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Julian Tudor Hart and David Donnison have been outstanding contributors to the British welfare state and the NHS since its beginning. In this conversation they reflect upon their experience in a period of considerable change in accountability, professionalism, democracy and ask do we still live in a generous society? In the light of all this, what then shall we do?
Looking back over the twentieth century we can see many examples of utopian schemes which have inadvertently brought disruption to millions; from compulsory ‘extended family’ villages in Tanzania, collectivisation in Russia, Le Corbusier’s urban planning, the Great Leap Forward in China and agricultural ‘modernization’ in the tropics. Why do well-intentioned plans for improving the human condition go tragically awry?
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