Heads rolling may not solve our trolley crisis
Suregeons are said to be able to cut out everything except cause, and Health Minister Leo Varadkar is beginning to learn the same lesson.
He is determined to make a real impact in a department that has proven to be political cul de sac.
In the face of an imminent election he has sought to concentrate hearts and minds by raising the prospect of 'rolling heads' unless progress is made in the trolley crisis. Normally, one makes progress by moving from the particular to the general, but the difficulty with the trolley impasse is that you can't unpick that problem without addressing the myriad problems that lie behind hospital overcrowding.