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Color drawing: a very upset looking NHS doctor gazing out a window on ambulances backed up as far as the eye can see, a crowd of sick, maskless, and coughing people waiting to get in the hospital, and in the background we see New Year's fireworks. Art by Dr. Dave Triska with accompanying text: “Limping into 2024. Hospitals spilling onto the streets. Like a war zone. So many febrile, coughing people that finding the really sick among them is challenging. Referrals getting turned around with instructions to essentially conduct an outpatients in GP.”