Extraordinary changes demand extraordinary justification backed up by extraordinary evidence
The top three challenges for the NHS are
1. Improve clinical outcomes
2. Abolish health inequalities
3. Save money.
The extraordinary changes proposed in the white paper could only be justified if there was evidence that they would solve these 3 challenges
If it did so there would be an electoral mandate
But there’s no evidence that it will do that. In fact, what little evidence there is suggests the opposite.
We don’t live in a democracy any more, and yet we passively aquiesce. As Nobel Prize winning physicist Niels Bohr said when asked why he kept a lucky horeshoe over his door, “Of couse I don’t believe in lucky horeshoes, but apparently they work even if you don’t believe in them!”
It’s the same with our relationship with democracy