Deep breaths...I find that works...a good rant helps 2!![]()
Deep breaths...I find that works...a good rant helps 2!![]()
Why is everything the fault of the nurses, with you?Originally Posted by qtman
This isn't the first time you appear to lay the blame at the feet of the nurses.
Whats your agenda?
I mean, you appear to be opinioning that pay restraint and extra hours worked by the nurses will solve this.
What about HSE management?
Yeah ye're right - Im off the fags since Christmas Day - its going ok - but today! - well - if anybody pisses me off - I could be up for homicide by this evening!Originally Posted by rkeane
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So, they leave the patients on trollies deliberately? Is that what you are alleging? Or that they only intervene on debates when they want money?Originally Posted by rkeane
they are making noises now because they are likely to take more industrial action in the near future.....public support is largely gone for them at this stage. We need to improve our health service, but we won't do it by filling the pockets of nurses.
Didn't the former German ambassador express amazement that Irish doctors offered 200k plus 40k bonus for a 39 hour week to work in the public service could refuse to accept such "mickey mouse money".
And if they reduce themselves to working for this crap we have to ask them if they have washed their hands.
The truth is incontrovertible, malice may attack it, ignorance may deride it, but in the end; there it is.
3rd month off the fags now and still chewing the nicorette and avoiding pubs.Originally Posted by Edo
The truth is incontrovertible, malice may attack it, ignorance may deride it, but in the end; there it is.
That is just not true. The HSE have spun those quotes but the guy in question did not say that.Originally Posted by Twin Towers
He said it was a "mickey mouse contract", not that the money was mickey mouse. He meant the fact that they'd have to liase with managers etc about patients was mickey mouse, but the HSE spun it in a way to annoy Joe Public. And it worked.
The difficulty of reforming the HSE and health service is symptomatic of difficulties in managing any public sector activity where vested professional interests and trade unions wield disproportionate influence and make it into a workers co-op. Governments can't introduce radical reform when necessary because that would require challenging the vested interests and incurring a serious risk of losing an election.Originally Posted by Edo
What could be done about this? Constitutional changes could help. First,Ireland could scrap proportional representation and elect strong single party governments like Britain's whose centralised power would be more than a match for vested interests. If government spending continues to increase as a percent of GNP,that might be a good idea,although it would diminish grassroots clientilist democracy beloved by the people.
Second, the number of TDs could be cut in half to create some distance between politicians and the people,who seem to regard TDs as messenger boys for the locality. Reducing their numbers has one important drawback,however: a large number of TDs is needed in order to find a few with some brains,according to the latec C J Haughey!
Neither of these constitutional changes is remotely likely in the foreseeable future,so the government will just continue muddling through like many or even most democracies.
An alternative solution to government ineptitude is privatisation,but there are limits to what privatisation can achieve in medical care: it is easy to make huge profits at the expense of patient care as American insurers demonstrate. So a trend to privatisation should be accompanied by draconian regulation and aggressive inspection eg the private nursing home industry. As well, the civil service may be on a steep learning curve in negotiating privatisation contracts,witness the bilking of the UK government for billions by large IT contractors.