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It came as no surprise when Lewis MacDonald, the Deputy Health Minister at the Scottish Parliament, effectively rubber-stamped the "prefered option" of Lanarkshire Health Board Trust and announced the closure of the Casualty Unit at Monklands Hospital on August 22nd. The decision shows the "consultation exercise" over 6 weeks and costing £50,000 of public money was, as we pointed out at the time, a complete sham.