Brian Taylors excellent post about health board elections is provocative and captures the issue. Democracy is not an end in itself. It is a tool to an end and its application in any given circumstances must to tested against the outcomes hoped to be achieved.
In the case of health boards that must be; accountability, scrutiny, transparency and good governance. There is nothing about direct elections that will inherently deliver these things any better than other systems that avoids the dangers of single issue campaigners or decisions about serious clinical issues being taken by people with no clinical training or expertise. This is case where democracy in the form being suggested must prove itself rather than been seen as a ethical good in no need scrutiny.
Keith Simpson's Christmas Reading List
6 hours ago