Safe in his hands... that's what David Cameron wants people to think when they ponder whether to put him in charge of the NHS. Ever since Margaret Thatcher first used that phrase the Tories have struggled to fend off Labour accusations that secretly they yearn to break up the health service.
But today's speech marks more than mere political re-positioning. It represents a significant moment in the debate about healthcare in the UK. Many Tories - backed by not a few health experts - believe that taxes alone cannot fund the healthcare we need or indeed want, and they believe the UK will one day have to move to an insurance-based system like much of the rest of the world.
By declaring that will NEVER happen whilst he's leader, David Cameron has ruled out even debating the subject. Is it an embarrassing U-turn? Labour says so but of course that's the charge they also face as they now privatise parts of the NHS with abandon.
Proof that the politicians are learning what the NHS need and the public want? Or as one cynic put it to me - it's a story of the NHS for slow learners.