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Advertisers often says they are sure half of their spend is wasted. The problem is that they don't know which half. Let's close a third of acute places then see what happens to politicians and NHS chiefs after the next terrorist attack! I'm not saying that's a reason for keeping places open but it shows there are a lot of factors to take into account before you get out the surgical saw rushing to £20 billion cuts is not one of them. Lemmings may not commit mass suicide but the NHS seems to want to throw itself off a cliff.