If the Department of Health were a business, it may well have been wound down at this stage.
But it isn’t and that’s not going to happen.
So we’re stuck with a beast of a department (the number crunchers were right and not just because they put the savings figure needed in health at €666m).
But let’s be clear about one thing, the resignation of Health Minister James Reilly would solve nothing.
And it’s nothing short of cynicism and hypocrisy for Micheal Martin, a former Health Minister, and a Fianna Fail one at that, to call for him to do so.
While it’s nothing new for a political party in opposition to be jumping all over one in a somewhat weak position, let’s row back a little.
Micheal Martin may hope his legacy will be the introduction of the smoking ban ( a great idea, no doubt) but the reality is that it is he also created the Health Service Executive.
(And if that’s not bad enough he may also be remembered as the leader of the Fianna Fail party when it was nearly wiped out by the electorate in 2011.)
And that’s what at play here.
His party still has no credibility and as we come to the end of a long line of harsh austerity budgets, that is becoming clearer.
Yes, the Department of Health is out of control.
But when was this not the case?
Even during the boom it was in receipt of supplementary budgets – and some very big ones.
It is also creaking under the weight of massive bureaucracy and is bursting at the seams with the vested interests clinging to it from doctors to pharmaceutical firms not the mention that it is the most costly department after Social Welfare costing us €14bn a year.
Yes it needs to be restructured and there is clearly no silver bullet.
But that will not happen anytime soon and Mr Reilly, under pressure and unpopular as he may be, is only getting started in his role as Minister for Health (although he'll have to lose some of the ideologies along the way)
So to paraphrase the great Lyndon B Johnson, it would be much more productive for Mr Martin to have the grace to give us the benefit of his experience and knowledge of the department he resided over for years rather than have him on the outside pi**ing in.
That may still be a step too far – especially for a politician who is struggling in opposition to find an acceptable face for Fianna Fail.
Even if he is the leader of the party that brought the economy to the brink.