localities or GP surgeries retaining the power to prescribe “off default” when there is a clinical need. That would cover the possibility of drug shortages, and the occasions when a generic dug actually doesn’t work for an individual but the branded version does. Bio similar is not bio same; there are examples of this in the literature.