As the front cover so boldly suggests, this edition of PharmaTimes is at the ballot box! Indeed, we are pondering a future seems oddly elusive in spite of its alarming proximity! This is a very good reason for us to discuss the great themes of our time – who will take a country out of the debris of the last decade, what will become of our decrepit NHS, can we ever become best friends with AI, how can we ignite diversity throughout industry and, of course, how we can we make patient involvement vibe part of everyday pharma?