But he argues that in the long term the focus must shift to conservation, efficiency, and more rational pricing so that city users pay their fair share.

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The coalition said these changes would help "ensure that commissioners' decisions on buying clinical services are transparent and fair, and that they improve the quality and efficiency of health care services for patients".

BBC: Doctors and nurses

Quite legitimately, different people have different notions of what is fair, and what is the right balance between fairness and efficiency.

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