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Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I move amendment No. 49: In page 20, to delete lines 25 to 49. This amendment proposes to delete subsections (2) and (3) of section 11, which pertains to penalties, including the lines (a) specifying the type of contract and the information, and (b) requiring registered undertakings, the advertising of which relates (whether in whole or in part) to the contract, to ensure that the information...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: Is the Minister arguing that these sections confer additional protections for consumers?

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: All right. I have no problem with that - or with the first half, anyway.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I move amendment No. 52: In page 33, to delete lines 16 to 42. I seek the deletion of section 19 of the Bill, which amends section 112A of the Taxes Consolidation Act 1997. Amendments Nos. 53 and 54 are in conflict with this.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: Under section 19, the proposed new subsection 1(a) of section 112A states: In this section- (a) as respects so much of a payment that qualifies for relief under section 470, 'appropriate percentage', 'authorised insurer', 'relevant contract' and 'relievable amount' have the same meanings, respectively, as in section 470, The Minister has reassured Deputy O'Sullivan that nothing herein incurs...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I move amendment No. 55: In page 34, to delete lines 1 to 3. This amendment proposes to delete section 20 which states: Section 458 of the Act of 1997 is amended, in the Table to that section, in Part 2, by inserting "section 470B" before "section 472". Amendment No. 56 proposes to delete section 21 which states: Section 470 of the Act of 1997 is amended, in subsection (1), in the definition...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: The Minister referred to a philosophical discussion and I am certain we could have one. She also indicated the Bill was time-limited to three years. I note amendment No. 60 refers to "the year of assessment 2009, 2010 or 2011" and states "where a payment made to an authorised insurer is a monthly or other instalment towards the payment of the total annual premium due under a relevant...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: The House has been informed the legislation will only apply for three years. Deputies were also informed that the VHI would be authorised by 1 January and, thereafter, 1 March. The most recent date we have been given is 1 September. We have little faith in the ability of the Government to adhere to the initial timeframes it expresses, often with a view to bringing this side of the House...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: That applies to the Minister too.

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: I wonder if the figure the Minister cited refers to general practitioners or consultants. In any event, it is a red herring. The main point is that the Minister maintains we cannot have a system of risk equalisation. Of course we can and it is available in other countries. The Minister is merely fiddling with the margins instead of addressing the real issue. We will take a Mickey Mouse...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: She used the words "risk equalisation".

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: If the Minister meant to say "universal health insurance", this can be achieved within a five year period and without additional costs. We are spending €5,000 annually on health for each man, woman and child in this country compared to €4,000 in Holland, which is ranks first in terms of quality and second in terms of value for money. If it can be done in that country, it can be done...

Health Insurance (Miscellaneous Provisions) Bill 2008: Report and Final Stages (Resumed) (1 Jul 2009)

James Reilly: That is a supposition.

Health Service Staff. (1 Jul 2009)

James Reilly: I welcome the Minister's acknowledgement of doctors working in general practice who have not completed training but are quite experienced. It would be laughable for them to have to undergo full training. We must, however, be careful about maintaining the quality of general practice. I also welcome that those doctor-only visit card doctors will be now able to take on all GMS patients. When...

National Treatment Purchase Fund. (1 Jul 2009)

James Reilly: The Minister has said that great savings can be made by amalgamating the three hospitals, or by providing for greater co-operation between them. It is important to point out that in September 2007, representatives of Our Lady's Children's Hospital in Crumlin asked for a meeting with HSE officials on this matter. The prospect of a meeting being arranged as part of this debate did not...

National Treatment Purchase Fund. (1 Jul 2009)

James Reilly: I did not hear that contribution. Just one physiotherapy post in rheumatology is filled at present - that is for certain.

National Treatment Purchase Fund. (1 Jul 2009)

James Reilly: How many are waiting overall?

National Treatment Purchase Fund. (1 Jul 2009)

James Reilly: I would like to point out to the Minister that 75% of the increased funding went on wage increases approved by her Government, through benchmarking and social partnership. I asked the Minister how many patients would be and have been operated on through the NTPF and I have not been told. The waiting list for scoliosis surgery is much longer than the Minister has indicated. She is just...

National Treatment Purchase Fund. (1 Jul 2009)

James Reilly: The question was on a cost-benefit analysis.

National Treatment Purchase Fund. (1 Jul 2009)

James Reilly: Can the Minister make it available to us?

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