“For most care-givers, however, these people are the enemy. If you are a nurse, for example, you are keenly aware that it’s the administrators upstairs who are your real, immediate class antagonist. The professional-managerials are the ones who are not only soaking up all the money for their inflated salaries, but hire useless flunkies who then justify their existence by creating endless reams of administrative paperwork whose primary effect is to make it more difficult to actually provide care. This central class divide now runs directly through the middle of most parties on the left. Like the Democrats in the US, Labour incorporates both the teachers and the school administrators, both the nurses and their managers. It makes becoming the spokespeople for the revolt of the caring classes extraordinarily difficult.”