Effective and integrated primary health care services are seen world wide as the lynch pin of an equitable, efficient and high quality health care. Health services dominated by specialist care suffer either from uncontainable costs (USA with 14% of GDP) or poor quality care (Russia and other former members of the Soviet bloc). Ierachi et al. (2000) argue that Australia should take the retrograde step of endorsing a service which aims to “provide rapid, high quality and continuously accessible unscheduled care, for conditions covering the full spectrum of acute illness and injury” (emphasis added). They aim to provide care “for conditions”, not for people. General practice provides care for people, not just diseases or injuries.