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Committee on Health and Children: Select Sub-Committee on Health: Health (Alteration of Eligibility Criteria) (No. 2) Bill 2013: Committee Stage (21 Nov 2013)

Jerry Buttimer: I ask the Deputy to stick to the Bill.

Committee on Health and Children: Select Sub-Committee on Health: Business of Select Sub-Committee (21 Nov 2013)

Jerry Buttimer: I remind everyone present to switch their mobile phones off completely. Deputy Harris will be present in place of Deputy Mitchell O'Connor for the entire meeting, which has been convened to facilitate the taking of Committee Stage of the Health (Alteration of Criteria for Eligibility) (No. 2) Bill 2013. I welcome the Minister of State, Deputy White, and his officials, Mr. Matt Collins and...

Committee on Health and Children: Select Sub-Committee on Health: Business of Select Sub-Committee (21 Nov 2013)

Jerry Buttimer: That is fine.

Committee on Health and Children: Select Sub-Committee on Health: Health (Alteration of Eligibility Criteria) (No. 2) Bill 2013: Committee Stage (21 Nov 2013)

Jerry Buttimer: Amendment Nos. 1 and 2 in the name of Deputy Kelleher have been ruled out of order because they involve a potential cost to the Exchequer.

Committee on Health and Children: Select Sub-Committee on Health: Health (Alteration of Eligibility Criteria) (No. 2) Bill 2013: Committee Stage (21 Nov 2013)

Jerry Buttimer: As the Deputy is aware, the ruling comes from a higher being. Let me add, however, that said being is not the Minister. The Deputy has been a Member of the Houses for long enough to know how the system operates.

Committee on Health and Children: Select Sub-Committee on Health: Health (Alteration of Eligibility Criteria) (No. 2) Bill 2013: Committee Stage (21 Nov 2013)

Jerry Buttimer: To clarify, amendments 1 and 2 in the Deputy's name propose a higher gross income rate to be set as the threshold for eligibility for a medical card for over 70s from 1 January 2014 than is currently in force or than is proposed by the Bill. This could result in increased levels of eligibility for medical cards among this cohort, which could impose a charge on the Exchequer. An amendment to...

Committee on Health and Children: Select Sub-Committee on Health: Health (Alteration of Eligibility Criteria) (No. 2) Bill 2013: Committee Stage (21 Nov 2013)

Jerry Buttimer: I am not going to enter into a debate on the matter.

Committee on Health and Children: Select Sub-Committee on Health: Health (Alteration of Eligibility Criteria) (No. 2) Bill 2013: Committee Stage (21 Nov 2013)

Jerry Buttimer: I suggest that the Deputy, who is a long-standing Member of the House, take the matter up with the Bills Office rather than with the Chair, whose hands are tied.

Committee on Health and Children: Select Sub-Committee on Health: Health (Alteration of Eligibility Criteria) (No. 2) Bill 2013: Committee Stage (21 Nov 2013)

Jerry Buttimer: I appreciate that.

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: I thank Deputy Nolan, who brought this to our attention. I also thank all the people in the Gallery for being here this morning. You are all very welcome. I thank all the witnesses for coming here this morning, particularly Dr. Schwarzbach, who travelled a long distance to be with us. Today is the start of what we will examine. The committee will reflect upon our hearings today and we...

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: I do not wish to invade anyone's privacy, but may I ask whether all of the witnesses are still on medication or are they off everything?

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: Is that by choice?

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: Perhaps the Senator could talk to the witness after our meeting about that. We have two other speakers to come back in and other work to do.

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: Why is that the case?

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: In your experience of dealing with the issue from a HSE point of view, the testimony given by the patient advocates tells us there is not, perhaps, a recognition or a willingness to change along the way. Would that be Dr. Healy's experience?

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: I call Mr. Casey.

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: The committee can only deal with the present. We are dealing with that. That is what we have been charged with.

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: There is approximately half an hour remaining in this meeting, so I will give all the witnesses approximately five minutes each in which to respond.

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: Is there an awareness and a willingness among Dr. Schwarzbach's profession to change its methodology?

Joint Oireachtas Committee on Health and Children: Prevention and Treatment of Lyme Disease: Discussion (21 Nov 2013)

Jerry Buttimer: I would like to ask about mapping in Ireland. Dr. Healy mentioned in his presentation that it is prevalent in certain parts of the country, such as Limerick. Are the locations where patients are found mapped? Is there a concentration in any particular area?

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