The pamphlet makes the case against the bureaucratic and market state and for a democratic state. In this way it attempts to turn the demoralisation of the NHS into a process of remoralisation. With the 60th anniversary of the NHS, the Darzi Review, the possibility of a Constitution of the NHS and the renewed interest of the Conservatives, Compass, through this pamphlet, wants to spark a political debate about the future of this most cherished institution. The pamphlet was kindly and generously supported by UNISON.