The Obstetrician BRITISH MEDICAL JOURNAL doubts about the satisfaction he got from his work. He had rejected emigration mainly because he believed the N.H.S. was fundamentally right-and within the State service he was secure, well protected by competent junior staff, and using his skills to supervise 1,000 deliveries a year indirectly, picking up the complications and abnormalities. "In a private practice environment," he went on, "I would be spending more of my time on normal cases, and I would not see the challenging and interesting stuff I get here." But it was ironic that only by growth of his private practice did he see any prospects of financial security. He had been appointed a consultant at 34, after only two years as a senior registrar, but by that time he had had nine different homes and had accumulated four children and heavy debts. He had had to buy a house large enough for a consulting room and a waiting room, and though the road to the cross-channel airport passed close by he saw no prospect of a summer holiday in France-there was just not enough cash in the kitty.