been around for a while. There are many reasons for that. "But if we are able to open the new site in the north and move the programs, then I am optimistic the minister will consider the new site in the south. If we are not successful in pulling that off, I myself would say if we cant get that done, then I am worried about getting more done. So far I have seen only good intent and I think the rubber will hit the road upon implementation." A threat? A warning? Get on board with new St. Catharines facility or kiss its south-end cousin goodbye? "I can tell you that a building doesn't solve anything. I've seen it at other places.  Saying we're not going to change anything else, we're just going to have nice facilities -- that alone fixes nothing. I don't think it's unreasonable at all for the minister to then say to me, 'Demonstrate that the new Niagara Health System is ready for that and is prepared to implement the plan and build upon the system. "We recognize that everyone will not agree on everything, but it would be folly to build a new building if we can't execute the transition plan for the one we have." And how do you execute that? Culture change. It keeps coming back to that. He's fearlessly and somewhat ruthlessly shown how he will deal with those who don't and can't adapt. He's fired an entire board. He's lopped off