Simmonds Penny; Dean JacquiPENNY SIMMONDS (National—Invercargill): Well you have to admire the previous speaker Tracey McLellan's optimism—like lambs to the slaughter. I rise to speak in opposition of the Pae Ora (Healthy Futures) Bill. I spoke earlier today about the review of the vocational education sector and you might say—and I'm sure Dr Webb will say—Why is that relevant to the disestablishment of the DHBs and the setup of Health New Zealand and the Māori Health Authority?" It is relevant because it is an absolute prelude to what we are going to see in the health sector and because actions speak much louder than words.Three years ago we heard exactly the same arguments from the Minister of Education about the vocational education sector and then he gave exactly the same solutions. We heard that the lack of equity of performance for Māori was an issue in the vocational education sector and it was. We heard that geographic location prevented equity of access. We heard about lack of equity of the disabled. And then we heard the same solutions: centralise put it into a head office in the centre that can be controlled by the Government because only the Government can solve these problems! We heard economies of scale would fix everything. Well here we are.Here is the review so far of what happened in the vocational education sector. It didn't save money; it cost more and we are doing less with more. It is less efficient. It won't be nimble; it will be bloated cumbersome slow heavy and bureaucratic—and so will the health sector be. It won't address pockets where there are viability issues because quite frankly there won't be any accountability for anyone to be held accountable to do that. It won't involve local community consultation. It will have some window-dressing local consultation but it won't have any power. And here's the big one: it won't address equity issues for Māori. It hasn't done it in the education sector and it won't do it in the health sector.I don't know when this Government is going to understand that changing the packaging doesn't change the content; different wrapping won't change anything. It will cost lots of money and that money will go to consultants. It won't go to doctors or nurses. It won't go to better care for patients. The only winners in this will be the consultants just as they were in the vocational education sector. Now it's sad but we have seen this little prelude of what is going to happen. We've seen lots of money being spent lots of change around the packaging and the wrapping of it but we haven't seen anything substantial that helps the students—and we won't see anything substantial that helps the patients.I heard my colleague Matt Doocey say earlier on today speaking on this that he challenged each Labour speaker to come up with what was going to be better and improved for patients and they couldn't come up with anything. I've waited and I've waited. There's been lovely theoretical "It's going to make it so much more wonderful because it's going to be centralised and we're all going to be so happy that it's all being driven from the middle." but I didn't hear one example of what will be better for the patients.So you might say that it is not an exact replica of what is going to happen in the health sector. You might say that the mistakes that have been made with say KiwiBuild or light rail or bridges for walking and cycling are just a bit of a blip or a mistake; this one is the example of what happened when this Government actually made a change and centralised and it didn't improve things for the students one little bit. It will do exactly the same thing for the health sector. We'll be—ASSISTANT SPEAKER (Hon Jacqui Dean): Order! Order! Sarah Pallett—five minutes."