Professor Brennan makes a valid suggestion in the area of information technology. In the medical world, almost daily advances in treatments, equipment, medicines and methods of diagnosis are commonplace but our current system of running hard to stay still has meant that, in some areas, we have fallen behind in research and development. Ireland has a worldwide reputation in some areas, such as, for example, cardiac surgery. As changes are made, we can lead the way in many more disciplines. The waiting list for cardiac treatment in St. James Hospital in 1997 was five years. It is now down to nine months and less in some cases where immediate treatment is required. In other areas, such as maternity and gynaecological services, we have an excellent service and one of the lowest newborn infant mortality rates in the world.