Jim Walsh (Fianna Fail) | Oireachtas source

Reform is obviously the buzz word of the moment. In that regard, there should be an in-depth debate in the House with the Minister for Health on the HSE. The HSE has been dysfunctional, and recognised as such, for a number of years. It must be overhauled and, in my opinion, totally restructured. The fact that we find ourselves in a position where people who are in need of medical attention are being deprived of it because doctors have decided to go on strike, is highly regrettable and should have been avoidable. To expect people these days to work over 100 hours per week, apart from the effects on themselves and the fact that it breaches any sort of employment law, is obviously a risk factor for patients. I seek a full debate on this issue.

We must also examine the payment structure within the health service. Since I became a Member of this House I have been a long-time critic of the failure of successive Administrations to tackle both legal and medical fees, which are nothing short of a scandal. However, there appears to be no appetite or courage on the part of politicians to do that. The time has now come. Members of this House have a significant mandate from the people, for the second time in this Seanad's term, and we should discuss and seek the changes that are necessary in the interests of our citizens.