At one time the Health Bill seemed based on some coherent principles, but no longer. Martin McKee (professor of European Public Health, London School of Hygiene and Tropical Medicine, London, UK writing in the BMJ) can’t understand it, and is accustomed to teaching on such things. I can’t keep track of what the current situation is. One of my few rules of thumb, I’d hesitate to say principles, general or otherwise, but an idea I apply and await disproof of is that when people are making things more complicated, and I can’t keep track, it is because they are criminals if it is business, or generally dishonest or malevolent in some other way. And not people to trust or do business with if it is possible to avoid doing.