I agree that no politician will support the closure of 3 A&Es in Dublin, even if there were more primary care centres than there are newsagents. Re cost, not so much - one of the reasons the vested interests were out to get Reilly was that his plan included changed the core daytime period to 8am-8pm, from it's previous 9am-5pm. That saved cost without increasing work, and they never forgave him for it.There is zero chance of health spending being controlled. O'Brien said Dublin needs 3 Emergency centres, not 6, he also said Navan is not fit for purpose, does anyone think there is the smallest possibility that either will accepted by the political class? Anyone who ever managed a project knows that the only way to reduce overall cost is to reduce the scope of work. Health spending is mainly on wages but it is politically impossible to close a hospital.