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The whole article is a feint, diverting attention from the downsides of the bill. Unless there are integrated systems competing with each other (e.g Kaisers, InterMountain etc) there will be obstacles to the coordinated/integrated care we are all after through creating many "bits" that dontl quite fit together. There will be an explosion of bureaucracy worse than now. Additionally, competition implies surplus supply and, thus, inflation in prices or exploitation of staff which works against £20billion efficiency gains and/or quality improvements. Nor does he address the risk of an increase in the postcode lottery with increased competition.

Essentially, the bill is based on specious, structural tinkering with no narrative or vision driving the health system we are actually striving for.