This is a really important point, having seen both public and private systems I think it's quite valid.
In this case I probably would not want a head of orthopaedics to treat a relatively straightforward leg break- I would want a practitioner who has a significant amount of recent experience in this area. The ER doctor likely sees hundreds of these a year, so may actually be the best person. Of course if my case is particularly challenging, I want a consultant with a significant amount of experience- but it doesn't seem right for that person to pushing their skills to the highest bidder, regardless of patient need.
I also don't want a steak with my meal, nor do I care for a fancy waiting room, as they aren't going to fix my leg.
In this case I probably would not want a head of orthopaedics to treat a relatively straightforward leg break- I would want a practitioner who has a significant amount of recent experience in this area. The ER doctor likely sees hundreds of these a year, so may actually be the best person. Of course if my case is particularly challenging, I want a consultant with a significant amount of experience- but it doesn't seem right for that person to pushing their skills to the highest bidder, regardless of patient need.
I also don't want a steak with my meal, nor do I care for a fancy waiting room, as they aren't going to fix my leg.