In the autumn edition of City Journal, the skeptical doctor unleashes on the ineffective and bullying British bureaucracy.

The opposite of frivolity is not seriousness but earnestness, which is, if anything, even worse than frivolity, for it persuades the earnest that they are working with the best of intentions and dissuades them from consideration of the actual effects of what they do. Earnestness is a kind of moral chain mail that protects against the slings and arrows of outrageous criticism. It also encourages an unholy alliance between sanctimony and self-interest. It dissolves the distinction between activity and work.