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These days, expenditure on health amounts on average to some 9 per cent of gross domestic product in the prosperous nations of the West. Whether through direct taxation, social security, social health insurance or private means, it’s a substantial amount.

Historians can only feel ambivalent about bureaucracy. ‘Admin’ tends to get in the way of those two core activities that define a university, research and teaching. Some of it might be necessary and benign: seminars require registers, after all.