In reply to John_Hat:
> (In reply to winhill)
> so please feel free to enlighten a poor backwoodsman as to why the view above is "f*cked up"?
Traditionally, the way to resolve a problem would be to identify it, measure it and then identify solutions, with some examination of the impact of your proposed solutions.
The NHS, for example, hasn't suffered hugely from the different approaches, it has suffered from misfunding and underfunding. One solution to that might be to allow practioners a bit more of a say in delivery and provision but probably not funding. Another solution might be to remove funding altogether and move over to insurance and full privatisiation.
What I doubt you'll find many commentators saying is that it is the variance in management that has caused many of the problems the NHS has, especially given the recent middle of the road approach to market reforms, for almost 20 years.
Now even if there was a problem that was identified as being mainly caused by the variance of approach of different political parties, why would we assume that the solution was to limit the governance of the entire nation, just to make sure that the NHS was somehow ringfenced and insulated from change?
It's not just AV that is fcuked up, it's the approach and methodolgy that is fcuked up.
AV is not the solution to anything in particular, but somehow will become the solution to everything in general .