This piece of Polly\’s is quite wonderful.
She (accurately) points out that rational organisation of the hospital system gets derailed by grandstanding politicians.
Places which are too small to be doing the safe number of operations of a certain type (no, you really don\’t want to have your aortic aneurism fixed where they only try to fix five a year. You want surgeons and teams with rather more experience than that) should specialise. Aneurisms at this place, heart ops at that and hips in that one over there.
But when you try to actually bring this about you get politicians appearing at the heads of angry mobs shouting \”Save Our Hospital!\”.
OK, well done, good analysis.
But she doesn\’t seem to make the connection between this and the fact that all things which are subject to the manipulations of electoral politics will be similarly badly managed. Doesn\’t allow this insight to change her long held view that huge chunks of life should indeed be run by such grandstanding politicians and the mobs they can command.
The only way to avoid this is to have such services not run by politicians: which means, in effect, being run by markets.