It is with exquisite sadness that anyone concerned with the future of health care in England now observes the present broken covenant of trust between government and medical profession. I cannot recall a time since 1980 (the year I became a medical student) when the confidence doctors and politicians have in one another has been so low, when the dialogue between them has been so bitter. Ever since the creation of the Royal College of Physicians in 1518, the profession has served at the pleasure of government.
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