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The biggest risk is the number of people who would revel in the reforms failing - even at the expense of the NHS unravelling in to complete, bankrupt mess.

The idea that the Coalition should be rewarded for the arrogant and deceitful way the reforms were foist upon the NHS by trying to be constructive and make the system work is anathema to many.

Lots of ill-will out there to compete with the optimists....

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