Isn't this largely because many efforts to modernise things have been outsourced (almost entirely as I understand it including design and project management) to private companies. Unsurprisingly, this has gone badly for the NHS, but very well for the private companies, who've made a packet.
Don't send it to Truss or Kwarteng, they'll somehow manage to bring down the website or possibly the whole internet.
I don't think I've read much by Jacobson apart from this conflict, so I don't know how logical and insightful he normally is. If he has been in the past, it seems the effort of not wanting to think ill of Israel against a mountain of evidence of their actions, has really addled his thinking.
When people playing 3D chess suddenly realise it's a 2D game.
I believe their motto is ... "Revenge should always be served cold."
Politics is theatre.
The main issue is that everywhere is publishing his ridiculous stories, which gives him exactly the publicity he is looking for.
Here Prof Fong explains how every nurse he met was traumatised by watching patients die, being only able to hold up ipads to their relatives and how it went against their normal practice of trying to ensure a dignified death, with family there. 1min video youtu.be/87OGgexUMrU
YouTube video by Christina Pagel
When you say richest is this really by wealth or is it the fifth with the highest income?
She also doesn't directly attack Trump as chaotic, she let's the reader take that obvious conclusion.