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Leaders' Questions (26 Nov 2013)

Enda Kenny: -----a no change policy here, people start off not being entitled to a medical card, an application is lodged and people are entitled to a medical card either on income grounds or medical grounds. Depending on the nature of those circumstances, a discretion is applied. Twenty thousand medical cards have been issued on discretionary grounds this year. My understanding, and I do not know...

Leaders' Questions (26 Nov 2013)

Enda Kenny: Deputy Martin knows and I know-----

Leaders' Questions (26 Nov 2013)

Enda Kenny: -----that a person-----

Leaders' Questions (26 Nov 2013)

Enda Kenny: Listen, please.

Leaders' Questions (26 Nov 2013)

Enda Kenny: This is an issue-----

Leaders' Questions (26 Nov 2013)

Enda Kenny: This is an issue-----

Leaders' Questions (26 Nov 2013)

Enda Kenny: This is an issue that concerns a terminally ill person. As I understand it, the circumstances are that this is a normal, full medical card for renewal. A person does not become unterminally ill once this is verified. There are significant numbers of people who are terminally ill. That position does not reverse itself. I accept that, in the process of centralising the processing of all...

Leaders' Questions (26 Nov 2013)

Enda Kenny: -----that when a person is terminally ill and has a full medical card that is not withdrawn - it was not withdrawn in this case - it is about having an effective, simple way of saying we understand this position, the medical condition of the person has not changed, and so the card continues. As I said genuinely, I do not have all the details of this, but my understanding is that it is an...

Leaders' Questions (26 Nov 2013)

Enda Kenny: -----as distinct from a discretionary card. There is a lesson to be learned in there by the HSE in the sense that here is a terminally ill person. That, unfortunately, is not going to change. Therefore, there has to be an effective and compassionate and understanding process for the continuation of the card.

Leaders' Questions (26 Nov 2013)

Enda Kenny: That is something that, unfortunately, this case points out where a change must occur in the process of renewal in order that people do not have to deal with verification of an illness that is terminal.

Leaders' Questions (26 Nov 2013)

Enda Kenny: The Deputy started off with the first part of his question by asking about discretionary medical cards. He named a particularly high-profile case of a woman who is terminally ill.

Leaders' Questions (26 Nov 2013)

Enda Kenny: My understanding is that that is not a discretionary medical card. It is a full medical card granted on full eligibility.

Leaders' Questions (26 Nov 2013)

Enda Kenny: The process is about the normal renewal of that medical card.

Leaders' Questions (26 Nov 2013)

Enda Kenny: In the case of somebody who is terminally ill, where there is an application for a discretionary card, the system is that an emergency card is issued for six months and then renewed and verified after that, but that is in the case of a discretionary card for a person who is terminally ill. As I understand this, there is no income coming into the household except a disability allowance-----

Leaders' Questions (26 Nov 2013)

Enda Kenny: -----and a carer's allowance, which qualify Marie-----

Leaders' Questions (26 Nov 2013)

Enda Kenny: No. These qualify Marie Fleming for a full medical card.

Leaders' Questions (26 Nov 2013)

Enda Kenny: As I understand it, the conversation was about the process-----

Leaders' Questions (26 Nov 2013)

Enda Kenny: -----of the normal renewal of that medical card. There has been no change in the eligibility limits for medical cards.

Leaders' Questions (26 Nov 2013)

Enda Kenny: I am talking about a woman who is terminally ill.

Leaders' Questions (26 Nov 2013)

Enda Kenny: If Deputy Mattie McGrath chooses to make smart comments-----

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