Everyone agrees that the National Health Service is a wondrous jewel in the crown of what is good about living and dying in Britain, but alas it has also become unwieldy and expensive, with too many overpaid managers and office-bound professionals. Just look at the cars in the reserved places outside hospitals and surgeries.
The Conservatives want to change the way the NHS operates, handing most of the monies to the professionals who see patients on a daily basis and reducing the number of trusts and quangos who currently hold much of the purse-strings. It is a major change to the way the NHS has operated over the years and has its critics, especially from those who believe that Mr Cameron and his cronies are attempting to break up the NHS by abolishing its basic apparatus and allowing more private care into the UK health system.
A new Bill proposes to hand over £80 billion to GPs and other medical professionals who would then be able to buy expertise from NHS facilities or private companies, the idea being that greater competition creates competitive pricing and less bureaucracy.
Of course, the assumption is that all doctors and consultants have the interests of patients at heart, that prescribed treatments will have no bearing on costs. Sadly one suspects that budgets and targets will continue to be a priority, the pharmaceutical industry will remain as powerful and the cars will just get bigger.
Change is required, no one doubts that, but Andrew Lansley, the Health Secretary, has been unable to sell his proposals to his own party, never mind the public in general and there are murmurs of dissent within the cabinet.
There have been plenty of opportunities for the Prime Minister, David Cameron, to distance himself from the Bill, or at least suggest it be watered down further, but he has taken the moral high road, backing the Health Secretary and the Health Bill with fervent, almost evangelical support.
Even some of his inner circle believe he is being stupid and suggest he should back-peddle like crazy, if necessary firing Mr Lansley and even burying the Bill. It is suggested that the NHS is a toxic issue for any Conservative government, especially when its own government partner in the Coalition does not share the Prime Minister's enthusiasm. However, the Health Service has to find £3 billion in savings and changes need to happen for that target to be achieved.
Margaret Thatcher was never forgiven for the "Poll Tax" and some fear that David Cameron, despite his genuine efforts to reform the National Health Service, may find himself poisoned by attempts to change it. It could be the start of a campaign to weaken his position as Prime Minister, not by the Labour opposition, or the Lib Dems, but by other ambitious politicians within his own party.