Clark DavidDr DAVID CLARK (Labour—Dunedin North): I have to say it is actually a pleasure to follow Jonathan Coleman the Minister for Underfunding in our Health System". I mean he opens the door does he not? After that particular wide-ranging speech he invites all of the criticism that will follow. There is $1.7 billion in underfunding independently verified by Infometrics. The Minister disputes it. He gets up and says: "Oh we've put X amount of money into this and we've done this and we've done that." It has not kept up with the demographics. It has not kept up with the funding pressures in the health system and the Minister knows that. I can see him looking away; it is an uncomfortable truth. He is earning a reputation as a Minister who is pulling the health system apart. That is why the New Zealand Doctor magazine has a crack at him. Mrs King is quite right to bring that up. He is underfunding in public health he is underfunding across the system by $1.7 billion and the wheels are coming off.We look down south where I am from and see what is going on down there in terms of our hospital rebuild. In this Budget there is some money allocated to try to speed up the process. At least that is what the documents tell us when we can get hold of them but the Minister has not committed to any new time frames. He has still got this project on the never-never. He will not be held accountable for it. He has got rid of the board he has wiped it out of the way and now he has to wear all of the criticism that goes with underperformance in that district health board.I have not mentioned the bowel-screening programme; I should probably mention that in passing. Labour brought that in. I cannot take credit—I was not a part of that Labour Government—but the last Labour Government brought that roll-out in. The Minister's Government stopped it—and it is 10 years before you get any progress with it. That is an absolute outrage but the Minister will get up and try to claim some credit because he has done at least something.Unfortunately the highest cancer rates and incidences of death are in the south and that is where his bowel-screening programme is going to be rolled out eventually but not at the start. Why? We do not know. Let us go back to the case of the hospital rebuild. The Government put some money aside for it but it seems to be on the never-never. The strategic business case was due out in June—1 month after his commissioners were appointed. Where is it? Where is it? It is still sitting with Ministers. We have not even seen the strategic business case for the hospital rebuild. That building should be beginning to be built before the next election. If the Minister has the courage of his convictions on the issue of rebuilding the hospital he will commit capital and time frame to getting that rebuild under way before the next election. It is Dunedin's turn. The Minister and his Government have acknowledged that that $300 million at least that should go down south is due to Dunedin. It is the last major hospital in New Zealand to have a capital rebuild but this Minister seems to be sitting on his thumbs year after year. His predecessor Tony Ryall said he was committed to getting a business case to his Cabinet in 2014. He pushed that out to 2015. Minister Coleman when he arrived said that at the end of 2015 he would have a business case at Cabinet—2015 said Minister Coleman. Then it was 2016. Now June 2016 has passed. The detailed time line for the strategic business case has gone by. We have not seen it he still has not considered it he has not committed to the next stages and we know he could be getting on with it. The planning group is meeting every 5 weeks. It could get together a little more often it could meet with the architect it could move things forward but the Minister has no appetite for health care in this country. That explains the $1.7 billion he has ripped out of the health system. That explains the delay on the hospital rebuild and the Minister's poor commitment to the health of New Zealanders.Every New Zealander should expect to have decent health-care. That is a fundamental that the Minister does not seem committed to. These Budget documents reveal that as bright as day in black and white because he is committing only the bare minimum to planning processes that are set to drag out for ever and a day."