Bibliographic record
Abstract
The end of the NHS? Mike Fitzpatrick's article 'The end of the NHS?' in the March issue of BJGP starts with a quote 'What do you call a man who ignores medical advice?Mr Clarke'. 1 That was the theme of one of the British Medical Association's (BMA's) posters used in its campaign of 1989/90 against Kenneth Clarke's so-called 'reforms'.The quote comes from Nicholas Timmins' book The Five Giants -a Biography of the Welfare State (page 471). 2Fitzpatrick continues with a completely unsupported and derogatory statement 'the BMA's pompous "doctors know best" slogan was a spectacular flop'.A casual reader may think that Timmins held that view.He certainly did not.On the contrary, Nicholas Timmins described our posters as 'of memorable brilliance!'. 2 There was criticism of the poster by The Independent newspaper that I rebutted.3 It is also true that about 250 doctors left the BMA as a result of our poster campaign -about 2500 joined.Eighteen years later I revealed in my book The NHS: Beginning, Middle and End?, 4 for which Nick Timmins wrote the foreword, my personal and private opinion that the 'Mr Clarke' poster was counter-productive.Our campaign in 1989/1990 was remarkably successful.As early as 5 July 1989 The Guardian reported 'Mr Kenneth Clarke, the health secretary, last night admitted that the BMA was winning the propaganda war against his proposals for changes in the National Health Service.' 5 A year later, after the poster campaign, the Gallup Poll showed that 77% of people who were aware of the reforms disapprove of them.6
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.007 | 0.010 |
| Scholarly communication | 0.013 | 0.015 |
| Open science | 0.001 | 0.006 |
| Research integrity | 0.009 | 0.012 |
| Insufficient payload (model declined to judge) | 0.033 | 0.007 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".