Has there been a major improvement in the health services over the period of five years? One need only point to recent opinion polls which showed that 92% of people were critical of the health system. It is time this was examined. Will we seriously engage in the discussion on reform of the structures or will people spin doctor and try to criticise consultants, perhaps unduly, in relation to the document? Will people try to criticise the councillors who serve on the health boards and who receive minimal expenses in relation to the overall health board budget? Let us stop this scapegoating. If we are serious about unravelling this issue, let us get on with it properly without scapegoating different sectors.