a consistent strategy Sisi has adopted whenever frustrated with the ineffectiveness or the bureaucratic resistance of state institutions: the creation of parallel structures to bypass these institutions altogether. Thus, today one finds a host of bodies and offices Sisi formed over the years and that seemingly replicate the roles of existing government ministries. Examples include the Supreme Council for Investment, the Supreme Council for Combatting Terrorism, the Supreme Council for the Automotive Industry, and, currently under study, the Supreme Council for Education. Whereas the office of the minister of health still exists officially, a presidential advisor for health affairs (a former minister of health himself), appointed by Sisi in 2020, has taken a visible role in explaining and defending state health policies, just like a minister of health would.