People availing of the health service are the most affected by cutbacks in public expenditure. For example, 25 surgical beds were closed recently in Our Lady's Hospital for Sick Children, Crumlin. The hospital had more beds when it opened in 1957 than is currently the case. The reports before the House have been termed in certain quarters as the most extensive reform programme of the health service in more than 30 years. However, the central deficiencies in the administration of our health system are not addressed as they should be in comparison to the technical aspects of how the system should be managed. That is the crux of the debate. For example, issues such as accessibility and quality of care are superseded by bureaucracy and administrative accountability. While those are necessary, the direction the health service takes needs to be prioritised.