€9 billion needed over 10 years to fix the Health Service.

ruman

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I watched an old RTE documentary on video the other night. Noel Browne was talking about vested interests. He specifically mentioned the IMA and the vested interests and their resistance at that time to the concept of an NHS. It is till there and when you have those who are considered as leaders in their sector

( i.e. consultants) profiteering from a dysfunctional public service and making fortunes in their public subsidized private practices what example , what leadership does this provide to the rest of the HSE. Then again when you have a political leadership who are even more greedy, money grabbing, with people such as Lowry, Bailey, O Doherty, Burke, the list continues , with undeserved and inflated salaries, allowances, and pensions paid for by the taxpayer what can you expect?. The early politicians such as Cosgrave, Lemass, even Dev would be turning in their graves. They had a commitment that none of the thieves today can demonstrate. Must stop blood pressure rising...
As Aneurin Bevan memorably put it when facing down the consultants to create the NHS " i stuffed their mouths with gold"

You have to imagine our health service is beyond all reddemption when not one of our political parties is preprared to criticise the decision to include private rooms for medical council in the severely space restricted new hospital.

Dick Bruton says sure it's only a few rooms tis grand!
 


omgsquared

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If we stopped sepnding 800+mEuros in aid and used that money to invest in a restructuring of the HSE it would be well spent. ut the term is restructuring. It would be a waste just pouring more money into a system that is wasteful, probably corrupt and a bad value for money.
 

ruman

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If we stopped sepnding 800+mEuros in aid and used that money to invest in a restructuring of the HSE it would be well spent. ut the term is restructuring. It would be a waste just pouring more money into a system that is wasteful, probably corrupt and a bad value for money.
Our spending is above the OECD average and we spend at a similar level to countries with proper health services.

Restructuting is required 1st right enough starting with the abandonment of the 2 tier system which adds huge administrative costs.
 

Finbar10

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Our spending is above the OECD average and we spend at a similar level to countries with proper health services.

Restructuting is required 1st right enough starting with the abandonment of the 2 tier system which adds huge administrative costs.
And we still have a relatively young population demographically. We have about the half the number of over 65s (the main consumers of health resources) as Germany. That's what makes out relatively high health spending worrying. Things will get interesting over the next 20 to 30 years as our population ages and the number of old people doubles or more. Obviously, our economy won't be able to shoulder a doubling of health expenditure from a high base. Our health service will either have to get more efficient or become a lot worse than it currently is (I suspect we'll get a combination of both).
 

making waves

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Our spending is above the OECD average and we spend at a similar level to countries with proper health services.
And still haven't caught up with a century of under-investment

Restructuting is required 1st right enough starting with the abandonment of the 2 tier system which adds huge administrative costs.
A single tier health services free at the point of delivery.
 

omgsquared

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And still haven't caught up with a century of under-investment


A single tier health services free at the point of delivery.
But then how will the consultants manage to keep their houses in Dublin , Their yachts on Lough Derg and of course the lakside weekend house and the oversas properties and Hols,
They might all pack up and travel to some country that will appreciate them and maybe not pay them as much..
 

soubresauts

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What the Law-maker says, A
What the Hospital says, B
What the Patient says, C
Legally and medically, fluoridation is the answer to tooth decay (Ryan case, High Court 1963, Supreme Court 1964). Your water has been fluoridated for 55 years now. What more do you want?
 

ruman

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And still haven't caught up with a century of under-investment


A single tier health services free at the point of delivery.
I hear this a lot from the usual vested interest groups. It sounds good but when you dig down it doesnt make sense. Other than large capital costs isnt most of the spending labour costs which are essentially sunk costs?

How is alleged " historic underinvestment" a problem if current spending on labour is in line with the OECD average?

Are you saying that not spending enough on equipment (that has a short life span) 10 years ago means we need to spend more now?

Isnt health a bit like industries where significant legacy spending leaves traditional firms unable to compete with more nimble new entrants who arent carrying those legacy costs?
 

Sexual Harassment Panda

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€9 Billion is not even close to enough. There is no monetary solution to 60 years of rot.

Let private operators in. Let private insurers. Stop protecting failing institutions.
 

Sexual Harassment Panda

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It's only fit for vultures at this point
 

Rory Buckley

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The Dublin Dental University Hospital / Patient relationship is topsy-turvy.
At a first appointment in Primary dental care, the patient is screened for suitability for teaching needs.
The Service Provider / Customer roles are reversed.

Right Way Up
Topsy-Turvy
 

soubresauts

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The Dublin Dental University Hospital / Patient relationship is topsy-turvy.
At a first appointment in Primary dental care, the patient is screened for suitability for teaching needs.
The Service Provider / Customer roles are reversed.

Right Way Up
Topsy-Turvy
Dentists must be the most amoral of professions. As you lie prone before them, under the threat of their instruments of torture, they are tempted by all the possibilities they have to screw you.

The influence of retired bigwigs lingers in Dublin Dental Hospital. People like John Clarkson and Seamus O'Hickey who built their reputations on the fluoridation fraud.
 

Patslatt1

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The Health Service should only cover some illnesses, but not all.
Let people take out private health care for the excess.

If a person drinks too much, smokes too much & eats too much, why should I pay for their deliberate lifestyle illnesses ?
Socialism demands you pay but ultimately years on socialist waiting lists kill off the unhealthy.
 

Patslatt1

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There's always an excuse for failure...but senior managers will never consider that maybe the problem are the inept managers!
The government could learn from the best systems in Europe, those of France,Germany and Holland. The French government regulators get very good productivity from both the majority of private hospitals and the minority of heavily subsidised public hospitals that deal with chronic expensive treatments. But for any reform to succeed, a mission almost impossible, the power of hospital unions and medical consultants need to be curbed drastically and Tea must be prevented from opposing consolidation of the numerous acute care hospitals.
 

ruman

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The government could learn from the best systems in Europe, those of France,Germany and Holland. The French government regulators get very good productivity from both the majority of private hospitals and the minority of heavily subsidised public hospitals that deal with chronic expensive treatments. But for any reform to succeed, a mission almost impossible, the power of hospital unions and medical consultants need to be curbed drastically and Tea must be prevented from opposing consolidation of the numerous acute care hospitals.
Yeah we prefer to learn from 3rd rate services in the US and UK as well as Canada and Oz rather than properly functioning systems in the EU that we are a member of!!

Coincidentally salaries in those Anglo countries are very high so insanely we end up trying to match their salaries!
 


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