Now I'm sure we've all heard the horror stories about the NHS, some here have suffered at its hands - and others still won't hear a word said against the ministering angels of the nursing profession. It's something of a crap shoot, it seems - some experiences are massively negative, others wholly positive, the bulk of them, I suspect are, you know, meh. One thing that is clear is that there is a problem - and the NHS, with its costs, its dominance by the producers and the unions and its institutional inefficiency and massive waste of public money, is by no means the envy of the world (well, maybe of the United States and Zimbabwe, for different reasons). Here's a suggestion. National Health Service. Health Service. Service. Set it up as a disciplined, uniformed organisation, with national pay scales, a rank system and a professional trade structure. Doesn't have to be military, although that sort of structure might be appropriate. Have folk actually in charge - and accountable for their actions. Just off the top of my head, but wondering what the mighty brains of ARRSE think.