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Harley Medical Group (HMG), responsible for one in three operations using the French-made implants, said it would go out of business if made to meet the full cost of removal. HMG's position makes it more likely the other two main players, Transform Cosmetic Surgery and The Hospital Group, will also ignore pleas for private clinics to pay for surgery. Should they follow HMG's lead, the bill to taxpayers could feasibly top £100 million as the NHS will be forced to perform the corrective surgery.The big three firms are likely to have performed around two thirds of enlargement operations using faulty implants in Britain. There are around 40,000 women in the UK who have been fitted with the controversial implants and operations to remove them cost around £3,000. Mel Braham, chairman of HMG, claimed the Government had the "moral responsibility" to pay for removal operations, as the regulator meant to ensure the safety of medical devices had failed in its duty.

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