Lansley is, of course, doing nothing useful. Ostensibly taking the levers of power away from the unaccountable managerial twats who control the purse strings in the current version of the NHS, he is instead giving that power to the only people who I would less prefer to have it: GPs.
Now I realise that I alone in this entire country have been unlucky enough to find only useless, incompetent makeweights in GP practices in three different counties, but I'm afraid that it has coloured my perception of them.
Unable to diagnose a splinter without a battery of blood, urine and stool samples, I wouldn't trust a single fucking GP I've met to find their own arsehole with a map, Grey's Anatomy and fucking assistant. How giving them control of what happens to you after you've left their tender and astute care is going to help anybody is fucking entirely beyond me.
The problem isn't the fucking managers or the bureaucracy, the problem is specifically that the cunting GPs are entirely useless. How giving the fuckers the reward of controlling how money is spent is going to suddenly make them better, I don't fucking know.
How a service that is free at the point of delivery is not going to be abused by freeloaders and hypochondriacs, I don't know. How a system which does not reward a doctor for the quality of his work but rather his run rate is ever going to provide decent primary health care, I don't know.
We are truly uniquely blessed in the UK: we pay through our nose for health care service that needlessly kills more people that pretty much all the things they pronounce upon with such disdain and we have absolutely no fucking control over how any of that money gets spent. The worst incompetent cuntish fuckwits in the entire system are being rewarded with control over the money.
Oh yeah, and that bonfire of the quangos has yet another new "commissioning board" to add to its list of amazing accomplishments.
So: more money being wasted on the NHS, more quangos, taxpayers getting raped, patients getting killed, lectures from doctors about how sinful we are.
Meet the new politics, completely different from the old politics.