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Mr Fried said he took on the project for free because he felt the "social contract between tax payers and the British government has been a little bit broken".

“This situation continues to make things unclear and creates confusion for patients, providers and payers,” the American College of Obstetricians and Gynecologists said in a statement Friday.

Mr Davie subsequently apologised to licence fee payers for the disruption, calling it a "difficult day" for the corporation.

The utility also said that “long settled law and precedent prevent water utilities, and their rate payers, from being liable for wildfire losses.”

Where they do exist, different health plans and other payers generally design them differently, which means primary care practices manage multiple payment models, adding to their administrative burden.