The chief minister says he wants a public debate on how the National Health Service can survive in the future.
Allan Bell says the cherished system of free health care for all at the point of need is not sustainable for the long-term - as demand from the public continues to expand.
Last week Mr Bell stepped into the controversy over patient safety and management at Noble's and asked unions for a six point action plan to deal with the most pressing issues.
But Mr Bell says the bigger picture is far more serious and needs to be addressed:
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Historian challenges Tynwald to complete long-promised horse tram reinstatement
Yellow warning for wintry showers and ice
Person treated in hospital following Ramsey RTC
Isle of Man needs to be 'pro-active' in relationships with UK politicians
