It is completely contradictory to all aspects of palliative care that a person with such an illness should have to travel a long distance. In many cases these people have families and must farm out their children while they are absent in Dublin for treatment, which often takes only a few minutes. There is a need to look at the logic of that and ask whether it is desirable that this should happen. In many cases people refuse to undergo a lumpectomy in Dublin, and instead undergo a full mastectomy in the Limerick Regional Hospital rather than have to travel to Dublin for further treatment. That is regrettable.