With a plastic medical 'credit card' a consultation could be immediately credited to a doctor's account, as could additional services such as giving injections, selling medicines, minor operations, and so on.
Then one would see an acceleration in the work done and the good doctor would show up the bad and lazy ones. He would open his waiting room early and see patients on a first-come, first-served basis, when a patient wishes to see his doctor, not in a week or a number of days.
That would be proper service as in the good old days. He would charge extra on a scale for weekend visiting and consultations, night calls and home visits.
The card would be encrypted with details such as the patient's history and vital statistics.
The more work done the richer would the doctor be and he would gain that satisfaction from work well done. He would be in the position of either making a charge or none at all.
Hospitals would have to provide 24-hour cover for casualty and A&E services and for X-rays, scans and laboratory facilities. Machines don't need to take a holiday. Staff will be recompensed accordingly for the awkward hours. It is the patient we have to serve not suit ourselves.
Dr George Caldwell, Balmoral Park, Singapore