There should be a point where you think of the greater good and not just about maximising your pay. I think taking £70 an hour from a public healthcare system in meltdown is pretty damn low personally. I would understand more if they were trying to grab say £7 an hour but not "seventy". There is millions of people who work unsociable hours, doctors are hardly unique there. You basically advocating a system of everyone for themselves if you trying to justify someone requiring that level of pay from a emergency healthcare service. The sad thing is there is no quick fix. Because ultimately if a manager refuses to pay the £70 an hour and then no doctors turn up, he will soon be in the newspaper for letting people die etc. in a&e and the consequences would be huge poltically. So the ransom is paid and the doctor comes in, once the doctor knows they will be paid that they will ask again and again, the only way this can be fixed is if more doctors are found and more and more to the point that there is more doctors then demand and the doctors would soon be in a bidding war for the work, that is a long and painful expensive path. However I could forsee a privatised ward refusing to pay those rates and with thick skin been prepared to take the negative press from it, they would probably turn the press onto the doctors and force them via that route to get them to work for lower pay, thats the advantage of privatisation.