The government calls it modernisation, critics call it the destruction of the NHS, but they all agree that the health service is about to undergo the biggest reform in its history.
Ed Miliband used his questions to the prime minister this week to go on the attack against previous assurances from the government that there would be no "top-down reorganisation" of the National Health Service. And the Liberal Democrats voted to reject the reforms at their spring conference.
Health minister Simon Burns joins us to take on some of the criticisms.
With such high political stakes, the debate in parliament is already heated.
Is the current structure of the NHS sustainable? Do patients really want more choice? Can bureaucracy really be cut at the promised rate and who will be the real winners and losers from the reforms?
Evan Harris is a medical doctor and a former Liberal Democrat MP. He says the government measures will allow private healthcare providers to "cherry-pick" the most lucrative patients for treatments. Meanwhile, columnist Madeleine Bunting argues that the Conservatives risk huge political damage by meddling with the NHS.
And finally, we travel back to 1976 where, in a parallel universe, Michael Foot replaces Harold Wilson as prime minister. Inspired by a new book of essays on prime ministers who never were our panellists discuss their own picks. Listen in to find out who picked William Hague.
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