There are possibilities in the pilot schemes, although they require a great deal of work. For example, people in Limerick will have to get used to going to Ennis if they have a quiescent gall bladder which can be treated in Ennis or Nenagh. They should be saying: "Isn't it great? I can be done in Ennis on 4 November," and know they will be dealt with on 4 November, while at the same time they will get used to terrible car crashes being dealt with in Limerick. The people of Limerick will have to get used to going out to these hospitals, which could become very efficient units. There are very good doctors there as it stands and if an esprit de corps was put into those institutions we would do well.