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Correspondence MEDBITAISH 559 use of the National Health Service. In this respect I am sure the medium of television could be used to considerable effect. To me, anyway, it is the demands on my time in attending to trivialities that wear down my patience, and the education of the public in becoming a little more self-reliant and intelligent in its use of our time and training is urgently needed. Leading from this latter point, I am quite sure that a fee, payable by the patient at the time anddoi:10.1136/bmj.1.5382.559-a fatcat:gpblm7ulvjd2zkxyvadzhofjue