Kelleher M
Br Dent J. 2017 Nov 24;223(10):759-764. doi: 10.1038/sj.bdj.2017.983.
Has the state's manipulation of the NHS dental contract systems deliberately, or accidentally, had corrupting effects on the behaviours of some members of the dental profession? If the answer is 'possibly' or 'probably', then obvious questions that follow include, 'was this done deliberately' and if so, 'why'? Could this have been done for largely altruistic reasons, or was it done to achieve government control for minimum cost? Might this have been undertaken for political, financial or ideological reasons - regardless of any adverse longer term consequences for some patients or for some dental professionals? Might it have been done to take greater control of the dental profession on the grounds that all professions are a conspiracy against the laity, as the mildly paranoid George Bernard Shaw once alleged? Is it possible that some of this manipulation might have been done to help to disempower yet another profession, allegedly to 'modernise it', but perhaps to enslave it for its own reasons? Was this just another example of some statist politicians wanting to interfere in all aspects of UK society, regardless of their lack of specific understanding, or any proven expertise, in many areas? Could the state's manipulation of contracts and processes be regarded as an abuse of power by a virtual monopoly, which has been used to control a largely altruistic profession by imposing corrupting NHS dental contract systems with the most recent one involving 'units of dental activity' (UDAs)? Perhaps it was really about some politicians wanting ever more power, control or money - their usual drivers - with the dental and medical professions accidentally becoming casualties?
该州对国民保健制度牙科合同系统的操纵是有意还是无意地对牙科行业的一些成员的行为产生了腐败影响?如果答案是“可能”或“很可能”,那么随之而来的明显问题包括:“这是故意的吗?”如果是,“为什么?”这是出于很大程度上的利他主义原因而做的,还是为了以最低成本实现政府控制而做的?这可能是出于政治、财务或意识形态原因而进行的吗——不顾对一些患者或一些牙科专业人员的任何长期不利后果?这可能是因为认为所有职业都是针对外行的阴谋(正如有点偏执的萧伯纳曾经声称的那样)而对牙科行业进行更大控制吗?有没有可能这种操纵中的一些是为了帮助削弱另一个职业的权力,据称是为了“使其现代化”,但也许是出于自身原因而使其受奴役?这只是一些国家主义政治家想要干涉英国社会各个方面的又一个例子吗,尽管他们在许多领域缺乏具体的理解或任何经过验证的专业知识?该州对合同和程序的操纵能被视为一种事实上的垄断权力滥用吗?这种垄断权力被用来通过强加腐败的国民保健制度牙科合同系统(最近的一个涉及“牙科活动单位”(UDAs))来控制一个很大程度上利他的职业。也许这真的是一些政治家想要获得更多的权力、控制或金钱——他们通常的驱动力——而牙科和医疗行业意外地成为了受害者?