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  1. #11
    ger12 ger12 is offline
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    There are 6 new directors to be hand picked and appointed by Minister Reilly, the new director general will be hand picked and appointed by the Minister, so there will not be any interviews (or transparency) for these positions. Shouldn't these jobs be advertised? Rather than going back to political appointments?

    Minister Reilly doesn't have a health economist or an expert in universal health insurance working with him. At a time of great change he has surrounded himself with political advisors. He is fumbling along and in the grave economic situation we're in, that frightens the living daylights out of me.
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  2. #12
    damus damus is online now
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    There will not be a single compulsory redundancy under this reform programme....now doesn't that sound awfully familiar?
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  3. #13
    Will Yam Will Yam is offline

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    Quote Originally Posted by damus View Post
    There will not be a single compulsory redundancy under this reform programme....now doesn't that sound awfully familiar?
    Not at all - its quite exceptional.

    The only other exceptions were the original formation of the HSE, the abolition of the 39 county enterprise boards, the merger of the equality agency with something or other, the impending amalgamation of the NCA with the comptetition authority, and countless other examples.

    Thou shalt not upset the ps beards.

    Whereever did u get the idea that closing organisations up and down the country, but never shedding one single job, is familiar?
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  4. #14
    damus damus is online now
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    Quote Originally Posted by uriah View Post
    They said it would take seven years.
    Yea and we're still waiting for the white paper and the implementation timeline!
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  5. #15
    turdsl turdsl is offline

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    There will be no changes despite the promises, after all the first thing Reilly did was hire Harneys P.R man.
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  6. #16
    ger12 ger12 is offline
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    Quote Originally Posted by Will Yam View Post
    No, not excluisvely.

    Its the vested interests who wont permit change. Consultants, nurses, ambulcance drivers HSE managers etc etc etc
    Or a government that refuses to tackle the vested interests? Minister Reilly, 16 months and 2 reviews later, continues to delay the decision of the location of the NCH. Incompetence? Lack of courage?
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  7. #17
    Finbar10 Finbar10 is offline
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    For a universal healthcare money-follows-the-patient system to work, then eventually hospitals themselves will have to be given full control over hiring and firing of their own staff. If hospital A is particularly successful and attracts lots of extra customers and business then it needs to be able to hire more staff. But, conversely, if hospital B is inefficient and loses business, then hospital B needs the power to lay off staff. Otherwise, since staff costs make up circa 80% of the total health budget, the tax payer would have to step in and underwrite the salaries of unnecessary staff in the under-performing hospital, and still pay for extra staff in the better performing hospital. The proposed reforms just won't work unless hospitals or hospital trusts get far greater control over hiring and firing. But will any future government have the bottle to bring this in?
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  8. #18
    ger12 ger12 is offline
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    Quote Originally Posted by damus View Post
    Yea and we're still waiting for the white paper and the implementation timeline!
    Any sort of a plan would be helpful. 16 months on and silence. How is this government going to fund and implement the universal health insurance? I asked this question 6 months ago and no-one had an answer.

    Good discussion on Tonight with VB last week, 20 mins into the programme. Sara Burke is correct. Abolishing the HSE is a populist promise. And a bad one. We are edging towards another era of cronyism (and not just in health) with many of the decisions being made by this government.

    3player | Tonight with Vincent Browne - Wednesday, 18 July 2012
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  9. #19
    Will Yam Will Yam is offline

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    Quote Originally Posted by ger12 View Post
    Or a government that refuses to tackle the vested interests? Minister Reilly, 16 months and 2 reviews later, continues to delay the decision of the location of the NCH. Incompetence? Lack of courage?
    Absolutely. Do anything other than take a decision.

    Especially a decision that has to upset some elements in the medical mafia.

    Much better to defer.

    Who suffers - nobody.

    Sick kids? Sure what do they matter?
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  10. #20
    damus damus is online now
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    Quote Originally Posted by ger12 View Post
    Any sort of a plan would be helpful. 16 months on and silence. How is this government going to fund and implement the universal health insurance? I asked this question 6 months ago and no-one had an answer.

    Good discussion on Tonight with VB last week, 20 mins into the programme. Sara Burke is correct. Abolishing the HSE is a populist promise. And a bad one. We are edging towards another era of cronyism (and not just in health) with many of the decisions being made by this government.

    3player | Tonight with Vincent Browne - Wednesday, 18 July 2012
    Now Ger, don't you know that how UHI is going to be funded is an issue for the implementation group (sound familiar) . In other words neither the Minister or this Government have got around to figuring out that part out yet.

    Talking about cronyism, besides from the "two experts" on the UHI implementation group, it is very hard to see what relevant knowledge and experience the rest of the motley crew bring to the table (which backs up the point that Sarah Burke made about the minister surrounding himself with advisors...everybody bar a health economist or an expert on UHI).

    Bar the two meetings that have been publicised, I wonder how many times this group has met to date? It be interesting to see when this Govt. will be in a position to produce a white paper spelling out the details and timelines of their reform agenda.

    My crystal ball is telling me that UHI and equal access for all will never actually materialise. I also believe that it was complete and utter hogwashery that a low income person who is partially subsidized will only pay in the region of €200-300 under UHI. First of, where are they going to get the money to fully subsidize GMS holders and to partially subsidize low income earners? Rest assure, that the burden of costs under UH will rest on the middle to high income earners most.

    They made a load of empty promises and the electorate swallowed it hook, line and sinker!
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