Load

You may argue the increase in time and effort on checking the medication and seeing patients should not be limited to one or two senior consultants; every doctor should do it.

Quite right, and it is entirely practical - in utopia.

Alas, if everyone works harder and close the clinic later, it won't take long for many of the doctors to come out for private practice.

And, let's face it, the more competent ones are more likely to leave the public hospital.

Doing good to the public, eh ?

PS. Although I used clinic time as an example, do not be too narrow minded. The implication of trying to do best for some of our patients have more extensive and profound meanings. Imagine the ones who call themselves super-physicians and try to achieve an ideal care within their kingdom (I mean that several beds), while at the same time turning a blind eye to the sea of other patients who are equally in need.