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Although not a BUPA provider I feel very strongly that BUPA's stance is an assault on patient choice and our professional independence and integrity.

Of course the capping of fees to a 1990's level is absurd, but actually what is more worrying are the implications for a future where big business is able to dictate who we treat, what we treat and how we treat.

The multi-billion pound private healthcare sector is dominated by pharmaceutical and insurance giants, osteopaths are mere minnows. We have been accused of being a cottage industry - well good - I would rather be part of a cottage industry than a vast and heartless corporation.

If we continue to stay true to our principles and maintain our independence the patients will keep coming. The way BUPA is treating osteopaths and by extension BUPA members is beyond contempt - so to all colleagues who are resigning - you have my wholehearted support!