Agnes is correct to be pessimistic about trends in the NHS. My understanding is that nobody denies that something like these reforms are needed, but that their implementation is being pushed too quickly on the cheap for them to produce anything other than chaos in their wake.

Nevertheless, the US system is notoriously bad at delivering reasonable care to anybody who isn't in the multi-millionaire category, insured or not. That, coupled with a cultural tendency towards celebrating conspicuous consumption, has left the middle aged american prey to many health issues that, according to this survey, appear mostly lifestyle related.

keep to the Fen Causeway