I agree with many of the points made by Senator Ryan who may be interested to learn that our review in the North defined access in terms of journey times and went to considerable trouble to establish journey times for different areas. It distresses me that my colleagues in the media, particularly the electronic media, grab for the word "downgraded" every time they discuss hospital changes. They appear to think of nothing else. Where is the downgrading in looking after chronic conditions, elderly people and other groups?