Newton's first law of healthcare is that a body of legislation continues on regardless of any rational thought until acted upon by a general election.
Newton's second law of healthcare is that the acceleration of healthcare reform is directly proportional to the retardation of the political force acting on it and is inversely proportional to the mass of people voting for it and ultimately benefiting from it.
Newton's third law of healthcare is that for every committee there must be an equal and opposite minimum of one or more subcommittees per committee in order to ensure a reduction in administration via each new reform.
Praise be to the Party for reform. We will stick with Newton's original laws as we will at least know where our cars and aircraft will land up.
As for our patients and their healthcare who knows other than the increase in bureaucracy for no patient gain with every reform. Commissioning anyone?