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Joint Oireachtas Committee on Health and Children: National Maternity Services and Infrastructure: Discussion (Resumed) (1 Oct 2015)

John Crown: ...health system. People talk about it being a Third World service, but anybody who has worked in a Third World hospital will know it is not. However, we have a strictly mediocre health system and obstetrics is the tip of the spear. This is all to do with the way the service is run and the absolute treacle-like ability of the bureaucracy to thwart any attempt to fix things. In Ireland, the...

Joint Oireachtas Committee on Health and Children: National Maternity Services and Infrastructure: Discussion (Resumed) (1 Oct 2015)

John Crown: ...very tedious to my colleagues. I would have prepared the report for free - it would not have been necessary to pay HIQA or any external person. The quality of obstetrical services in Ireland is mediocre. We have great doctors and very well trained nurses who work in unbelievably under-resourced, underfinanced, understaffed, irrationally led systems, and as a result the output is not all...

Seanad: Harmful and Malicious Electronic Communications Bill 2015: Second Stage [Private Members] (1 Jul 2015)

John Crown: While I respect the sentiments which have motivated the Bill, I must, with regret, oppose it because we do not have a first amendment in Ireland. If we did, I would be a first amendment hawk. Free speech is the cornerstone of any democratic society. Any law which has within it the potential to undermine free speech, a law which, when crafted by well-meaning people like Senator Higgins,...

Joint Oireachtas Committee on Health: Update on Health Issues: Department of Health and Health Service Executive (14 May 2015)

John Crown: I know that I have the opportunity to talk about the Midlands Regional Hospital in Portlaoise, but looking at it from a clinician's perspective, it looks like the basic interchange between two entities, with one administrative organisation criticising the other for what its perceives as an inadequate administrative response. I do not think that is a high priority. The problem is not unique...

Joint Oireachtas Committee on Health and Children: HIQA Investigation into Midland Regional Hospital, Portlaoise: Health Information and Quality Authority (13 May 2015)

John Crown: I thank Mr. Quinn for his hard work on the report and for his presentation today. I mean no intrinsic disrespect when I say that the core recommendations seem to boil down to one group of administrative oversight, investigative staff in HIQA commenting on the generally inadequate administrative responses of another group of administrative staff, that is, the HSE and the staff on the ground...

Seanad: Public Health (Standardised Packaging of Tobacco) Bill 2014: [Seanad Bill amended by the Dáil] Report and Final Stages (3 Mar 2015)

John Crown: -----because the smuggled product is cheap and it is a cheaper way to hook children on cigarettes. They will do anything to make cheaper product available. When we see the internecine webs of convoluted and highly implausible sales routes that have been plotted by the major companies through tiny countries, where cigarettes are being imported in such numbers that it would suggest every...

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...

Seanad: Protection of Life During Pregnancy Bill 2013: Report Stage (Resumed) and Final Stage (23 Jul 2013)

John Crown: I reassure colleagues who are terribly exercised by the issue of suicidality and evidence-based medicine that we are not legislating guidelines for evidence-based medicine. Such medicine is drawn up by panels of doctors, national steering committees, professional organisations, institutions and faculties within institutions when they have examined the raw data, listened to opinion leaders in...

Seanad: Protection of Life During Pregnancy Bill 2013: Committee Stage (Resumed) (18 Jul 2013)

John Crown: No other interpretation can be put forward for this fear that a non evidence-based practice will become widely pursued other than the fact that doctors, uniquely in this circumstance, will suspend their sense of obligation and rigour in interpreting data. We are not talking about doctors flown in to some little fly by night clinic. We are talking about people who are consultants. Trust me,...

Seanad: Protection of Life During Pregnancy Bill 2013: Second Stage (Resumed) (16 Jul 2013)

John Crown: Oncology was the area of medicine which in many ways was one of the pioneering disciplines for evidence-based medicine. It was a relatively new field and only came to existence in a meaningful way in the 1960s and 1970s in an era when doctors engaged in other specialties had certain proprietorial rights over the treatment of cancer and, as a result, it had an interesting and somewhat...

Seanad: Address to Seanad Éireann by Ms Nessa Childers, MEP (1 May 2013)

John Crown: I welcome Ms Childers, who has been a wonderful ambassador for our country in the European Parliament. I speak as a committed European and, in many ways, as an anti-nationalist with a small "n". I have this theory that, in 50 or 100 years time, people will look on the concept of nationalism in a somewhat similar way to the way they look on the concept of racism now. I do not necessarily...

Seanad: Order of Business (28 Mar 2013)

John Crown: I request the Leader to consider having a debate on medical and biomedical research, which is a very important sector of the economy. I spoke a little about some aspects of it yesterday. Not only does it increase the standards of science and medicine, and the standards of research, but it also improves clinical outcomes for patients and has positive and beneficial effects for the economy....

Seanad: Industrial Development (Science Foundation Ireland) (Amendment) Bill 2012: Second Stage (7 Feb 2013)

John Crown: ...with thick glasses. Science is knowledge; it is the language of the universe. We are all doing it every day of our lives. Our discoveries that fire is hot, that things fall down rather than up and that, as a baby, one should not go near stairs are all manifestations of the scientific process. I am a very firm believer in the necessity for democracies to have scientifically informed and...

Seanad: Communications, Energy and Natural Resources: Statements, Questions and Answers (5 Oct 2011)

John Crown: ...is it important is that the major existential threats which will face our species in the years to come are not the IMF or the ECB or Anglo Irish Bank or, indeed, disturbances between Fianna Fáil and Fine Gael over interpretations of history. Those major threats will be to our food, water and energy. In 60 to 90 years time our grandchildren and great-grandchildren will face a crisis with...

Seanad: Public Health (Tobacco) (Amendment) Bill 2011: Second Stage (7 Jul 2011)

John Crown: This is an issue in which I have a great interest. On a daily basis, practising doctors in Ireland, particularly practising cancer specialists, see the results of the carnage caused by cigarette smoking. A quick, off the top of the head, list of the cancers for which cigarettes are the principle cause makes for frightening reading, beginning with lip, mouth, tongue, throat, oesophagus,...

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