I vaguely remember having a conversation with someone once about the different between the Red Cross and Médecins sans Frontières.¹

The Red Cross focuses solely on the individuals in need. It will work with corrupt regimes to get access to prisoners of war, and it will summarily ignore any wrongdoing it comes across beyond its narrow focus on the immediate needs of the people it is there to serve. This means that the Red Cross can provide care to people in some of the most extreme circumstances, across boundaries and within facilities that no-one else might ever be able to access.

Médecins sans Frontières tries to do the greatest amount of good for the greatest number of people. It published reports condemning wrongdoing it has seen. In extreme circumstances, it will pull out of facilities and territories rather than be complicit in silence. This means that it can bang the drum, or threaten to do so, to secure safety and health for whole groups of people.

In practice, the Red Cross and Médecins sans Frontières coordinate to make sure that they can both meet their goals while leaving as few people unserved as possible.

This has been playing on my mind recently in the context of health protection. Sometimes, for example, hospitals have outbreaks of infectious diseases, and sometimes, they ask for my advice and support. I approach these situations in a very ’Red Cross’ manner: as in, “your secrets are safe with me, let’s talk openly, honestly and frankly, and let’s fix the problem.”

Others in my role would approach these situations from a more ‘Médecins sans Frontières’ perspective: as in, “I want you to listen to my advice, make an action plan to fix this problem and report to me on progress regularly, or I’ll escalate my concerns to your commissioner.”

These two approaches aren’t as mutually exclusive as they might first seem: even with the ‘Red Cross’ approach, the reality might be that I’d have to involve regulators or commissioners eventually if I was deeply concerned.

Yet, I see my primary role is to be a friendly independent source of help and advice to help steer things in the right direction; others in the same role see it differently.

I convince myself that my approach is based on experience and evidence, and that it’s the most effective approach for me. But I can’t deny that it also aligns with my personality and preferences, and that almost certainly colours my thinking.

I suppose my reflection is that different approaches work for different people, probably in part because they suit different personalities and contexts. There is often a drive in life to standardise things, but sometimes, greater things can be achieved through having two opposed approaches working in harmony, just like the Red Cross and MSF.

The image at the top of this post was generated by Midjourney.

1. The details of this might be a load of misremembered rubbish. ↩

1: I knew a little about Milton Glaser, but I didn’t know how prolific he was.

2: Priority postboxes, for return of completed home swabs for COVID-19, have appeared as if overnight. Or at least, stickers which designate existing post boxes which are already emptied later in the day as “priority post boxes”.

3: Finland’s air force stopped using a swastika in its logo three and a half years ago, and no-one really noticed until now.

4: “These trying months have shown us a government and a prime minister of unique incompetence, deceitful and panicky, often inattentive to essential business (remember those five Cobra meetings that Johnson bunked), and incapable of pursuing a steady policy for more than five minutes. Yet when we emerge from the epidemic, we will be faced with the same government and the same prime minister and the same government demanding more powers, more central control.”

5: I’ve read quite a lot about Concorde over the years and the one parked up in Manchester is still on my “to visit” list. I’ve never read anything that got quite as closely into the financial side of the project as this 2002 article by Francis Spufford which I dredged up today.

6: In one of life’s stranger coincidences, after a few years of using Android phones, I bought my first iPhone since the 4S today—then realised that it is ten years to the day after I wrote about switching to the iPhone the first time round.

7: A mobile phone game can be a surprisingly powerful emotional experience.

8: Goats have rectangular pupils.

9: Someone wasn’t allowed on my bus today because they weren’t wearing a face covering: so I’ve learned that the rules are now being enforced.

10: “Nowhere in Christian scripture is there any description of a kingdom of perpetual cruelty presided over by Satan, as though he were a kind of chthonian god. Hart regards it as a historical tragedy that the early church evolved into an institution of secular power and social domination, too often reinforced by an elaborate mythology of perdition based on the scantest scriptural hints and metaphors. The fear of damnation can serve as a potent means of social control.”

11: Torontonians are without their water fountains during the current heatwave.

12: I learned only recently that it is expected behaviour—and, in some cases, a school rule—for children to make their own way to school from around the age of five in Switzerland. The Swiss government’s response to a five year old being fined last year for travelling on a bus without a ticket is heartwarming sensible: to make public transport free for young children, with the side-effect of further cementing this approach to school transport.

13: Commercial analogue radio is to continue for a further decade (at least).

14: There’s a feeling of change in the air. Yesterday, I felt hopeful that covid-19 may be bringing to an end this brief era of populism: it seemed plausible that the crisis might sweep away the bombast of Trump, Johnson and Bolsanaro in favour of quieter competence. In the UK, witness the poll rating of Sunak and Starmer as examples of senior politicians who can both think and communicate clearly. Today, The New Yorker’s historical review had reminded me that things are rarely so straightforward: things can get worse as well as better.

15: “Andrew Lloyd Webber has sent a cease-and-desist letter to Donald Trump” sounds like the setup for a particularly corny joke, but it turns out that it’s the news these days.

16: We’re at a curious point in the Government’s response to covid-19. The official advice on gov.uk remains “stay at home as much as possible” yet the Government is running a major advertising campaign to convince everyone to do exactly the opposite, presumably for economic reasons.

17: One of the scariest charts I’ve seen in relation to covid-19 in the UK so far:

18: “When the inquiry does begin, the primary target for the Johnson government’s ire is already clear: PHE. One health service official predicted it would be ‘toast’ after the inquiry. One minister says: ‘We haven’t blamed Public Health England — yet.’”

19: “When Carnegie Mellon researchers interrupted college students with text messages while they were taking a test, the students had average test scores that were 20 per cent lower than the scores of those who took the exam with their phones turned off.”

20: “Britain’s health secretary, Matt Hancock, delivered its message to the assembly. He spoke perkily, as if everything in his country was under control. In fact Britain is the country which, given its relative wealth and long warning time, has failed most grievously to protect its people against the first onslaught of the virus. Its failure lay primarily in its neglect of the low-tech, low-cost, labour-intensive public health methods and community mobilisation that successfully prevented disease in low-income countries: universal lockdowns, self-isolation, masking, quarantine and tracing – by people, not apps – of all those whom sick people have been in contact with. Yet in his short video message Hancock was speaking the old language of Americans and Europeans, coming up with a tech solution – in this case, a vaccine that doesn’t yet exist – to the world’s problems. ‘I’m proud that the UK is leading this work,’ he said, ‘that we’re the biggest donor to the global effort to find a vaccine, and that UK research efforts are leading the way.’ Hancock’s wasn’t the only speech at the assembly to prompt the thought that before there can be solidarity, a little humility would help.”

21: This Psyche documentary following actors at The National Theatre in the hour before they go on stage is fascinating.

22: I learned more about the history of Nespresso. I am a heavy Nespresso drinker. I do at least make sure all of my pods are recycled.

23: “Answering emails is hard, and no matter how fancy your email app, that email isn’t going to write itself. There’s no tool smart enough to cure human stupidity, so maybe we should stop looking for it.”

24: Victorian Britain’s relationship with the seaside was complicated.

25: I think I use singular “they” without really thinking about it: it’s not a point of grammar I can get worked up about. I hadn’t previously clocked this common usage: “How do you complete the following sentence: ‘Everyone misplaces ____ keys’? There is no way to do so that is both uncontroversially grammatical and generally liked. Most people, even those who as a rule don’t like it, will be pulled towards the singular ‘they’: ‘Everyone misplaces their keys.’ The problem with ‘their’ is that pronouns should agree with their subjects in both gender and number. ‘Their’ is fine on the first count, because ‘everyone’ is genderless, but fails on the second, since ‘everyone’ is grammatically speaking singular, and ‘they’ is plural.”

26: Meditation is probably associated with a lower prevalence of cardiovascular risks (at least according to this one limited study). All of my psychiatrist friends meditate themselves and tell me it’s the best thing since sliced bread, in much the same was as endocrinologists tend to talk about Vitamin D supplementation. I wonder what public health people are reputed to bang on about?

27: Satire may have finally been killed off. “Boris Johnson has today unveiled plans to curb junk food promotional deals as part of a new government obesity strategy triggered by the pandemic” just seven days before the start of “a government subsidy to offer people 50% off meals in fast food restaurants.”

28: From Walter Isaacson’s outstanding biography of Leonardo da Vinci, I have learned that Leonardo described the mechanism of closure of the aortic valve in 1510, but it didn’t start to gain mainstream currency among cardiologists until Bellhouse’s work confirmed the description in the 1960s.

29: The decline of the landline is changing literary fiction.

30: The teasmade has been reinvented. It doesn’t look like the one my grandparents used to have beside their bed: the new version is much uglier.

31: Unorthodox was a great miniseries.