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Negotiate, don’t dictate. Partner with professional associations to design fair, evidence-based remuneration models that reward accessibility and continuity. Invest in people. Retain senior clinicians through flexible schedules and mentoring roles instead of driving them out. Pilot before imposing. Test new payment systems regionally and adjust them based on real outcomes. Be transparent. Publish regular data on wait times, attachment rates and staffing so the public can see what works — and what doesn’t.