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If you are going to try and reduce the fees that private medical businesses charge then you must also do the same for other private businesses including builders, taxis, plumbers, dentists, lawyers, restauranteurs, banks, supermarkets etc etc. Are they earning too much money too?? You can not expect to have private businesses operating here which depend on foreign labour (there are not enough local qualified doctors to cover the island) and then tell them what they can and can't charge. C&E can do this at the hospital because it is a State run facility. GP practices are not. There has never been an NHS in Guernsey. This is partly why taxes are so low. The island already dictates how 'foreign' doctors spend their income through the TRP system. When you see a young doctor (under 50yrs) living in a big house it's not because he necessarily wants to, it's because he has been told to by housing! The fees of private medical practices cover cost of staff (the GP practices employ hundreds of local people as nurses and admin staff as well as some who are doctors), resources such as medical materials, cost of using labs for testing samples, office admin etc etc. This whole debate is ridiculous and serves no purpose but to detract from other issues such as addressing the shrinkage in the finance sector and Commerce & Employment's inability to create any kind of diversification with new employment opportunities. A cheap political shot to get the working mans vote.