How Britain’s trains were derailed

An apocryphal British newspaper headline once read: “Fog in Channel; Continent Cut Off”. It’s a nice phrase — but, in theory anyway, its whiff of British exceptionalism has long-since evaporated. Many educated people, if you asked them, would these days …

Keir Starmer has no dream

There are periods in history when old certainties and settlements suddenly begin to fracture under the weight of their own contradictions. In the Thirties and Seventies the very nature of the system seemed to be collapsing in on itself. Yet …

Why we worship the NHS

Across the pond, dire warnings are often intoned about something called Christian Nationalism. This is (we are told) a rising, virulent strain of theocratic fascism that fuses Christian dogma with sexism, ethnocentrism, and state power. Others, again, warn that this …

Britain’s new Class War

Imagine a Conservative Party intent on moving to the political centre but anxious about alienating its Right-wing by doing so. One way of resolving this problem would be to appoint as its deputy leader a wine merchant who owned a …

I’ve seen too many bad deaths

As an emergency physician, I make agonising life or death decisions every day. When caring for a terminally-ill patient whose organs are failing, and who can’t recognise her own children, I work with colleagues and family members to decide whether …