Large cancer treatment centres are accused of being more expensive on a 'per patient' basis, but the truth is that the quality of treatment tends to be better, and the patient far more likely to make a real contribution to future knowledge via protocol-guided clinical trials.
We are all potential patients, yet despite the generally poor results with cancer, only 10 per cent or fewer are entered on clinical studies. 'Patient power' should be encouraged; in my view the only way forward is through proper education of patients so they understand their right to be treated in the well equipped centre of their choice. After all, was this not the essential philosophy behind the newly commercialised health service?
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