Institutional weakening, blurred lines of responsibility and the resulting chaos is brought home with stark oxymoronic clarity when you realize how you spend more time trying to draft a response (to even the most inanely mundane request) in terms where you say nothing and yet everything, commit neither ways and yet response, in short leave a mountain high window for scampering out then you do to the pondering the actual ramifications of the said request. On a personal level it is a huge leap down from medicine where clarity was valued above all and I actually decided and acted in ways that made a difference. On a communal level the leap is HUMUNGOUS when you think of the future, if we have one…..