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It’s interesting you interpreted this as a cartoon portraying GP surgeries as dingy, unwelcoming places. I took it to be about the surgery waiting room as a social space, where old biddies go to socialise and even be entertained. Punch and Judy vs Al Read suggesting GPs competing for patients perhaps. Generally there seems to be a theme in the Giles cartoons of a sort of self-interested customer mentality battling the idealistic postwar settlement, so I saw this as an example of that rather than dinginess.