The Knife has previously commented on the Sovietisation of the NHS: the tractor factory meaningless statistics, the command economy doomed to failure, an unelected and unwanted self-serving bureaucracy.
In a recent BMJ, a urologist, Peter Whelan, helpfully provides another example, which I quote in full:
The Leeds Hospital Trust has more than 600 “busy” managers—exactly the number of “busy clinical consultants.”
Only in Soviet Russia was there this one to one ratio of specialist clinician to manager, although then they were called commissars. Russia abandoned the “dual” system in the autumn of 1941 because its incompetence had almost lost them the second world war.
To quote a Soviet hero, Karl Marx:
history repeats itself, “the first as tragedy, then as farce”