The centralisation of bureaucracy behind this reform is mirrored in other aspects of reform by this Government across a number of other areas. The increasing of bureaucracy and the centralisation—this mind-set that Government knows best—is endemic in the way in which this Government is trying to implement change. The challenge and the reality is that this change will not deliver the outcomes that Kiwis require in this country, and that is a great shame, because the opportunity cost of failure to deliver will be felt by our communities and our most vulnerable. There are those members of my community of the North Shore who are struggling to get access to healthcare services, who are struggling to get their next elective operation, and who are not getting the Pharmac drugs that they require, but, instead, you're going to see half a billion dollars of taxpayers' funds—hard-earned taxpayers' funds—going on more bureaucracy and not the actual factors that are going to help improve those health outcomes. 