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John Appleby writes with typical accuracy about the way in which political affiliation affects satisfaction with the NHS. I would take issue only with the first of his two pieces of advice to political parties: that being in power boosts satisfaction amongst your own supporters. The trends in figure 2 show that Conservative voters became less satisfied in all three periods of Conservative government and those during the Labour years. Likewise Liberal voters were less satisfied after their party shared power for a term. The second of Appleby's conclusions therefore must stand as the only wisdom: to satisfy the voters the government must actually deliver benefits.