Seanad debates

Wednesday, 26 March 2003

In a Government of collective responsibility, decisions about overall envelopes of taxation and public expenditure are the concern of everybody in Cabinet. While it is easy to say that the Minister for Finance should do this or that, the reality is that he had to make decisions he should not have been obliged to make. He knows that Ireland is not spending as much on health care as do other countries. Based on purchasing power parities, we spend €1,500 per head on our health services while the Netherlands spends €2,000 per head. That means there is a difference of 25% in spending between Ireland and the Netherlands, which is the crunch point in terms of the Minister's envelope. I would like him to indicate why we have decided to spend 25% less on health care provision than the Netherlands, particularly when one considers that we are as rich as them. At a time when it is clear that there are huge needs, that is the choice that was made.

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