"This point bears underlining: every single person I have spoken to in the NHS- from local GPs to the National bosses- told me they are powerless. There is nobody at any level of the organisation who takes responsibility for the state the service is in and the suffering it is causing. Every single person blames the person above them, even the man at the top."
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But this is key: they don't have power over you. They're powerless. It's the opposite: YOU want to have power over THEM, and they aren't always bowing to the demand.
Failure to grant power to you is not exertion of power. It's the opposite.
