On present trends,assuming a basic standard rate of income tax of 45% will be needed to pay for health care,who would be willing to pay it?

Patslatt1

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On present trends,assuming a basic standard rate of income tax of 45% will be needed to pay for health care,who would be willing to pay it?

The Irish health care system is funded more generously than the UK's National Health System (NHS) but is far less cost efficient in management and delivery of care. To improve efficiency,among other things Ireland needs to prioritise concentration of acute care hospitals in seven or fewer locations. Despite the great success of the concentration of cancer care in fewer "centres of excellence" hospitals, this is very unlikely in view of political demands for hospitals in every town as a source of employment. There are at least 27 acute care hospitals at present and possibly as many as forty.

So with little change in hospital numbers, every year the minister of health will have the begging bowl (or dump truck) out for unbudgeted hundreds of millions to cover inefficiencies in dealing with the rapid growth of sick elderly patients and expensive new high tech procedures and drugs.

In a January 6 article in The Times by Philip Aldrick, the Office for Budget Responsibility is quoted as estimating that spending on UK health care will rise 6 percentage points of national income over the next 50 years, requiring the basic rate of income tax to rise from 20% to 45%. Without such tax increases, other departments of state would suffer severe cutbacks.

Given the inefficiencies of the Irish health care system, the need for 45% tax rates could develop in a much shorter time, maybe in 20 years since no political party is prepared to tackle these inefficiencies. But would many employees be left in the footloose Irish workforce to pay that? The likely result is that hospital waiting lists and trolley queues will have to become utterly disastrous before a government will attempt to consolidate the hospitals into fewer centres of excellence.
 
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wombat

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There is a basic misunderstanding of what the function of a local hospital is among the city population. Certainly, it is to treat sick people but its prime function is to generate economic activity in the town where it is located. Most local hospitals should be slimmed down in terms of services offered but that is politically unacceptable. High cost drugs are a convenient scapegoat but as in every service industry, the main cost is labour.
 

Gwannow

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There is a simple quick solution to the health care crisis, Sack most of the HSE non-medical managers sitting on their backsides creating useless work ideas, and pay the nursing staff and those in the front line by at least two times what they now earn. It would balance out about the same on the credit sheet. It would also attract people back from other countries,
 

Patslatt1

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There is a simple quick solution to the health care crisis, Sack most of the HSE non-medical managers sitting on their backsides creating useless work ideas, and pay the nursing staff and those in the front line by at least two times what they now earn. It would balance out about the same on the credit sheet. It would also attract people back from other countries,
Average Irish nurses pay was about 30 to 40% higher than UK nurses pay some years ago depending on the value of the sterling/euro exchange rates, with average Irish nurses pay around 55,000 euro a year then. However, austerity introduced a lower pay and pension entitlements for new hires.
 

hammer

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Pay more income tax for healthcare ?

But most Blueshirts are already paying

Private healthcare
DPS
A&E charges
Full whack Doctors Fees
Fair Deal
etc
 

Mushroom

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Pay more income tax for healthcare ?

But most Blueshirts are already paying

Private healthcare
DPS
A&E charges
Full whack Doctors Fees
Fair Deal
etc

Odd that Widowkiller Adams, the President for Life of a so-called "socialist" party rejected the services of the NHS (6 County branch) and flew to the Big Apple to have his prostate re-bored and his shiny new dentures installed.

"Practice what I preach and ignore what I do myself" he later informed his slobbering acolytes.
 

good dog

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There is a simple quick solution to the health care crisis, Sack most of the HSE non-medical managers sitting on their backsides creating useless work ideas, and pay the nursing staff and those in the front line by at least two times what they now earn. It would balance out about the same on the credit sheet. It would also attract people back from other countries,
A nurse with 15+ years service earns about 70k with their night duty, weekend allowances etc. So you think a nurse should earn about 150k per year? Even if they are not very Good or on sick leave etc as many are like all sectors of the civil service. There are around 1000 guards out sick today and getting paid well for it.
 

Patslatt1

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Health care is becoming voracious with the rapid growth of the elderly population, especially the over 85s whose hospital and nursing home care needs spike, plus the growth of chronic illnesses like diabetes.
 
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General Urko

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If we scrapped private health care and increased taxes slightly to give everyone a chance at accessing decent healthcare at a nominal cost, we would be very much better off!
 

Patslatt1

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Odd that Widowkiller Adams, the President for Life of a so-called "socialist" party rejected the services of the NHS (6 County branch) and flew to the Big Apple to have his prostate re-bored and his shiny new dentures installed.

"Practice what I preach and ignore what I do myself" he later informed his slobbering acolytes.
Hypocricy,a common human failing, is essential in politics!
 

Patslatt1

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A nurse with 15+ years service earns about 70k with their night duty, weekend allowances etc. So you think a nurse should earn about 150k per year? Even if they are not very Good or on sick leave etc as many are like all sectors of the civil service. There are around 1000 guards out sick today and getting paid well for it.
That's about 8% of the garda force on sick leave. Where did you get that figure?
 

hollandia

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Patslatt1

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If we scrapped private health care and increased taxes slightly to give everyone a chance at accessing decent healthcare at a nominal cost, we would be very much better off!
The best country systems of health care, those of France, Netherlands and Germany, rely largely on private hospitals for a large percentage of care. In France, public hospitals take care of chronic illnesses that wouldn't suit a private sector model. In the UK, the NHS was so impressed with the good outcomes from contracting out of hip and knee operations to a private hospital about five years ago, it quickly contracted for a second hospital. The key factors to success were the specialised practice of surgeons and to a lesser extent the rapid turnover of patients which reduced the risk of hospital bug infections.
 

Fritzbox

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The Irish health care system is funded more generously than the UK's National Health System (NHS) but is far less cost efficient in management and delivery of care.
Is it? Have you any evidence for this?
 


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