A first principle in medicine is do no harm. In policy making it is said, 'If it ain't broke, don't fix it'. Let us agree that the health system is broken and needs fixing. It is futile to argue about how or where it is broken and who is at fault. Doing nothing is not an option. Reform is absolutely necessary and that means reform for us, not only for other people and other groups. I urge the Minister and the Government to implement the required changes rapidly. Delays waste time and money.