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Lansley can only be devious or stupid not to have foreseen that this would happen. The trouble is that neither he nor NHS managers know any other way to get themselves out of the financial strictures he has imposed on the system. The difference is that he is following his Friedman disaster capitalism instincts and is trying to create the crisis that will lead to privatisation of the NHS. So that makes him thoroughly dishonest and underhanded (we should have realised that when he immediately went back on his promise not to disrupt the NHS prior to being elected, as soon as he was in government). It is becoming harder by the day not to see him and his mates for what they really are - and that is certainly not guardians of our NHS.