Why combining public/private practice is ‘unethical’

Private practice is unethical and doctors on the NHS should give it up, argues a British doctor in the BMJ this week.

Dr John Dean, a consultant cardiologist, believes private and public medicine are incompatible, and that doctors should not be allowed to work in both sectors.

He describes how he quit private practice after realising “it has direct adverse effects on the NHS”.

The fact is that the business of medicine and the practice of medicine are at odds, he argues. Private medicine encourages doctors to make decisions based