I do not know if the Department is aware of the fact that it is becoming impossible to replace general practitioners in the more deprived areas of our cities. It is proving impossible to get people to take jobs from general medical service lists. It has proved impossible, for example, to find a replacement for an excellent practice run by a husband and wife team in Ballyfermot. Something will have to be done to improve eligibility levels for patients in the general medical services scheme because many who are not really in a position to pay for health care are having to do so with difficulty.