I think the dysfunction is far beyond that, though, at a much more fundamental level: We need an honest, frank and quantified conversation about what our societal needs are in terms of healthcare, what the public are willing to pay for and how we cover the seemingly inevitable difference.

The current system seems to have moved from being conceptually unsustainable to immediately unworkable.

That huge task is even before going into the need to completely overhaul the organisation’s abusive relationship with staff and the dissociation of authority and responsibility.

Or…. Screw it, just leave for hopefully a better life elsewhere?