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Taking first the NHS, the difference, as I see it, is that Labour genuinely cares about it, whereas the Tories would scrap it in the blink of an eye if they thought they would get away with it. But that said, the NHS cannot be considered off limits for serious reform. It's not perfect - no health system is - but consideration should be given to the use of more private capacity if that's considered helpful. Very few health systems have replicated the NHS, and there's a reason for that. The introduction of some form of additional funding/capacity would be welcome, be that co payments or private provision in some areas. The guiding principle, however, must remain - free at the point of access for those who need it.
But I agree the strategy being followed at the moment is do nothing, say nothing and we win by default. People just want to see competent government at this point, and Labour can offer that - but you're right that in time we all want to see the big vision. That will come.