paul71 wrote: » BTW you supplied an erroneous figure earlier, 2017 public health expenditure was 21.1 billion.https://www.cso.ie/en/statistics/governmentaccounts/systemofhealthaccounts/
JohnnyFlash wrote: » 1) We have far too many small hospitals. Hospitals like Our Ladies in Navan, Cavan Monagahan General Hospital etc. Places that provide almost no specialities, or else do them badly. They belong to the era of the horse and cart, nuns delivering babies, and TB outbreaks. Yet you'll have a load of slack-jawed yokels standing outside protesting if it's suggested that a specialist unit within the hospital is moved.
JJJackal wrote: » This is the root of the problem. These hospitals need to merge with larger hospitals. For example lets say you have 1 respiratory specialist in Cavan Monagahan. There is likely to be no resp cover for a couple of months a year with leave, conferences, CPD commitments etc. If Cavan merged with Navan or Drogheda for example you would have far more consultants and specialists and could make a case for specialities that are in less demand in the new institution
paul71 wrote: » Rubbish, you are clutching at straws.
JohnnyFlash wrote: » All the parties have signed up to Sláintecare, which is a good start when trying to tackle the enormously complex problem that is healthcare. There two major issues that are making healthcare delivery and funding increasingly complex. One we have some control over, and the other is just a macro issue being witnessed worldwide. 1) We have far too many small hospitals. Hospitals like Our Ladies in Navan, Cavan Monagahan General Hospital etc. Places that provide almost no specialities, or else do them badly. They belong to the era of the horse and cart, nuns delivering babies, and TB outbreaks. Yet you'll have a load of slack-jawed yokels standing outside protesting if it's suggested that a specialist unit within the hospital is moved. We now have motorways and air ambulances. Regional hospitals might work as step-down facilities, but have no place offering acute services. WE need to build more large hospitals in major population centres - Dublin, Cork, Galway, Limerick. This is covered under Sláintecare. We even have the sites in many cases - Merlin Park in Galway was a former TB hospital that can provide a site for a large hospital with access to the motorway network. 2) People are living far longer. Modern medicine means people are living far longer, and have far better outcomes and chances of survival when they do get sick. This is putting enormous strain on our healthcare service (and on housing, but that's for another thread). This isn't unique to Ireland, and much vaunted healthcare systems like those in Canada and Finland are also struggling with this situation. There's no easy answers, and populist rhetoric in healthcare is particularly damaging to civil discourse as it promises things that can't be delivered.
Bishop of hope wrote: » Absolute bunkum, FG bunkum and indeed started by FF. A few more consultants in a, few more regional hospitals would make a world of difference to the health service and indeed its patients. The stress of long commutes for anyone with life threatening illness is enormous.The centralisation of these services along with hospital bed closures are a disaster. The money paid out for private hospital beds during the crisis shows this up for what it is really. If we had our previous bed counts from before this program started we wouldn't have needed it. And we needed it before this virus came along too. A health policy that sees hundreds of I'll patients sleeping on trollies in hospital corridors getting the thumbs up? FFS wake up, it's been a disaster for everyone. And that's not criticising over the take over of private beds, it was necessary. But it shouldn't have been
Chiparus wrote: » You think it was by accident? Ask why in a counrty with free healthcare 2.1 million of us pay for private insurance. Privitasation by stealth .
JohnnyFlash wrote: » Have a read of the Slaintecare document. Even SF signed up for it. It’s the opposite of privatisation. Why is the people who know the least about something are the ones who spend so much time spouting shïte about it on the internet?
Bishop of hope wrote: » It's easy to spout ****e, from any side. How, was slainte care with the trolley crisis last winter, trollies in hospital corridors, old people there sometimes for days at a time. The word slainte is a clue in itself if you need sudden hospital care.
blanch152 wrote: » Still no sign of the alternative Programme for Government from Sinn Fein. Did they ever even commence discussions with PBP or the Social Democrats who both indicated willingness to talk to them? Having watched the extent of the negotiations needed to conclude the current proposed Programme for Government, the question really has to be asked whether Sinn Fein were ever serious about going into government, and whether Mary-Lou has been telling lies ever since the election was called about her party's willingness to enter government.
FrancieBrady wrote: » I think SF will be delighted with this outcome if they all go in. I don't think they were serious about sledgehammering their principles into a government that will be riven with crisis. If they are playing the long game, this is about as perfect as it gets I'd imagine. At least two of these parties will be decimated at next election.
blanch152 wrote: » In essence, you are confirming my opinion that Mary-Lou has been completely disingenuous about forming a government, and it was all talk and no action, with her repeatedly lying about being serious.
Hubertj wrote: » Slainte Care hasnt been implemented so is not relevant to current challenges in the health sector. Maybe get facts straight?
Bishop of hope wrote: » Maybeook at my last sentence and maybe quit bragging on a policy until is implemented and proven a, success. I see you bragged it up by saying even SF have signed up for it, good recommendation right there!
FrancieBrady wrote: » No I think she and they were serious, they just were not going to sledgehammer principles into a power grab coalition. They are playing the long game IMO and this outcome if it happens could not be better...I said it from the start, if they cannot be in a government were they can enact their majority of the policy then this is the next best outcome.
Mortelaro wrote: » That doesn't sit well Principles, yet are prepared to see the country ruled by FFFGG for the next 5 years when they could have stopped it? Shur what use is that? I'd expect it could be 10years +++ before SF is in the Dublin government now if at all,if the government parties aren't eejits or have learned their lesson
FrancieBrady wrote: » What do you think the chances of that are?
Mortelaro wrote: » Oh if SF can regroup and popularise, so can others,it ain't rocket science,FFFGG have the benefit of power and decision making having learned what the disaffected want,So I'd say pretty high FF also have the advantage of a large number of councillors after a successful 2019 election with an impressive engine on the ground to compliment government power They're very tooled up to whip ass now to regrow canibalised skin
FrancieBrady wrote: » They have been completely rehabilitated by FG, Why? Because FG know they need them. I don't think they have a chance in hell of changing. Maybe if the diastrous election had unleashed the leadership retribution it should have in both parties. The overwhelming sense here is of 'clinging on'.
Mortelaro wrote: » Oh I think that's wishful thinking Don't underestimate the resolve to neuter the protest vote They're not fools,they have a majority government to actually implement stuff now,a fairly comprehensive list of stuff in that programme A world of difference from what a confidence and supply outfit can do Theres many many advantages to them making this work If labour and the Soc Dems come together in the next decade,SF will have a lot of work to do to stand still
blanch152 wrote: » There seems to be some really confused thinking going on. If Fianna Fail have been rehabilitated by Fine Gael, that means that they should be a stronger threat to Sinn Fein at the next election, but you seem to think that this is all a good thing for Sinn Fein. There is a lesson for the electorate in the last three months - Sinn Fein are not a serious party of government.
FrancieBrady wrote: » You think the confederation of dunces who presided over record breaking crises in C&S are going to change? And you accuse me of 'wishful thinking'?
FrancieBrady wrote: » the arrogant 'lessons for the electorate' preaching begins. Keep it up...that outta do it.
