The health boards do not work but that is not because of the people in them, be they good or bad. The boards should work on the basis of a national policy with regional delivery but, unfortunately, that is not what we have done. We set up nine, ten or 14 independent republics, however one counts them, which all replicate each other's activities. They all parallel each other's services and everybody wants a full-scale, fully primed hospital in every small town in the country. It is time for us to deal with that.