Results 4,101-4,120 of 14,090 for speaker:Marc MacSharry
- Public Accounts Committee: 2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 37 - Social Protection
Chapter 11 - Regularity of Social Welfare Payments
Chapter 12 - JobPath Employment Activation Service
Chapter 13 - Actuarial Review of Social Insurance Fund
Chapter 14 - Overpayments of Age-Related Jobseeker's Allowance
Chapter 20 - PRSI Contributions by the Self-Employed
2017 Social Insurance Fund (29 Nov 2018) Marc MacSharry: I will be in the House for the abortion legislation, I am afraid. I did have a few more questions, but I will put them to our guests on another occasion.
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: As a former member of the committee but a gatecrasher, I thank the Chairman and the members for allowing me speak. It is mainly in the next session where I would like to ask questions but I will make a couple of points. Dr. Lambert trained in Michigan and was involved in Rochester in New York. He was an assistant professor at Johns Hopkins and then went to St. Mary's and Kings College...
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: Reading Dr. Lambert's biography for the Mater, that makes sense. Dr. Lambert's biography does not mention Lyme disease anywhere, either for the Mater Private Hospital or the Mater public hospital. Is there any political reason for that?
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: Would the clinical director, for instance, of the Mater or the Ireland East hospital group, say that he cannot include Lyme disease, that he or she sees Dr. Lambert as a specialist in HIV and other infectious diseases but the hospital does not want him saying anything about Lyme disease? I was only reading Dr. Lambert's biography online and there is no mention of Lyme disease. Is there any...
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: It is just that Dr. Lambert's biography does not say it and I was just wondering was it a matter of his own choice to exclude that.
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: What is Dr. Lambert's view on the reason for such push-back from the medical establishment here, apart from himself, in terms of embracing what seems, from the patient's perspective, to work?
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: Up to this week, when the Lyme disease resource centre was launched, we were depending on word of mouth and GPs who were up to speed and involved with this area for people to be referred to Dr. Lambert.
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: I know that. The point I am making is there is no public support for that centre. It is privately funded.
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: Has there been any push-back on the establishment of that?
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: From where Dr. Lambert sits, and we seem to have established this from listening to the answers to other people's questions this morning, this is an area that is not funded, where no official GP training is provided by the State and where, in the absence of an absolute agreed gold standard in testing and clinical diagnosis, it is the luck of the draw based on the level of knowledge of the GP...
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: There is a suggestion that in Ireland, we tend to follow what we see as best practice. On some issues, that might be the National Institute for Health and Care Excellence, NICE, in the UK while on others, it might be the Infectious Diseases Society of America, ISDA, or the guidelines of the Centers for Disease Control and Prevention, CDC, on others. Is that how Ireland tends to do its business?
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: Copy and paste. They are probably good enough with regard to a lot of things. I read recently that officials from both the CDC and ISDA own or have shares in the ownership of patents relevant to some Lyme disease tests?
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: Based on his medical knowledge, is that a-----
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: Dr. Lambert has read reports that this is the case.
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: I am a member of the Committee of Public Accounts. Would Dr. Lambert agree that from a governance perspective, it would not be appropriate to have people who own the test setting the guidelines that others throughout the world may choose to mimic?
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: What is the view of Tick Talk Ireland on this?
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: Is that for the whole country or X number of patients?
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: And it would cost between £3 million and £3.5 million.
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: That sounds low compared with what Dr. Lambert said, which was that it was somewhere between $25 billion and $75 billion in the US. Applying a crude population ratio, the figure here would be between €375 million and €1.1 billion per year. I know that is a crude ratio. The UK figure sounds very low but I take Ms Lawless's point. I will finish with a question for the...
- Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)
Marc MacSharry: By the Department. In support of its own-----