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The Tory establishment think they have the right to govern the country at any time.
Which leaves the question: why does the political establishment think it will be successful now?
Yet its rigid, hierarchical system provides little opportunity for the young, women and foreigners — precisely those who might help the establishment think differently.
The establishment think tanks understandably believe they can, despite acknowledging that choice and competition policy "appears at times to run contrary to the desire for integrated care".
This is the anodyne language of establishment think tanks like the Council on Foreign Relations — the kind of places that foreign-policy hawks have always held in a certain degree of contempt.
The occasion of the story is a new report from the establishment think tanks, the King's Fund and Nuffield Trust, to the NHS Future Forum which, in turn, is expected to shape policy at the Department of Health.
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If you want to know what the establishment thinks of itself, look at this.
For 34 years the liberal establishment thought the Miranda decision was final.
The jury, mostly county establishment, thought otherwise, and the five were jailed for between four and six months.
Owner of establishment thought to be behind police crusade against cabarets, as practically no profit in checking drums at 10 cents.
But at least the establishment thought that the ethos of the age was best represented by an extravagant celebration of prayer and piety.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com