Yes, I've wondered that too. I'm a bone-idle student nurse and I'd struggle to find that much time to blog. Plus the non-stop buzzwords have been increasingly grating with me: "New Labour", "dumbing down", "quacktitioner". The posts almost write themselves (maybe that's how he manages to have so much of an output). As time goes on the non-stop cynicism starts to look more and more like a case of professional burnout. After all, not EVERY new healthcare initiative is an idiotic, evil piece of political manouevring that will destroy the NHS. Just the majority of them.