Here is the challenge to Labour MPs in these regions: good luck explaining to your constituents why a Labour Government is taking their DHBs. We heard backbench Labour MPs stand on the campaign trail and offer bold promises around how they will fight for their DHB. Well, watch the arrogant machinery of a second-term Labour Government trample your feigned and naive backbench resistance as you are whipped to a new-found evangelism for centralisation and control. Mark my words, the spin will be "better access to specialist services" and "a sustainable health system", which is all code for less and less. Why would we have faith in the ability of this Government to undertake such change when, over three years managing health, they have indeed spent more but delivered less?