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Paul Sandham

@sandypuke

Having been accused of being โ€˜virtually anonymousโ€™ by a respondent accusing me of making Twitter arguments (๐Ÿคทโ€โ™‚๏ธ): Iโ€™m a retired hospital pharmacist in Yorkshire. My wife was a GP so we think we have a little insight into health care. Probably a bit woke.

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Latest posts by Paul Sandham @sandypuke

Thank you for your insight.

06.03.2026 18:30 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

An old colleague of mine had a saying: โ€œWe need a plan, because if we have no plan we canโ€™t change it.โ€
If Reform didnโ€™t have plans to plan they wouldnโ€™t be able to change the plans they plan to make.

Whatโ€™s wrong with that?

06.03.2026 13:39 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Appalling!

06.03.2026 12:01 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Iโ€™m increasingly thinking that the current White House team think theyโ€™re players in the Yellowstone TV series.

06.03.2026 09:21 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

The trouble with the US is that it rarely has a Plan B,

But under Trump it doesnโ€™t even have a Plan A.

#Iran

05.03.2026 22:06 ๐Ÿ‘ 93 ๐Ÿ” 14 ๐Ÿ’ฌ 3 ๐Ÿ“Œ 0

๐Ÿคญ

06.03.2026 09:14 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Do American politicians think theyโ€™re all based on the Yellowstone Ranch?

06.03.2026 08:29 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I remember when โ€˜Brexit Means Brexitโ€™ became a way for silly people to insist that they supported something they could neither justify nor explain. Obviously the context is very different, but something similar is already happening with the โ€˜warโ€™ in Iran. And itโ€™s mostly the same people doing it.

06.03.2026 08:10 ๐Ÿ‘ 3238 ๐Ÿ” 689 ๐Ÿ’ฌ 192 ๐Ÿ“Œ 19

Duff, duff, duff duff duff, duff duff duff, duff.

06.03.2026 08:22 ๐Ÿ‘ 3 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Awful, awful, awful.

06.03.2026 08:19 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Trump couldnโ€™t be more explicit in explaining that he wants to do do exactly this.
He has now openly stated that he *should* be involved in appointing a new leader in Iran.

06.03.2026 08:18 ๐Ÿ‘ 3 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Also, theyโ€™ve never met my wife.

Or, probably, any other woman.

06.03.2026 08:15 ๐Ÿ‘ 5 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Exactly this. Often, quite the reverse is true.

06.03.2026 08:05 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Respectfully, could I suggest you read my post again?

06.03.2026 08:03 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I think not. Rep. government is exactly that. We elect the people to *represent* us. We donโ€™t elect people to be instructed by us at every twist and turn. Thatโ€™s simply not feasible. Which makes it crucial that the representative actually *believes* as we do. Doesnโ€™t just pretend to chase votes.

06.03.2026 07:59 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Bizarre scenario in evidence there!

05.03.2026 23:55 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I think you miss the point. They cannot always do what every voter believes they should. But they can say what they believe is right and we can choose the candidate who most aligns with the views of most voters.

05.03.2026 23:44 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Your scenario assumes the โ€˜wrongโ€™ person is elected. My view is that the candidate tells us what they believe and how they can best represent us. We decide whether to elect them or not. But they are not simply echoing what they believe we want, in order to get votes.

05.03.2026 23:29 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

I agree that communication is at the root of Labourโ€™s current unpopularity.
I live in hope that they can turn this round. Soon. Ish.

05.03.2026 15:25 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Yes. It is a big ask. And yet politicians always tell us how much they respect the โ€˜intelligenceโ€™ of the voters.

05.03.2026 15:09 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Our NHS has been in decline for several decades. But it is at least still free at the point of use. Iโ€™d be happy to hear how adoption of a more European approach to care would improve things. From my perspective we appear to have too few beds and too few carers to manage them.

05.03.2026 13:40 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 2 ๐Ÿ“Œ 0

Well I guess most obvious is Mahmoodโ€™s moves on immigration.

05.03.2026 13:37 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Have they? They recently seem more frequently than not to have adopted more populist policies.

05.03.2026 13:12 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Indeed they do. Indeed they have.

05.03.2026 13:01 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Stopped clocks and the time occasionally coincide.

05.03.2026 11:37 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

He said he wouldnโ€™t start any new wars that he would create world peace, stop all wars (only he can do this, he says) and that he should win the Nobel Peace prize.
He said the courts have found in his favour over his illegally introduced tariffs.
Trump and the truth are not easy bed fellows.

05.03.2026 11:32 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Iโ€™m in the UK. We have free healthcare for all. We also have a surprising number of relatively less well off workers who swallow the story that rich people are already overtaxed.
Because, of course, all of the countryโ€™s problems are caused by โ€™immigrantsโ€™ who are all branded โ€˜illegalโ€™. ๐Ÿคทโ€โ™‚๏ธ

05.03.2026 10:08 ๐Ÿ‘ 10 ๐Ÿ” 1 ๐Ÿ’ฌ 2 ๐Ÿ“Œ 0

Iโ€™m sure. But do they have โ€˜none of the aboveโ€™ ?
Letโ€™s face it, there is no ideal form of democracy.
Weโ€™re always strive for the least imperfect outcome.

05.03.2026 09:31 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

I have long argued for this. Alongside compulsory voting.

05.03.2026 09:27 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 2 ๐Ÿ“Œ 0

How tiresome!

๐Ÿ˜‰

05.03.2026 09:12 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0