The UK is onto its eighth health secretary in the past five years. So far, all have promised reforms while asking an overstretched NHS to do more with less: fewer staff, tighter budgets, fragmented services, and growing demand.
The question now is not simply who is James Murray, who has taken over from Wes Streeting as the latest in post, but what kind of politics should shape the future of healthcare in England?
One thing is certain: Murray cannot continue the same cycle of crisis management, outsourcing, and superficial reform of his predecessors.