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Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: I want to be clear on a legislative solution to the problem. Ms O'Donnell referred specifically to the European standard for surgery. Are the bones of it in law in any European country?

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: In theory, if a law was drafted here which included its elements, it would be all right.

Joint Oireachtas Committee on Health and Children: Regulation of Cosmetic Surgery: Discussion (18 Dec 2014)

John Crown: I welcome my colleagues and friends here today. It is important that people understand exactly what it is that plastic surgeons do. There is a tendency based on popular literature to trivialise facelifts and cosmesis etc.. Plastic surgeons are also the doctors who deal with the substantial chunk, if not the majority, of serious skin cancer cases, who play a critical role in managing breast...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I move amendment No. 5: In page 6, between lines 9 and 10, to insert the following:“Amendment of section 21 of Principal Act 6. To insert a new subsection after subsection (1) of section 21 of the Principal Act:“(2) Where a complaint is made to the Authority by a medical practitioner, to review whether any changes in coding, or payments structures, used by any health insurance...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: It is very difficult for me to escape the conclusion that a very deliberate decision was made that a particular service should in future become a public service. It had been safely, adequately and efficiently provided in the private sector, fulfilling all the requirements one would have for private insurance. These are that it would provide an appropriate level of care and reduce the burden...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: This is my fault as I am not communicating the issue well, perhaps due to opacity. By arbitrarily fixing a reimbursement level for a group of procedures which are below that which can be sustained with malpractice insurance premium costs, persons who were providing the service suddenly indicated that the numbers do not add up. In one very sad case, a person has packed bags and emigrated...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I move amendment No. 4: In page 6, between lines 9 and 10, to insert the following:“Amendment of section 21 of Principal Act 6. To insert a new subsection after subsection (1) of section 21 of the Principal Act:“(2) To analyse and review the health insurance contracts which are offered by the various health insurance undertakings to ensure than there exists no anti-competitive...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I thank the Minister. I thank also the most thoughtful legislator on the Government benches, Senator Colm Burke, for his contribution although I politely disagree with him. We are not proposing additional regulation by legislation. We are looking at existing regulation by legislation and proposing to loosen it because at present under the interpretation of the strictures of community...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: Us doctors are always-----

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: Yes.

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I move amendment No. 3: In page 4, after line 42, to insert the following:“Insertion of new section 7I to Principal Act4. To insert a new section, after section 7H, of the Principal Act:“7I. Any health benefits undertaking may, if they decide that it is in their commercial interest, reduce the premium offered to any individual who avoids behaviours which are known to have...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I disagree with the Minister because there are situations where there is no other competing treatment. They make an arbitrary decision “we ain’t paying for this one” because they know that people will fall back into the arms of the State. In taking a global systematic view of health expenditure in the country, I understand this would tend to increase premia but not...

Seanad: Health Insurance (Amendment) Bill 2014: Committee Stage (17 Dec 2014)

John Crown: I move amendment No. 2: In page 4, after line 42, to insert the following:“Insertion of new section 7I to Principal Act4. To insert a new section, after section 7H, of the Principal Act:“7I. Any medication which is available to a public patient, and is approved by the National Center for Pharmaeconomics, and is deemed necessary for treatment of a patient by a medical...

Joint Oireachtas Committee on Health and Children: Best Practice Access Guidelines: Irish Wheelchair Association (4 Dec 2014)

John Crown: I thank the deputation for coming. I am sorry, but I have not had a chance to study the document provided. Are there guidelines for private residential rented accommodation? I raise this question because I live in rented accommodation and recently had a guest in a wheelchair. It had never struck me that there might be a problem. The main bathrooms in these relatively large apartments...

Seanad: Defamation (Amendment) Bill 2014: Second Stage (3 Dec 2014)

John Crown: I thank in particular the Minister of State. We talked earlier on about the new politics and we have seen a good example of a very constructive approach. I was humbled by the detailed and appropriately forensic analysis of the legal deficiencies in the Bill, which were pointed out, and I am delighted to have had the opportunity to have so much free legal advice as I have had this afternoon....

Seanad: Defamation (Amendment) Bill 2014: Second Stage (3 Dec 2014)

John Crown: Cuirim fáilte roimh an Aire Stáit. I welcome the Minister of State, Deputy Aodhán Ó Ríordáin, to answer formally on behalf of the Government for this Bill. I also take this opportunity to wish him the best in his future endeavours in his portfolio. He has a strong personal and professional commitment to the issues of equality and human rights and I am...

Seanad: Order of Business (3 Dec 2014)

John Crown: Yes.

Seanad: Order of Business (3 Dec 2014)

John Crown: I acknowledge the co-operation of my friend and colleague, Senator Mullen, for allowing me to speak first so that he can second my amendment to the Order of Business. I propose that the Minister for Health or the Minister of State at the Department of Health should come to the House to brief us urgently on what is happening with obstetrical care. It is now more than two years since the...

Joint Oireachtas Committee on Health and Children: Ambulance Service Review: Health Information and Quality Authority (2 Dec 2014)

John Crown: As previous speakers said, the report has highlighted inefficiencies and I am sorry but the officials may have presented these data. How many ambulances do we have per head of population? How many are there in Northern Ireland and Scotland? Does HIQA have the statistics for most countries in western Europe?

Seanad: Order of Business (2 Dec 2014)

John Crown: I add my sympathies to those being extended to Mr. Corrie's family. Homelessness is a very sad reality in the city and it is a problem which has many facets. People may find themselves in settled employment one minute, with a home and family, and they may suddenly find they have lost their job and house. Their problems are different to the issues experienced by somebody who is severely ill...

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