The complexities of health care have developed apace. Technology has led to more precise ways being found to alleviate ills. Our ageing population places a different kind of demand on our health system. The structure of health boards sometimes led to people seeking things for their own area. That is not to discount the wonderful work they did, but there was an element of "look what we have here" involved. It is clear that one cannot have a centre of excellence in every village in Ireland. The Minister was right to point that out. We have to face up to that fact, as do the people of Athlone. Although Athlone is one of the biggest urban centres in Ireland, it does not have a hospital. However, we hope we are developing services in a much more community based way, which will be more beneficial to our patients, especially in relation to the involvement of consultants and so on.