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Northern Ireland 2125?

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Comments

  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    Have you statistics to show outcomes are better, and do those statistics take in to account the different age profiles between the 2 countries?

    Given the latest available figures show 911,500 people here in Ireland on waiting lists, how many people do you think here die in Ireland before their name comes up to be seen or operated on?

    In a hypothetical U.I., do you envisage people from the 6 counties having to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here?



  • Registered Users, Registered Users 2 Posts: 1,961 ✭✭✭csirl


    Life expectency is higher than in N.I. Also a higher % of people in N.I. have long term health issues.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    Median age is also older in N.I. ..in simple terms, N.I. has a slightly older population.

    Health and wellbeing are partly shaped by other factors outside of NHS/HSE control, such as age, family, community, workplace, beliefs, economics and physical and social environments.

    Do you think in a hypothetical U.I. people from the 6 counties would have to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here?



  • Registered Users, Registered Users 2 Posts: 1,961 ✭✭✭csirl


    No. I think this is something that will come to a head in the coming years. Electorate does not feel its getting value and those with insurance are essentially paying their own way.

    I'd expect it to morph into something like what they have in France or the Netherlands - these are the systems being talked about by those advocating change.



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    Two separate systems on a small island is not efficient.
    Both systems need overhaul and what better way to do it than build from ground up again.

    I think when voters get presented with the true picture of what their service is actually delivering in the North the 'NHS' myth will be busted once and for all.



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  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    Two seperate systems in a small bunch of islands are not efficient, I'll give you that. It is why the islands of Japan buys for itself, why north + south island New Zealand buys for itself etc.

    The HSE generally pays significantly more for medicines, particularly generic drugs, than the NHS. Reports have indicated that the HSE has paid as much as 27 times more than the NHS for the exact same generic medicines. 

    For example, some years ago it emerged that the HSE - with funds gathered from taxpayer here - was forking out €37 for the widely used Plavix blood-thinning medication -- while the NHS was paying just €3.

    If there was a U.I., it stands to reason the all Ireland HSE would STILL be paying substantially more for medication than the NHS, for obvious reasons. More purchasing power, possibly less corruption, whatever. Hence our taxes are higher here, the National childrens hospital is the fiasco it is etc. That would not change in a U.I.

    The NHS in N.I. has been able to buy medicines at NHS prices and get them shipped the 12 miles from Scotland to N.I. no problem, much much less costly that getting them shipped from Dublin!

    Two islands say you. lol.lol. The logic of what you are saying is that for ultimate efficiency you want the same purchasing done for the islands as a whole. Same as Japan buying for all its geographical islands.



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    And off around the world we go rather than confront the issues.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    I have used facts and figures to nail you down, and you have no answer. Must be enlightening if not "jaw dropping" for you to discover the NHS in N.I. has been able to buy medicines at NHS prices and get them shipped the 12 miles from Scotland to N.I. no problem, much much less costly that getting them shipped from Dublin!



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    The Northern Irish health service is in crisis = fact.

    Northern Irish health service in crisis - Google Search

    A few wee morsels of Unionist fantasyland cake about 'cheaper' this or that is not going to cut it or change those FACTS.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    Sure, the NHS is not as good as it was 10 or 15 or 20 or 40 years ago, different governments, different times, but there are still over 1.3 million people working there doing their job reasonably efficiently, at less cost to the taxpayer than the HSE cost us per capita.

    You could also say the HSE and every health service in the world is in crises, none of them are perfect.

    I showed you a link showing the HSE - with funds gathered from taxpayer here - was forking out €37 for the widely used Plavix blood-thinning medication -- while the NHS was paying just €3.

    The NHS in N.I. has been able to buy medicines at NHS prices and get them shipped the 12 miles from Scotland to N.I. no problem, much much less costly that getting them shipped from Dublin.

    Do you think in a hypothetical U.I. people from the 6 counties would have to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here? I notice you never answer that question.



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  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    And ignore the issue again, with another look over yonder.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    What issue?

    Over yonder is N.I., or the 6 counties, whatever you want to call it : it is the subject of this thread.

    I showed you a link showing the HSE - with funds gathered from taxpayer here - was forking out €37 for the widely used Plavix blood-thinning medication -- while the NHS - including the NHS in N.I. - was paying just €3.

    The NHS in N.I. has been able to buy medicines at NHS prices and get them shipped the 12 miles from Scotland to N.I. no problem, much much less costly that getting them shipped from Dublin.

    Again, as we are talking about the future of N.I. and the health spending issue is very important to most people, do you think in a hypothetical U.I. people from the 6 counties would have to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here?

    You must have some clue? If so, why do you refuse to answer? After Brexit, people are not going to vote for something without at least some idea of costings.

    No, you are just a misty eyed roamantic, wanting a U.I. and the Brits out, which includes your plan of the British govt having to pay some unionists to "encourage them to leave", as you admitted previously. We will all live in Utopia then with a new free state of the art health care system. Bless your sweet innocence.



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    And you were shown multiple links showing that the NI system is in crisis.

    The penny is dropping.

    It is no longer a fall back argument against a UI just as the big scary 20 billions used to be as well.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    Every health system in the world can be said by someone somewhere to be in crisis. Certainly a combination of poor government currently in the UK and high immigration (hundreds of thousands of people risking their lives fleeing the EU to get to Britain ) does not help.

    Now, please answer the question as this thread relates to NI in 2125, and stop diverting:

    Again, as we are talking about the future of N.I. and the health spending issue is very important to most people, do you think in a hypothetical U.I. people from the 6 counties would have to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here?

    You were shown a link revealing how the HSE paid €37 for the widely used Plavix blood-thinning medication -- while the NHS - including the NHS in N.I. - was paying just €3.

    As explained to you earlier, the NHS in N.I. has been able to buy medicines at NHS prices and get them shipped the 12 miles from Scotland to N.I. no problem, much much less costly that getting them shipped from Dublin. Has the penny dropped yet?

    Post edited by Francis McM on


  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    Every health system in the world can be said by someone somewhere to be in crisis.

    NI's is by any metric.

    That's the point here and MY point is the penny is dropping in 'jaw dropping' fashion among professionals (not random folk on the t-interent afraid to confront Unionist fantasy theories) that there is a better way.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    There are over 1.3 million people working in the NHS. Of course a few of them - not a few per cent, but you found a few of them - want a united Ireland and think health care in a U.I. will be grand, but of course they have not an figures to back that up. Like you, they have not a clue - not a f…ing clue - if

    in a hypothetical U.I. people from the 6 counties would have to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here?

    Has the penny not dropped yet with you?

    You do not seem the slightest bit surprised or upset when I showed you the link explaining how the HSE paid €37 for the widely used Plavix blood-thinning medication -- while the NHS including the NHS in N.I. - was paying just €3. You are divorced from reality in your quest for a U.I.



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    Still cherrypicking and refusing to look at the overall delivery?

    Keep it up as the penny drops with most others.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    It is you who is cherry-picking, picking the opinion of one "united Irelander" doctor. Do not forget over 1,300,000 people work in the NHS, including tens of thousands of irish people. And they get on with the job without too much difficulty. Certainly none of the sectarian abuse HH and her family received this Autumn.

    Are you still of the opinion "in a hypothetical U.I. people from the 6 counties would have to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here?"



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    It is you who is cherry-picking

    I gave link upon link of articles discussing the 'crisis in the NI health service',

    You want to talk about cheap tablets from Scotland.

    The health professional in the original clip did not make any points about a UI = FACT



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    The link you provided said that Nigel Farage said that the NHS (and I quote ) "has become the first prospective leader to question the funding model of using taxes to fund the NHS — historically taboo." Your link says "

    “It doesn’t work — it’s not working,” Farage told NBC News’ British partner Sky News in May. “We’re getting worse bang for the buck than any other country, particularly out of those European neighbors.”

    Even though our waiting lists are longer than the NHS per capita, ( over 900,000 here), and we pay a lot more for medications, bicycle sheds and childrens hospitals, your solution for NI's hospitals is "

    in a hypothetical U.I. people from the 6 counties would have to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here?

    The Healy Raes from Kerry have sent 170 bus loads of patients for surgery in N.I. : if they were to wait on the HSE to do the surgery they would literally have gone blind.



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  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    And you know 1000’s have availed of the same scheme in the north.

    Any liitle morsel to try and distract from the original point.

    I.E. the penny is dropping that the ‘wonderful NHS ‘ is no longer an argument against a UI.

    Enjoy the rest of your weekend, done with your distractions and deflections



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    The NHS is not as wonderful as it was in the 1980s or 1990s for example, when it was the envy of much of the world. Governments change, times change, and lets face it there has been a lot of immigration there as well as here which has put strains on healthcare, housing etc.

    What is wonderful to many people in N.I. is the fact that the NHS is free to all adults there. And their taxes are not being used to pay for an inefficient HSE. Their vat rate is less, they do not have vat on new housing etc.

    You argue for a United Ireland , but it is telling you or SF have not a clue if

    "in a hypothetical U.I. people from the 6 counties would have to pay high doctors charges, high a&e fees, increasingly high VHI fees, higher tax to fund the HSE instead of NHS etc just like here?"

    You might not care about having to pay high VHI / private medical insurance fees, like many feel they have to in Ireland because we do not want to end up on a HSE waiting list ( nearly a million are on those already, waiting up to 6 years to be seen ). You may not mind paying €65 to see a doctor, which is free in N.I., or €100 for a&e, free in N.I. Not everyone can go to the States for medical procedures, like the ex-leader of your party did, because they cannot afford to and do not have wealthy friends in the states for a digout.

    In your Utopia of a U.I. dream, will we all be able to fly to the USA business class if and when we need surgery?



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    Nobody has a problem paying for a system that works.
    The NHS is clearly not working for the people it serves - 'outcomes' again.
    The HSE needs radical reform.

    You need to face up to these facts and realise that a new start/slate is going to be desirable and a plus argument for a UI. You now have medical professionals looking enviously at what has been achieved here.

    Trading on the glories of the past won't butter any parsnips. An all island health system makes more sense than one essentially funded by a remote parliament that really doesn't care what happens in Ireland.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    You say "Nobody has a problem paying for a system that works."

    Problem is, many people and famililies find it very expensive to pay for increasingly high VHI fees, doctors fees here, €100 a&e fees etc on top of the high tax we pay here ( higher vat than UK, higher vrt than uk etc ) for our HSE.

    It seems ok however if you can afford medical treatment abroad.

    In your Utopia of a U.I. dream, will we all be able to fly to the USA business class if and when we need medical care, and have it done there?



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    Which bit of a 'system that works' don't you understand?

    I am not delusional about this like yourself, I can see the faults in both systems and what both systems are getting right. Just as that NI medical professional was able to rationally see what we are getting right.

    I am not paralysed by fear at the thought of adapting those systems to best suit the people of this island.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    So we have established you think both the NHS and the HSE are broken. You have "one NI medical professional" who like you and Gerry Adams believe a new medical system in a United Ireland is what is required. You said "Nobody has a problem paying for a system that works", so presumably in a U.I. everyone will not have a problem jumping on a jet plane ( business class) to America for example for medical procedures.

    Sure it is only a 6 or 7 hour trip, not unlike the time it takes for busloads of people from West Kerry and West Cork to go to N.I. for treatment.

    Do you envisage in this great U.Ireland utopia Aer Lingus converting their jumbos to all business class seating to meet the demand, and maybe buying a few extra planes?

    In the great new United Ireland, instead of "go to Belfast or go Blind", it will be "fly business class to Boston or go blind".

    🤣

    Great to know you and the rest of the SF team have great plans for a U.I.

    Dream on.

    Post edited by Francis McM on


  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    "Nobody has a problem paying for a system that works",

    Only those who believe in the myth that any health system is 'free' will have a problem with the above concept.

    Where do those who think their health service is 'free' think the money comes from to run it?

    The taxpayer in any society pays for the health service.

    Those who pay for it will want to see a system that works….this is not rocket science.



  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    Of course taxes pay for a countries public health care system. That was explained to you earlier, at least you are learning. Now, why do you think our taxes eg vat, vrt are higher that those in the UK? Hint no. 1:

    You said earlier, and I quote "Nobody has a problem paying for a system that works", so presumably in a U.I. everyone will not have a problem jumping on a jet plane ( business class) to America for example for medical procedures, like the ex-leader of the party you follow?

    So the million dollar question is, do you envisage in this great U.Ireland utopia that Aer Lingus will convert their jumbos to all business class seating to meet the demand, and maybe buying a few extra planes?

    Because Boeing plan their new jet production 5,10, 15 years ahead, should'nt the leaders of the party you follow, SF, be advising Boeing of the need for some extra jumbo jets - with all business class seats of course - in 5, 10, 15 years time if they think there will be a U.I. then? Instead of hundreds of bus loads of patients going from west Cork / west Kerry to N.I. for treatment they will be flying to USA. After all, you said "Nobody has a problem paying for a system that works".

    And your leader practiced what he preached.



  • Registered Users, Registered Users 2 Posts: 81,067 ✭✭✭✭FrancieBrady


    Nobody has a problem paying for a system that works

    The 'system' is not what somebody pays for drugs.

    The 'system' is, like any 'system' judged on it's 'outcomes'.

    And it is abundantly clear that NI is lagging badly in terms of 'outcomes'. And that is the what the clip was posted for, to show how the acceptance of that has been accepted by medical professionals.

    When you can cope with that obvious reality, get back to me. Might stop you trying to divert to the folk living under your bed.



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  • Registered Users, Registered Users 2 Posts: 6,559 ✭✭✭Francis McM


    You did not answer the question, why do you think our taxes eg vat, vrt are higher that those in the UK? Why are costs here on healhcare, especially when you factor in VHI, doctors fees etc so much more than UK?

    You claim "Nobody has a problem paying for a system that works". You have claimed the NHS and HSE do not work, which is why your ex-leader went to the USA for his medical treatment.

    So you think in a U.I. everyone will not have a problem jumping on a jet plane ( business class) to America for example for medical procedures.

    So the million dollar question is, - AND PLEASE ANSWER - do you envisage in this great U.Ireland utopia that Aer Lingus will convert their jumbos to all business class seating to meet the demand, and maybe buying a few extra planes?



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