Here, Hughes illustrates how simplification leads to centralisation.
In this case, he predicts that the Conservative Party will be unable to resist crowing about the 'postcode lottery' at the same time as campaigning for devolved NHS decision-making.
He is, of course, correct. And we, in The Labour Party should be gloating about this, shouldn't we? However, we can't, because we are just as bad as The Stupid Party in this respect.