Kevin Humphreys (Dublin South East, Labour) | Oireachtas source

The points made Ms Joyce and Professor Tierney are well given. Does Ms Joyce think the provision of services is better than a cash payment? Given the scarce resources of the State, is it better to provide services targeted at families at risk rather than making a cash payment?

I understand Professor Tierney's point about GPs' costs. However, I find it worrying that regardless of the level of service, the structure of the building, the availability of practice nurses and so on, the cost of visiting GPs within a particular geographical area does not vary. If the cost is €60 in one part of the city all GPs in that area will charge €60, whether a doctor has a purpose-built building with full services or a basic surgery. I am concerned that there is a certain amount of price fixing within geographical areas.

That causes a real problem for people who have scarce resources and a consideration as to whether they seek health care. There are differentials in the provision of service but it always appears to be same price. That has always been a concern. I take on board the fact the witnesses do not take note of what their members charge but it is obvious to many Members that the charge for the various services provided is always the same.