Our targeted measures are far more effective than a global increase in income thresholds to allow a greater number have medical cards. I agree with the aim of providing more medical cards but if we are to get at some of the critical groups, we need to use this approach. Despite criticisms in regard to our approach to the homeless, we have for the first time brought medical services to the homeless, including general practitioners, mental health nurses and consultant psychiatry services. A multidisciplinary team goes out to meet the homeless in our centres. Previously, we expected the homeless to try to locate these services independently and separately.