"The test of a first-rate intelligence is the ability to hold two opposed ideas in the mind at the same time, and still retain the ability to function. One should, for example, be able to see that things are hopeless and yet be determined to make them otherwise."
F.Scott Fitzgerald, The Great Crack-up, 1936
I think the quote above will resonate with many of those who faced with the daily challenge of improving a health service still believe it is possible.