We should consider the vagueness of the language used in the report. It refers to "should", "could", "would" and "might". There is a series of these words on page 17 of the report. No. 4 states that "substantially more consultants should be appointed". No. 6 on the next page states: "In the pilot regions studied, acute hospital services should be delivered by an integrated network of hospitals." If there was any determination on the part of the Minister, the Government and the Department, "should" would not be used. Instead it would state "will be delivered." Definite commitments to what is outlined in the Hanly report would have been given, but there is no such certainty. The same point can be said now of the Hanly report in the light of what happened to the policy document, Quality and Fairness, in that pious platitudes and statements of intent were offered, but not one item of substance has been brought forward.