Results 1,001-1,020 of 1,253 for speaker:John Crown

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I move amendment No. 2: In page 4, after line 42, to insert the following:“Insertion of new section 7I to Principal Act4. To insert a new section, after section 7H, of the Principal Act:“7I. Any medication which is available to a public patient, and is approved by the National Center for Pharmaeconomics, and is deemed necessary for treatment of a patient by a medical...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I disagree with the Minister because there are situations where there is no other competing treatment. They make an arbitrary decision “we ain’t paying for this one” because they know that people will fall back into the arms of the State. In taking a global systematic view of health expenditure in the country, I understand this would tend to increase premia but not...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I move amendment No. 3: In page 4, after line 42, to insert the following:“Insertion of new section 7I to Principal Act4. To insert a new section, after section 7H, of the Principal Act:“7I. Any health benefits undertaking may, if they decide that it is in their commercial interest, reduce the premium offered to any individual who avoids behaviours which are known to have...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I thank the Minister. I thank also the most thoughtful legislator on the Government benches, Senator Colm Burke, for his contribution although I politely disagree with him. We are not proposing additional regulation by legislation. We are looking at existing regulation by legislation and proposing to loosen it because at present under the interpretation of the strictures of community...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: Us doctors are always-----

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: Yes.

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I move amendment No. 4: In page 6, between lines 9 and 10, to insert the following:“Amendment of section 21 of Principal Act 6. To insert a new subsection after subsection (1) of section 21 of the Principal Act:“(2) To analyse and review the health insurance contracts which are offered by the various health insurance undertakings to ensure than there exists no anti-competitive...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I move amendment No. 5: In page 6, between lines 9 and 10, to insert the following:“Amendment of section 21 of Principal Act 6. To insert a new subsection after subsection (1) of section 21 of the Principal Act:“(2) Where a complaint is made to the Authority by a medical practitioner, to review whether any changes in coding, or payments structures, used by any health insurance...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: It is very difficult for me to escape the conclusion that a very deliberate decision was made that a particular service should in future become a public service. It had been safely, adequately and efficiently provided in the private sector, fulfilling all the requirements one would have for private insurance. These are that it would provide an appropriate level of care and reduce the burden...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: This is my fault as I am not communicating the issue well, perhaps due to opacity. By arbitrarily fixing a reimbursement level for a group of procedures which are below that which can be sustained with malpractice insurance premium costs, persons who were providing the service suddenly indicated that the numbers do not add up. In one very sad case, a person has packed bags and emigrated...

Seanad: Water Services Bill 2014: Second Stage (Resumed) (18 Dec 2014)

John Crown: After a lot of soul searching I will be opposing the Bill tonight. I have consistently opposed the concept behind the Bill since my earliest days in this House. I am not naive and I know that water costs. I know that everything we do occurs in an economic context. I also know there is an opportunity cost for every euro we spend in the public sector where it is not available somewhere else....

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: I welcome my colleagues and friends here today. It is important that people understand exactly what it is that plastic surgeons do. There is a tendency based on popular literature to trivialise facelifts and cosmesis etc.. Plastic surgeons are also the doctors who deal with the substantial chunk, if not the majority, of serious skin cancer cases, who play a critical role in managing breast...

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: I want to be clear on a legislative solution to the problem. Ms O'Donnell referred specifically to the European standard for surgery. Are the bones of it in law in any European country?

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: In theory, if a law was drafted here which included its elements, it would be all right.

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: It will be a de factodegree of regulation.

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: My question is slightly off the topic of cosmetics and concerns other areas of plastics. I had occasion recently to make inquiries on behalf of somebody whose child had suffered a severe burn injury abroad. Do we have enough burn beds? Do we have enough paediatric and adult burn beds? Is the unit adequately staffed and resourced? I have received a number of distressing items of...

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: Where is the blockage in that regard? Is it that the post has not been approved or that no one is applying for it?

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: Your Honour, I rest my case.

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: Where do they go?

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: This is helpful and I thank Ms Eadie. There are patients in the Republic who get severe burn injuries who cannot access specialist burns services.