"bureaucratic demands of performance management causing immense moral harms"
"Professionals often describe feeling caught between the ethical demands of care and the bureaucratic demands of performance management causing immense moral harms"
#Healthcare
#CriticalThinking
10.03.2026 21:26
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Great post, this is why I used to love Tw1tter: really thoughtful reads like this
10.03.2026 20:37
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Another remarkable 90 minutes today, following The Thread 🧵 …
10.03.2026 19:24
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The Personalisation of Criticism
Attacking Millionaires, Billionaires (or immigrants?)
I have written on why must focus on changing the system rather than just attacking the rich.
When we focus blame on any group and de-humanise them, be it billionaires or immigrants we deny our own complicity in an evil system open.substack.com/pub/freshthi...
10.03.2026 08:23
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When you spend so many hours so close to suffering, how are you supposed to maintain an openess towards to suffering? To allow yourlself to really practice compassion?
Especially when the volume of work that you are expected to do makes any real relationship impossible?
10.03.2026 14:25
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The Personalisation of Criticism
Attacking Millionaires, Billionaires (or immigrants?)
I have written on why must focus on changing the system rather than just attacking the rich.
When we focus blame on any group and de-humanise them, be it billionaires or immigrants we deny our own complicity in an evil system open.substack.com/pub/freshthi...
10.03.2026 08:23
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What happened here is not just a funding problem, but a fundamental cultural shift.
Care has been reframed as a private problem rather than a shared responsibility.
As an opportunity to make a profit rather than a life.
09.03.2026 17:00
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And, even if it was relying on the morality of a wealthy elite to care for the rest of us is a crazy idea.
So moral ambition can’t be about inspiring rich folk to invest more in easing suffering of those made poor through their greed.
09.03.2026 16:51
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Is it possible to design an economic system that reliably produces billionaires who will then reliably undo the harms the system produces?
I think not.
09.03.2026 16:51
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The real question is not why care systems struggle.
It is why we ever believed a society could flourish without care at its heart.
09.03.2026 16:46
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It is the human condition perhaps...
09.03.2026 16:43
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Care is not a luxury to be afforded once economic growth has been secured. It is the ground from which all human flourishing grows.
09.03.2026 16:42
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When dependence is treated as abnormal, care becomes something that appears only at the margins of life rather than at its centre.
09.03.2026 16:29
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When care works well, nothing dramatic happens. People simply live their lives with dignity, connection and meaning.
09.03.2026 16:16
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Without soulful fathers (and mothers) our society is left with mere reason and ideology as guides…
Thomas Moore
09.03.2026 08:11
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Care is not a marginal activity within society. It is the foundation upon which ALL other activity rests…
07.03.2026 11:14
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We have come to see care as a marginal activity for the unfortunate rather than as the foundation of a good society.
Utilitarianism sees care as a drag rather than a condition of civility…
07.03.2026 09:41
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The fact that Isabel Oakeshott, economic migrant to the UAE may just turn into a refugee fleeing to the UK from a war zone will cause a level of schadenfreude in me that may just make me topple right over.
03.03.2026 12:47
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Unless you kill American citizens while under our command.
Then you will be exonerated and have our full backing.
02.03.2026 14:39
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The only thing that causes a serious problem is us…
Gary Numan
28.02.2026 00:12
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the Greens keep saying the kinds of things that people who vote Labour agree with and Labour keep calling it dangerous extremism, and I’m not sure you could plan a better voter alienation strategy
27.02.2026 11:28
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It worries me tbh, we need continued emphasis on climate change as it remains biggest threat
27.02.2026 15:08
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Ian Fleming wrote Moonraker in 1955.
The villain?
A super-rich industrialist.
Rocket builder.
Public hero.
Secret Nazi.
Wants chaos.
Yeah… totally unrealistic. 😌
Just a silly old spy story from 70 years ago.
Nothing to see here.
27.02.2026 15:09
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two posters side by side - one in English saying Never mind the ballots by the band Chumbawamba, and the other in French saying Le Vote Ne Change Rien, La Lutte Continue (the vote changes nothing, the struggle continues)
There's another Leeds related adaptation of an Atelier Populaire design -
25.02.2026 09:02
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It’s not over - Jeff Buckley
A film worthy of the music.
Wonderful.
21.02.2026 15:46
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If the racial discrimination is allowed to stand, cricket will do itself enormous harm.
It says much about the arrogance of the Indian owners that they’re so open about it.
21.02.2026 11:08
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Absolutely. I won’t be visiting Headingley for The Hundred that is for sure.
And, to be honest it’s no great sacrifice…
21.02.2026 10:17
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"Justice may yet be hard-won, but the modus operandi of contempt and powerlessness which the powerful rely on to sustain their corruptions has been exposed."
In light of Andrew's arrest, read our latest edition – a dive into the Epstein Files – online.
👉 subscribe.bylinetimes.com/editions/83/
19.02.2026 12:07
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