If the public knew how self-serving some elements of the NHS were they would have a great deal more sympathy for the government's efforts to reform the service.
I spent this weekend at a rock festival in Butlins. Odd, I know, but probably less so than spending it in Gateshead at Lib Dem spring conference.
"Doesn't it also demonstrate that however well you may be on top of your brief, you are a hopeless communicator?" This was question posed to the health secretary by Jeremy Paxman during an interview and one senses this is indicative of the thoughts of many politicians.
It must be hard being in the Liberal Democrats. Yes, I said it. I went there. But before you assume that I've donned a yellow tie, let me assure you that my favourite way of describing them is as not so much a political party, but more a terrible surprise party.
The Liberal Democrat conference in Gateshead this coming weekend will be dominated by the Health and Social Care Bill - assuming the party structures give the issue the chance to be debated.
Market fundamentalism is to be given free reign; never mind that it was the erroneous notion "the market knows best" that brought us the economic depression engulfing western societies.
Don't worry about 'competition' in the NHS. Just invite commercial operations to tender for the business and, in return, demand a piece of the action.
The party of the NHS? We shouldn't be afraid to expose this as the greatest joke in politics. At a time when the NHS needs reform to ensure its survival in the face of unprecedented demographic change, Labour cannot be trusted with the NHS. All they do, all they will ever do, is waste your money, and defend the interests of producers over patients.
In amongst all this exciting, depressing and uninteresting stuff the UK has still been under the thrall of the possible destruction of our national health service. Yes, I'm going to go on about it again.
The NHS Bill struggles on, and we will continue to fight it with every last sinew. But not everything this government will do will be as toxic, with the party or the people.
The politics of health reform are becoming ever more tangled. And the more tangled they become, the worse it will be for the Government. Last week I argued that, if David Cameron genuinely believes that the Health and Social Care Bill really will drive standards up and costs down, he should ignore the doubters and keep going. However, fresh YouGov research underlines the risks that he is running.
David Cameron, as you would expect from an ex-PR man, has a smooth answer on why he wants to be prime minister, but I have the sense that the real answer to why he wants the job is simply "because it is there."
I have watched many of my fellow disabled activists fight against the injustices that are being doled out by the government, the right wing press and now, sadly, the general public.
The opponents in the House of Lords of any reform of the NHS have pursued two tactics - firstly, they have sought to delay the Bill for as long as pos...
But the NHS is large, operationally and technically complex, close to the public's heart and contains ranks of organised stakeholders with diverse views. With public satisfaction levels at an all-time high, creating a mandate for change on the huge scale envisaged by the White paper was always going to be hard. Add in the bomb of explicitly promoting more competition and the backdrop of a very challenging budget settlement for the NHS, a coalition government, and the difficulty multiplies.
If the NHS was a patient, it would be as if it went, feeling a bit queasy, to see its GP more than 20 years ago. Without warning, it was sent straight to hospital, kept in, operated on, helped to recover, operated on again, and again, and then again.