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The NHS sits seventh on the list of the world’s largest employers, rubbing shoulders with the armies of China, India, and the US, as well as mega-corporations.1 It’s also part of the “gig economy.” This is what an investigation into the data, testimonies, and analysis of the fate of locally employed doctors (LEDs) reveals in this week’s BMJ (doi:10.1136/bmj.r2383)2—although it may sound like a fantastical claim.