The challenges facing the healthcare system are so immense that trying to describe them simply and then prescribing solutions is foolhardy. At the core of the challenge is the need for appropriate treatment and constant reflection about our capacity to provide it. We have a steadily growing population and a steadily growing burden of noncommunicable diseases. Diabetes, hypertension and heart disease are placing a tremendous burden on the system. The Department of Health has recognised this and taken strong action on the need for healthier lifestyles through awareness campaigns, zeroing in on tobacco and sugar use. Through collaboration with the Treasury, it has fought to introduce taxes on sugary drinks. But taxes do not change mind-sets, and we must work in collaboration to tackle lifestyle diseases in a more pragmatic and calculated manner. Education and targeting vulnerable populations will be critical. But over the years, a crippling capacity shortage has become increasingly ser...

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