Our conversation today begins with a report into the significant deterioration of healthcare systems across the Western world in the six years since the covid pandemic. Regardless of billions being poured into them, public satisfaction and health outcomes are steadily declining in hospitals around the world in the aftermath of the covid crisis, as a “doom loop” of waiting lists, more sick patients, and burned out staff cycles round. And it’s not just healthcare: large parts of the modern state seems fragile or crumbling under the strain prompted by our series of geopolitical shocks in recent years, from pandemics and trade wars to shooting wars and energy crises. We then reflect on why it might be harder to encourage people into working for their government or local council these days, and if the church has a role to reinspire interest in public service. Or has the church too become trapped in the hyper-individualism and grasping obsession with self-fulfilment which characterises 21st century culture?

Read The Economist article which inspired our conversation here: https://www.economist.com/international/2026/04/09/hospitals-are-stuck-in-a-deadly-doom-loop

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Released on 22 Apr 2026