If the states and territories do not sign up to fundamental reform then my message is equally simple: we will take this reform plan to the people at the next election - along with a referendum by or at that same election to give the Australian Government all the power it needs to reform the health system.
We've taken on the major health problems of the poorest - tuberculosis maternal mortality AIDS malaria - in four countries. We've scored some victories in the sense that we've cured or treated thousands and changed the discourse about what is possible.
In the beginning when I sat next to Tom Brokaw on the 'Today' show the stories I was interested in were those having to do with women and children and learning and health. In those days 25 to 30 years ago that was called soft news and not in a nice way.
I don't think there's a shortage of material in the world. Or in my head. I just pray for continued good health because I've got other stories to tell.
My greatest point is my persistence. I never give up in a match. However down I am I fight until the last ball. My list of matches shows that I have turned a great many so-called irretrievable defeats into victories.
Why do you think the old stories tell of men who set out on great journeys to impress the gods? Because trying to impress people just isn't worth the time and effort.
As the economy faces such difficulties more tough questions need to be asked about what the Tories would do if elected. Their ideology of free markets and small government needs challenging. That has to be part of our job.
I clearly believe a lot more than some of my coalition colleagues - Tories - in redistribution and using the tax system for that purpose. I also believe in the government having an active role in the economy which is having an industrial strategy. I'm not a believer in laissez-faire.
For most Americans Friday afternoons are filled with positive anticipation of the weekend. In Washington it's where government officials dump stories they want to bury. Good news gets dropped on Monday so bureaucrats can talk about it all week.
The stories that I want to tell especially as a director don't necessarily have a perfect ending because the older you get the more you appreciate a good day versus a happy ending. You understand that life continues on the next day the reality of things is what happens tomorrow.