12 April 2017 - Whatever Nicola Sturgeon might wish we remain a United Kingdom.

But in many ways that unity seems to be entirely theoretical. At the most obvious level, public spending in Scotland is far above the amount spent in England relative to the size of our populations.

Public spending per head in England is £8,816. In Scotland it is £10,536. Scotland’s national income has fallen as its revenue from oil has collapsed but that has had almost no impact on the level of Scottish spending, which – thanks to huge transfers of English taxpayers’ money to Scotland – has consistently remained at least 18 per cent higher per person than in England.

Every so often an iniquity emerges as a result of that divergence that feels so instinctively wrong that it leads to outrage. Which brings me to the cancer drug Kadcyla. It is not quite a wonder drug but for women with breast cancer it is something close.

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