[Margaret Pilkington]

They don't listen because, arrogantly, they think they know best.

A bit like the changes that are planned for the NHS. A group of doctors(those are the people who work within the NHS, so should know something about it) tell the government that the plans for the latest reforms will irreparably damage the NHS......the government(who know nothing of the NHS except the politicall imposed targets and the need to save money at all costs)arrogantly decide that they know what is best for us.......despite these changes being not only ungainly, a nightmare and unworkable, but less cost effective too.

As you say ! HMG !