It's something of a poisoned chalice ... the ultimate hospital pass.
But still people will be campaigning keenly - and perhaps even bitterly - for a seat at the Wanganui council table and the chance to wrestle with its growing problems.
Who would put their hand up to take on a debt that is ballooning over the $100 million mark? Well, quite a few people actually.
Already a four-strong group has declared an interest in exerting influence over the uncertain future of the Wanganui district, and a number of the battle-fatigued are preparing to go over the top again as nominations open today for candidates.
It's a thankless task at times. The council is there to take control but often finds itself dealing with issues outside its control - the ravages of nature; the ravages of central government legislation.