"GPs demand €60,000 per year for 'free' care of elderly."

HouseMD

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@Father Peter McWhinger

Yes. Screwing patients is definitely the main reason why people choose to do Medicine as opposed to going into law or business.
It is so fun.
 


General Urko

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Wouldn't a grant just be another grab?
Should G.P.s not just work for free and sacrifice themselves for the people?
What greater reward could there be?
No we are not Cuba!
A grant used for appropriate purposes is by no means 'grabbing'!
Medical professionals should be well remunerated!
The profession should be opened more - the notion that you need the equivalent of 6 A levels at A grade to become a doctor here is patently insane and can in a small number of cases attract people who cannot relate to other human beings!
 

Fr Peter McWhinger

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Revenue targets specific industries where they are fairly sure there is bollex acting on taxes by the self employed and they have targeted GPs in at least one geographic area because of this!
That's the class of folk, you can find in this profession!
Years ago and completely insanely, the Irish healthcare system used to pay a GP on the GMS more on the basis of giving more meds to his/her patients, so there was a very real incentive for them to overproscribe or even give totally unnecessary medicines and of course then there's the backhanders from pharma in cases!

If you incentivise any activity with money you can expect a market response. Free Health Care or drugs leads to over consumption by consumers and over supplying by providers. https://hbr.org/2014/12/how-to-stop-the-overconsumption-of-health-care
 

HouseMD

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All into his trouser pocket. Then straight up his nose, I suppose.
No costs or overheads whatsoever.
It is as lucrative as being the director of a Peruvian Cocaine cartel.
 

paulp

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Lets ask everyone to pay more in taxes to sort.

Maybe increase healthcare premiums.

Who wants to pay more ?

Do away with private healthcare and lets see what happens. People shouldn`t be skipping queues just because they have more money. Should they ?
yes, a single tier health system, where the the rich and powerful use the same system as everyone else, would probably see an overall improvement in the system
 

Fr Peter McWhinger

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@Father Peter McWhinger

Yes. Screwing patients is definitely the main reason why people choose to do Medicine as opposed to going into law or business.
It is so fun.
Many are swats and drift into tit because they get high points. They work very hard and develop a culture and outlook of expectation and entitlement.
 

Fr Peter McWhinger

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yes, a single tier health system, where the the rich and powerful use the same system as everyone else, would probably see an overall improvement in the system
No it would lead to a race to the bottom in the system. Standards would fall.
 

General Urko

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G.P. care is not free in Australia. It is moving more to the U.S. system.
G.P.s can choose to accept the Medicare rebate as full payment but it covers about 50 to 60% of the proper fee needed for viability.
This is usually restricted to concession card holders and children except in cities where churn and burn clinics offer free-for-all cheap 6 minute medicine ...often by doctors who are not trained in general practice.
As I said, Medical care should be free for children, OAPs and people with chronic conditions, otherwise it should come at a nominal cost as that would stop hypochondriacs clogging the system!
€50/€60 for a GP visit is absolutely not a nominal fee!
There was a survey done on whether or not we were screwed with the changeover to the yoyo and the worst offenders were GPs the traditional visit fee of £20 had become €40 or €50 in the blink of an eye and that quite simply is sleeveen scumbaggery!
 

paulp

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@Father Peter McWhinger

Yes. Screwing patients is definitely the main reason why people choose to do Medicine as opposed to going into law or business.
It is so fun.
they also do it so they can harp on on online discussion boards wtih a few beers late at night
 

HouseMD

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You are correct. G.P.s in Ireland are over-educated for the limited job they are allowed to do due to the lack of investment in primary care.
I think Ireland should stop wasting monery training doctors like me when they have no future in Ireland, for the most part.
Ireland should just focus on crime and housing and solidify the model of exporting productive people while remaining a haven for overseas tax-dodger corporations and inflating the Dublin housing market all over again.
That is the way to grow.
 
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HouseMD

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Do you understand how private patient fees are used to subsidise the loss-making GMS patients?
 

General Urko

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No it would lead to a race to the bottom in the system. Standards would fall.
I actually know of a wealthy senior citizen who managed to get a cople of house through the great old standard of lickholing elderly neighbours before they died. This individual loves money so much that she would rather remain in severe pain in need of a hip operation on the public system than shell out for it to be done privately!
As you may know, Bishop Pete, one of the secrets to becoming a millionaire is to never spend a haypenny, if you can at all avoid it!
 

General Urko

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Do you understand how private patient fees are used to subsidise the loss-making GMS patients?
In The Irish system you are not obliged to take on GMS patients and AFAIK you have to be well established before you are allowed to take on GMS patients!
 

HouseMD

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<yes, a single tier health system, where the the rich and powerful use the same system as everyone else, would probably see an overall improvement in the system>

@paulp

Like the NHS? :D
 


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