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"Medical Malls" The future of medicine in Ireland?


Cael

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Jun 19, 2006
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I've just been watching a report on RTÉ about a new privateer hospital in Cork, and I was struck by the description given to it by its boss. He called it a low cost medical mall, where patients would be got in and out as quickly as possible. No sign of Hypocrates here - just neo-liberal profiteering. Is this not the extreme of the profiteering attitude that Maurice Nelligan warned us of? Where medicine is taken out of the hands of doctors and patients, and reduced to profiteers and their consumers? Is it not time for the Irish people to re-assert ourselves as human beings, and not docile victims of the profiteers?
 


hammer

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Jul 6, 2009
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I wonder how long it will be before Mary Harney joins the boards of some of these private hospitals / malls :)
 

quackquack

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Feb 19, 2009
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Why not go get qualfied as a surgeon and go work for minimum wage.
Lead by example and all that.
Show us how it should be done.
 

Cael

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I know the this site is populated by right wing extremists, but even you lot must see the harm in making medicine a private business for profit, run by accountants, not doctors.
 

Panopticon

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I know the this site is populated by right wing extremists, but even you lot must see the harm in making medicine a private business for profit, run by accountants, not doctors.
Medicine isn't run by doctors, it is run by the central planners in our socialist paradise, the HSE, for which we would gladly die.
 

hammer

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Will the Medical Hall have 1000s of administration staff ?

Not on your nellie...................profit profit profit
 

cyberianpan

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The problem with provision of medical services is not whether done not/for profit or public/private
...
rather instead it is that the consumer is buying a product, about which they understand very little
...
this means that the consumer just has to "trust the system"

This isn't so much of a problem with simple medical services... rather instead the more complex ones

Thus my contention is that for complex medical services a new paradigm is needed, instead of
patient <--> doctor
it should be
patient <--> information intermediary <--> doctor

Whereby the information intermediary would be responsible for recommending services

To an extent brokers such as NICE in the UK fulfill this roll for public health... and private insurers fulfill it for private health ... but that is only to an extent, and the information intermediary has little true independence (they tend to be bound to the service providers)

cYp
 

Cael

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Medicine isn't run by doctors, it is run by the central planners in our socialist paradise, the HSE, for which we would gladly die.
Thats quite an exaggeration. In most hospitals, senior medical staff will have a management capacity. A hospital run by people who have no medical ethics is an obscenity.
 

Panopticon

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Thats quite an exaggeration. In most hospitals, senior medical staff will have a management capacity. A hospital run by people who have no medical ethics is an obscenity.
But the money that pays for them has nothing to do with how good a job they do. It is determined by the planners; surely you are not suggesting that the HSE allocates money based on medical ethics? Money is power.
 

Cael

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But the money that pays for them has nothing to do with how good a job they do. It is determined by the planners; surely you are not suggesting that the HSE allocates money based on medical ethics? Money is power.
Bad and all as the HSE crew are, I'd prefer them to a gang of privateers. Whats really wrong with the HSE is that it depends far too much on private contracting.
 

don307

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Oct 16, 2010
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Even more to the point - Minister for Foreign Affairs, Micheal Martin TD opened the new hospital. This is some hypocrisy. As a government minister whose political colleagues seem intent on closing public services across the country he has the gall to go and open a new PRIVATE hospital. Government representatives should be championing the HSE and the public health sector, unless of course their ulterior motive is to jettison public health provision and embrace private healthcare fully to the detriment of the majority oftaxpayers?
 

hmmm

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Oct 4, 2006
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Outcomes are what matter, not structures. The people are voting with their feet, ask them would they prefer to be treated in a public or a private hospital and you will get an overwhelming response.
 

don307

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Oct 16, 2010
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The problem is the apartheid in the system - if you can afford private insurance you get quick access to healthcare. If you can't you languish on public waiting lists. Once the system is accessed you are treated by the same physicians whether you are a public or private patient - the outcomes are the same. A physician is not any better just because he is seeing you in a plush private facility.
 

TradCat

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Jun 5, 2005
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The problem is the apartheid in the system - if you can afford private insurance you get quick access to healthcare. If you can't you languish on public waiting lists.
Not true. There are many people who could easily afford health insurance but choose to spend the money on booze and fags and sky sports instead. If those people were insured we could easily afford to take care of the people who are genuinely in need.
 

DaveMc

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Jan 31, 2009
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The first private hospital in Cork in 100 years cannot secure (as yet) commitment from that dinosaur the VHI to cover patients. This is despite a guarantee from the private hospital to be a minimum of 15% cheaper than any ‘public’ hospital in Ireland for the same procedures, and will offer menu pricing.

You can walk into the medical mall (without having to give a 60 euro bung to a GP for the privilege of a referring letter) get assessed, and for example if you require stints inserted in arteries, you get scanned, admitted, the procedure carried out, and are out the door TWO hours later.

Some may wish that an administration staff of 1000 should be between the patient and the procedure, and are happy to pay tax for the privilege, I am not; this is the efficient way to go if we cannot break down the Mafia that is the HSE, the IHCA and the IMO.
 

asknoquestions

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Oct 25, 2006
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Not true. There are many people who could easily afford health insurance but choose to spend the money on booze and fags and sky sports instead. If those people were insured we could easily afford to take care of the people who are genuinely in need.
you're for compulsory health insurance so?
 

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