title: Justice for gatekeepers.
abstract: Fundholding schemes in UK general practice force doctors to consider the moral implications of gatekeeping. The view that doctors can avoid involvement in rationing is unrealistic and ignores the doctor's duty to act justly. Rather, doctors need to cultivate the virtue of justice, while health-care systems should encourage just action and not create temptations.
authors.affiliation: Department of General Practice and Primary Care, Medical Ethics Medical College of St Bartholomew's, London, UK.
authors.forename: P D
authors.initials: PD
authors.lastname: Toon
mesh_terms: D005194:Family Practice / Q000592:standards*; D015276:Health Care Rationing / Q000191:economics; D006801:Humans; D009014:Morals; D012017:Referral and Consultation / Q000191:economics / Q000592:standards*; D012935:Social Justice; D013222:State Medicine / Q000191:economics / Q000458:organization & administration; D006113:United Kingdom