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Sadly I think both contributors above have an excellent measure of what these so-called reforms are all about - perhaps a touch pessimistic. The public do yet know what is going on and when they realise it they will be angry and ready to be mobilised. The media will go for the government when the inevitable horror stories emerge. Labour, however, needs to enter the confessional for introducing Foundation Trusts which are the basis for independent producers and the means by which an internal market may so easily become an external market. Once in receipt of 'absolution' the Party can vigorously campaign to re-nationalise the health service.