Health board chief executives have welcomed the reforms, even if some health board members seem less willing to embrace change. In response to the points raised by Senator Feighan, we should have political accountability and democratic control over health services. We need national policies to work locally. Expenditure on health represents nearly one quarter of all current Government spending. With 166 Deputies and 60 Senators, I do not believe we also need 263 health board members to ensure political control. We have a small population of 3.9 million people and are already very well represented politically. When international analysts say local decision-making can help in public health care systems, they are envisaging local populations in the millions rather than the hundreds of thousands, as has been the case for some of our health boards.