Number one: "Labour knows best" centralisation. Retrenching of local health voices to Wellington under the ideology of "Government knows best" is the same sort of disenfranchising that we have seen with polytechnics and three waters. This is all about control and not about health services. Wellington does not know what is best for the people in North Hokianga. Local people know what is best for them, and they want this Government's heavy hands out of their lives and out of their pockets. We despair the loss of local autonomy under these reforms.