Enda Kenny (Mayo, Fine Gael) | Oireachtas source

We recognise, following the centralising of the medical card system, that the inequality in the level of discretionary cards awarded was higher is some parts of the country than in others. In other words, some counties had a very high level of discretionary cards awarded while others did not. In the centralising of that system, clearly significant numbers of families where there were children in particular with complicated medical circumstances were very badly stressed.

See this speech in context