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Seanad: HSE National Service Plan 2015: Statements (20 Jan 2015)

John Crown: I welcome the Minister to the House. He has been a refreshing dose of reality and fresh air in the way he has handled commentary about health issues. He has not made unreasonable promises. Clearly, he came in at a time of particular circumstances with respect to the public perception of the health service and in the context of his party's entirely realistic and not extravagant pre-election...

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: I also make a disclosure; I am a doctor. It was a real shock for me when I came back in 1993 from New York, which is often considered the medical litigation capital of the world, to find that Ireland, where we had a certain set of prejudices about the perception of doctors in our society and a non-confrontational nature, was at the time third in the world for medical claims, and I believe we...

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: I am sorry, but I was actually seeing patients at the beginning of the meeting.

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: I do my best to complete a complex set of responsibilities.

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: I will leave others to judge if I am grandstanding. Part of the problem of the culture of secrecy in Irish medicine is that when Irish doctors, whose instinct is to be honest when something happens, try to be honest, they are immediately advised by the administrators in the hospital and by the lawyers to shut up. That is what happens. Therefore, the problem regarding the lack of...

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: I have a question for the State Claims Agency. If this major increase is occurring on the private side, are we seeing it on the public side also? We must assume that for a non-profit organisation like the MPS malpractice premia roughly match payouts, allowing for the fact that it needs to build up a war chest for changes in future years. The State Claims Agency is author of data which...

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: What about my question about the increase in fees - do they parallel the payouts?

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: I am sorry, but what did Mr. Breen say?

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: I asked a very specific question which Mr. Kayll may have skipped. Will he quickly take me through the thought processes that justify why somebody who has had a mixed public-private practice throughout his career and becomes full-time private and may not have any increase in the volume of his workload suddenly finds that his malpractice premium does not go up by a number of percentage points...

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (22 Jan 2015)

John Crown: Fivefold.

Joint Oireachtas Committee on Health and Children: Public Health and Food Safety: European Commissioner for Health and Food Safety (22 Jan 2015)

John Crown: I welcome the Commissioner. I am a fellow doctor. I was reading his interesting career history and commend him for his many professional and personal achievements. I also serve on the public affairs committee of the European Society of Medical Oncology, the group that regulates medical oncology. With other groups with a strong research focus, we are concerned about the potential...

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (Resumed) (27 Jan 2015)

John Crown: I did not get the chance to ask a question. I am sorry I was not here at the beginning.

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (Resumed) (27 Jan 2015)

John Crown: I am sorry. I thought I indicated to the clerk.

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (Resumed) (27 Jan 2015)

John Crown: I am very sorry I was not able to get here earlier but I had complex commitments today and I intended no disrespect to any of the witness by not hearing their testimony. As I said last week, I really believe practising medicine in Ireland is nearly uniquely dangerous. A doctor in Ireland has one of the highest chances of finding himself or herself on the receiving end of a lawsuit of any...

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (Resumed) (27 Jan 2015)

John Crown: I will leave it at your discretion. If you think my contribution is not worth hearing, I will go now.

Joint Oireachtas Committee on Health and Children: Medical Indemnity Insurance Costs: Discussion (Resumed) (27 Jan 2015)

John Crown: If people were prepared to listen a bit more often, we might be in a better position. Thank you.

Seanad: Universities (Development and Innovation) (Amendment) Bill 2015: Second Stage (28 Jan 2015)

John Crown: I thank Senator Barrett for allowing me the privilege of seconding this worthy legislative proposal. If and when somebody sits down to write the history of this Seanad, he or she will acknowledge that the Senator has been one of the most serious, insightful and informed legislators we have had in this House over the last four years. He certainly exemplifies the best traditions of this...

Seanad: Order of Business (29 Jan 2015)

John Crown: I am sorry if I sound like a broken record, but we will need to have a fresh debate on the issue of hospital waiting lists in the aftermath of data and an international comparison being published, both of which emerged during the week. As the Minister for Health, Deputy Leo Varadkar, has correctly and honestly acknowledged, the HSE figures show an unacceptably long waiting list. Clearly,...

Joint Oireachtas Committee on Health and Children: Quarterly Update on Health Issues: Discussion (12 Feb 2015)

John Crown: I welcome the Minister and Minister of State and their officials. I have a few quick questions. I am sorry I did not have an opportunity to submit questions. Would the Ministers and the head of the HSE acknowledge, in light of the recent coverage of concerns about obstetric services, that we had a big warning several years ago with the Galway tragedy ? If we just adopted a policy of...

Joint Oireachtas Committee on Health and Children: Quarterly Update on Health Issues: Discussion (12 Feb 2015)

John Crown: I am not quite finished. Hear me out for a moment.

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