Seanad debates

Friday, 17 December 2004

Health (Amendment) (No. 2) Bill 2004: Committee and Remaining Stages.

 

4:00 pm

Photo of Joe McHughJoe McHugh (Fine Gael)

It is. I am building up to it. It is ironic that the Minister, Deputy McDowell, is on record as saying this is an excellent forum for putting legislation through.

I wish to be clear about this amendment. There will be anomaly regarding the 30-day rule that will apply to elderly patients. I stressed this point on Second Stage, but the response I got did not address it. I will give a specific example. An elderly patient who has a minor stroke may not go to the general hospital, as we are all aware, and Senator Glynn will know the procedure, having been a former member of a health board. Such an elderly patient may have to go to a district hospital or a community hospital and after 30 days he or she will be charged. This legalisation puts in place a legal framework to provide for the charging of such a patient.

I raise this issue on two grounds. First, this provision is ageist. A 14 year old boy who breaks his leg and spends more than 30 days in a general hospital will not be charged, neither will a 24 year old man in similar circumstances. Therefore, why will an elderly patient who has suffered the same condition be charged after a hospital stay of 30 days? I appreciate the response to this issue I got from the officials on Second Stage, but there is a grey area in regard to that anomaly. It is discrimination at its worst.

I seek the Minister of State's help on this matter. I am not proposing a substantive change or the employment of consultants to carry out a review. We seek that the Department addresses the provision to charge elderly patients after a hospital stay of 30 days. It will affect an elderly patient who has a minor stroke or who has a fractured femur who spends 31 or 32 days in a hospital. How much will such patients be charged per day?

I need clarification on this issue. It is a sensitive issue for the community of elderly people who will be discriminated against and the provision is ageist. I would appreciate if the Minister of State would clarify the matter. He can correct me if I am wrong and, if I am, I will be delighted.

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