Seanad debates

Friday, 12 December 2008

Health Bill 2008: Second Stage

 

12:00 pm

Photo of David NorrisDavid Norris (Independent)

I thank the Leas-Chathaoirleach, although I do not mind. They can disgrace themselves as much as they like and I shall give back just as good as I get.

It is also cack-handed. The Government was warned about this and took no notice. It received a report from the Department of Finance, wondering whether the significant risks had been spotted, apart from anything else. The Departments of Health and Children and Finance were told there were significant risks attached to the move to abolish the automatic entitlement to a medical card for the over 70s. That was before the budget on 10 October, and the Department of Health and Children appears not to have considered the risk to be of sufficient concern so as not to accept it. That was its brazen attitude at the time. There was a one and half page report suggesting that there would be widespread anger, and pointing out a series of difficulties, namely, that the doctors would be at a loss of income from the higher capitation grant and might refuse to take on the new over-70 GP visit-only cardholders, the GPs might seek to use their industrial relations muscle or they might pursue the legal contract route, similar to the pharmacists, to restore all or part of their income. The report warned that if it succeeded with the annual cash grant in place under the new arrangement, it could remove the projected savings and possibly even increase the cost of the medical card scheme, yet it went ahead with it.

I know the Minister put the word "fortunately" before the diatribe about people daring to live longer. I apologise, because I am 64, and I might go on to 70, 80 or 90. I shall live as long as I damn well please.

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