Dr Edward Fitzgerald is the Health Equity and Access Co-Lead at KPMG International and Head of Healthcare & Life Sciences at KPMG Islands Group. He talks to Agenda about health care policy and the policy differences of delivering health services in Island situations. With spiralling health costs threatening the economic development of the Island he has some important lessons for us on how we can improve our health services and make them affordable. A useful dose of health policy medicine from the good doctor.