What if ?

Supreme Court Arguments on the ACA — A Clash of Two World Views — NEJM
Reading this article in the NEJM and this, in the most recent BMJ  made me ponder as what we in the UK might be missing by not having a written constitution. The American Constitution is essentially a set of written rules by which all new laws must abide by if they are to pass muster.  Someone somewhere in one of the states of the USA has decided that the Affordable Care Act (Barack Obama's Health Care Reform Bill) might be unconstitutional and the judges in the most supreme of courts must vote on whether they agree or not.
I wonder what might have happened over here with the Health and Social Care Reform Bill if there was a written constitution and the supreme court to sit in judgement! As the emblem above suggests, there probably would be identical health systems across the whole of these Isles!

NHS Reforms and the American Right.

This Olifaunt is a Puritan?—not the less like to be a Papist‥for extremities meet.[1822 Scott Nigel III. iii.]


In recent days, social media and blogging contributions to discussions on the NHS and Social Care Bill have become extreme in their tone. 99% of these contributions come from those who oppose the bill because I suspect that those who do support the bill are reluctant to raise their heads above the parapet for fear of being vilified. Posts from this past week suggest to me that their fears are justified. 
The tone of the language contributors have used reminds me of that used in posts found in some medical blogs from the American right on the changes to health care that President Obama wants to introduce - the changes disparagingly referred to as Obamacare. 
The discussions in the UK have been one-sided with multiple scaremongering claims of doom and gloom coming from some. This is not very useful for democracy or the future of the NHS.