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Our government is now grappling with a policy dilemma of the kind which is, sadly, particularly difficult for regimes which have dispensed with such luxuries as electoral politics and independent media: what sort of health service do we want? This is the matter of principle behind the public musings of officials and politicians including Chief Executive John Lee about whether there should be an increase in the small fee charged to users of the Accident and Emergency departments of public hospitals. At the moment this is fixed at $180. This has crept up over the years. The reason given for