Paschal Donohoe (Dublin Central, Fine Gael) | Oireachtas source

That comes to the nub of my questioning. When the HSE is getting its figures ready for the year, I suppose it knows that if it issues a certain number of new medical cards, that will generate a certain amount of expenditure. Why has there been such an increase in the number of items on existing medical cards that has consequently driven the cost the HSE is managing at the moment?