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Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: I thank Dr. Ní Bhuinneáin. In view of the fact that there is a vote in the Seanad, the next speakers have to go so Deputy McGrath is next up.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: That is fine. I call Deputy Louise O'Reilly.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: I welcome the witnesses. I have a number of questions. My first question is for Dr. Boylan. He said in his presentation, with regard to foetal abnormalities, that up to ten weeks, amniocentesis or chorionic villus testing-sampling could identify whether there is a genetic abnormality. How late in the gestation period would we have to allow for all testing to be done to identify any other...

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: In general, we would have to legislate for at least 20 weeks to give very accurate diagnostic assessments-----

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: -----for most foetal abnormalities, as opposed to fatal foetal abnormalities.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: In terms of risk, and this is a question for the three witnesses, currently we are very restrictive in Ireland. It has to be when there is a real and substantial risk to the life of the mother. Dr. Boylan said, and I assume this is corroborated by the other witnesses, that the woman does not have any discussion in this. The medical professionals make that assessment and the only opinion...

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: If we were to liberalise and change, surely the woman's view in terms of risk should be taken into account, not only in the context of the risk to her life but other issues well.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: Is that the normal procedure in other-----

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: The reality is that the woman can only opt out. She cannot opt in.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: Is Dr. Ní Bhuinneáin talking about Ireland or outside it?

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: Dr. Ní Bhuinneáin is saying, as it stands, that women are consulted in the context of a life-saving termination taking place.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: In the sense that they could request. Is Dr. Ní Bhuinneáin saying that is possible?

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: There are obviously diverging views here on this fundamental issue of whether the woman has a say in requesting a termination to save her life. Dr. Ní Bhuinneáin is saying that a woman has a say and can discuss this with her clinician and they could ultimately come to a decision, but realistically it is only the clinician who can decide at the end of the day. Am I right or am I...

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: How much time have I got?

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Risks to Health, Including Physical Health, of Pregnant Women: Professor Sabaratnam Arulkumaran, Dr. Peter Boylan and Dr. Meabh Ní Bhuinneáin (18 Oct 2017)

Billy Kelleher: I want to ask about the procurement and use of abortion pills. Do the witnesses believe that because they were involved in an illegal act and committed an offence under the Protection of Life During Pregnancy Act, for which they can be prosecuted, that the effect on young vulnerable girls in a crisis pregnancy is so chilling that they are discouraged from accessing medical care if the...

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Options for Constitutional Change (18 Oct 2017)

Billy Kelleher: In view of the fact that that would give us the flexibility to discuss all the options put to us by legal advisers, I second the proposal.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Options for Constitutional Change (18 Oct 2017)

Billy Kelleher: There is a proposal before the committee.

Joint Oireachtas Committee on the Eighth Amendment of the Constitution: Options for Constitutional Change (18 Oct 2017)

Billy Kelleher: I welcome the opportunity to speak in public on this matter. The purpose of the motion that I tabled was to arrive at a situation where we could consider the Citizens' Assembly's recommendations. Tabling it was important because we were asked to consider those recommendations as part of our terms of reference. If we had just opted for a repeal simpliciter, we would have had parked the...

Joint Oireachtas Committee on Health: Quarterly Update On Health Issues: Discussion (18 Oct 2017)

Billy Kelleher: Additional resources have been allocated for the winter initiative next year. How much of the winter initiative planning will be based around the fact that the HSE will have additional resources from 1 January onwards? Will there be the ability to increase capacity for the number of weeks which are very pressurised in our emergency departments? One can almost predict that the first Tuesday...

Joint Oireachtas Committee on Health: Quarterly Update On Health Issues: Discussion (18 Oct 2017)

Billy Kelleher: Some of the issues I would like to raise have been touched on but I would like a little more detail on them. The funding this year for the National Treatment Purchase Fund is €20 million. From what I can gather, that will increase to €55 million next year. In the context of the assessment of who should be treated through the fund and the contracts that will be entered into...

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