Day: 9 March 2026

The four-hour target and the myth of fast medicine

The four-hour target and the myth of fast medicine

THE FOUR-HOUR TARGET has survived for decades because it sounds reasonable to people who imagine illness as a transaction. You arrive, you are processed, you leave. Four hours feels humane in that frame. But Emergency Medicine is not a queueing problem: it is a coordination problem. The Emergency Department is one of the last public […]

How free is Scotland? From little platoons to big government

How free is Scotland? From little platoons to big government Illustration of a Scottish Highland Warrior looking over misty Glens

FREEDOM means many different things to different people. To some, freedom is a sort of Mel Gibson-style Braveheart freedom: putting “the other” to the sword and living as “one” in a state of freedom. This was the freedom perhaps best represented by the philosophy of the Irish Taoiseach, Éamon de Valera. For him, it was […]