Enda Kenny (Mayo, Fine Gael)

I am well aware of the concerns expressed over a long period with regard to the inadequacies of the health service. I am also aware of the brilliant work being done by so many in pressurised front-line positions. In that context, when patients get into the system, they receive the best care and attention. We want to allow everybody to have the opportunity to receive such care and attention. That is why it is necessary to change the structures within the health system. The Minister for Health has set out the Government's intention to move, during its lifetime, to a universal health structure. This will not be achieved by clinging to an aspiration that the best care and attention can be provided in the absence of major changes.

When one considers the amount of money to be taken out of the health service over a period, one realises this is bound to have an impact. Of course, we are concerned about the level of care and attention provided for every patient, but the best service will not be achieved easily without making difficult choices on the structures that have to be put in place. I know Dr. Burke has written quite a few articles on changes to the structure and reform of the health service. However, government is about looking after the interests of everybody. This is challenging, but the Deputy can take it that the Minister who is a medical practitioner is conscious of the necessity to ensure the best care and attention is provided for every patient.

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