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Thread: Privatisation of home help care

  1. #1
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    Default Privatisation of home help care

    Dail exchange between Mary Harney and Joe Higgins

    An Leas-Cheann Comhairle: Let us address the Order of Business.


    Mr. Bruton: On the Order of Business I would like to raise an issue that I know is central to the concern of the Tánaiste and Minister for Health and Children, Deputy Harney, namely, the nursing home legislation. We know that in 2001 the Ombudsman found that the health boards generally withheld the information from people that they were entitled to public nursing home beds, and many ended up in private nursing homes because that fact has been concealed from them. The Government’s health strategy said it would set out a clear legal basis on which eligibility for nursing home care could be decided, clarifying exactly the position regarding the Health Act 1970 when it was clear that anyone who held a medical card was entitled to appropriate care.

    The Minister produced a Bill this week that has not in any way clarified the eligibility of those who hold medical cards.


    An Leas-Cheann Comhairle: The content of the Bill may not be discussed.


    Mr. Bruton: This concerns the legislative programme. When will we see legislation from the Minister to clarify the exact legal rights of those who hold medical cards but who have not been allowed into public nursing homes and find themselves having to fund care in private ones? Why is it not being produced in tandem with other Bills that we have seen in the past two weeks?


    An Leas-Cheann Comhairle: Deputy Joe Higgins may speak on the same subject.


    Mr. J. Higgins: Will the Tánaiste confirm that I heard correctly on RTE radio this morning that she proposes to hand the care of our elderly people over to a money-grubbing private American-based franchise, which will rip €10——


    An Leas-Cheann Comhairle: The Deputy is speaking about the contents of legislation. That is not in order.


    Mr. J. Higgins: It will rip €10 for every hour a home carer would work caring for the elderly. The Tánaiste will not resource the public home help system——


    An Leas-Cheann Comhairle: The Deputy is not in order.


    Mr. J. Higgins: ——yet she proposes this.


    An Leas-Cheann Comhairle: We are on the Order of Business.


    Mr. J. Higgins: There is a legislative point which was raised this morning. The so-called Comfort Keepers website——


    An Leas-Cheann Comhairle: The Deputy cannot raise it on the Order of Business.


    Mr. J. Higgins: ——states that it will bring the comfort business to Ireland. I know the Progressive Democrats Party takes the biscuit——


    An Leas-Cheann Comhairle: The Deputy is talking about the contents of legislation.


    Mr. J. Higgins: ——for crassness when it comes to how the health service should be treated.


    An Leas-Cheann Comhairle: I ask the Deputy to resume his seat.


    Mr. J. Higgins: Rather than asking the Tánaiste when the legislation will be introduced or whether this will be put on a statutory basis, I ask her, for the sake of decency and our elderly, to scrap this crass incredible privatisation.


    The Tánaiste: Deputy Bruton is correct. The Health (Nursing Homes)(Amendment) Bill, which was published yesterday, will deal with certain legal issues and will ensure that we have primary backing for the subvention scheme. It is being done on the advice of the Attorney General. The wider issue of eligibility and entitlement is the subject of ongoing work within the Department of Health and Children and legislation will be forthcoming as quickly as possible. It is a mammoth piece of legislation which deals with the issue of nursing homes as well as the wider issues of eligibility and entitlement.

    The Government’s agenda includes policy proposals that have been prepared in respect of care of the elderly in order that we have equity of care between those who are in public institutions and those in private nursing home care. At present, the Government is deliberating on this issue. A small Cabinet sub-committee has been established to deliberate in respect of the policy agenda. We hope to make a decision in this regard quickly as, given the demographics of our population, it would clearly be unsustainable for every person over 70 to be entitled to nursing home care free of charge. That simply would not be affordable. We must have a fair and equitable system based on means and co-payments by the State and the individuals or their families, if possible.


    Mr. J. Higgins: I asked about the——


    An Leas-Cheann Comhairle: I call Deputy Rabbitte, on the Order of Business. We cannot have a discussion on the contents.


    Mr. J. Higgins: I asked about legislation.


    The Tánaiste: The new Bill will allow me to make regulations to change some of the existing criteria in respect of how the family home is calculated and so on. This Bill, which was published yesterday and which we hope will get through the House very quickly, will allow us to make regulations to change the existing manner in which the family home is taken into account as notional income. At present, this puts nursing home subvention care beyond the reach of many people who have an average family home, which is clearly unacceptable.


    Mr. McCormack: Lots of Bill, but no cheer.


    Mr. J. Higgins: What about franchises? The Tánaiste refuses to——


    An Leas-Cheann Comhairle: The Chair has called Deputy Rabbitte.


    Mr. J. Higgins: Clearly legislation is required to support this franchise idea.


    An Leas-Cheann Comhairle: The Chair has called Deputy Rabbitte.


    The Tánaiste: I am not franchising anything.


    Mr. J. Higgins: The Tánaiste is not answering.


    The Tánaiste: No legislation is promised in this regard. It would be normal for a company to establish itself.


    Mr. J. Higgins: The Tánaiste will simply hand care over to an American private franchise, just like that.


    The Tánaiste: The people involved are Irish.


    Mr. Kelleher: They are not Russians anyway.


    A Deputy: Or North Koreans.

  2. #2
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    Harney under fire over move to launch home help franchise


    So lets see here in the last few years HSE home helps have had their hours reduced from two-hour to half-hour jobs.

    This has had, of course, an impact on wages but also on the service provided to the sick and elderly.

    Approx 730,000 hours were cut back in the home help service between 2002 and 2004 alone.

    So a home helper will have to say cook a meal and whatever other chores in the all new half-hour period. Many work unpaid overtime as a result.

    Now the above is the running down of the exisiting highly efficient, if underfunded, public home help system.

    Fast forward to Harney's launching of a (more expensive...) state subsidised private for-profit US-franchised home help service here.
    The Comfort Keepers franchise, plans to hire 1000 part-time home helps and charge cients between €18.75 and €22.95 an hour.


    Now, thanks to the minister for 'letting them eat cake' we have state subsidised, 'fat and mean', private profiteers in eh (as the CK site terms it) 'elder care'...

    Harney's redistributive MO is becoming all too clear...

    Comfort Keepers the name says it all...

    http://www.comfortkeepers.ie/
    http://www.privatehealth.ie
    ...Income tax relief is available to our clients or their relatives at their top rate of tax, subject to conditions....
    Backing for privatised home help service condemned


    --------
    Going for the gold: the redistributive agenda behind market-based health care reform.
    Can markets give us the health system we want?
    The high costs of for-profit care
    Payments for care at private for-profit and private not-for-profit hospitals: a systematic review and meta-analysis
    Costs of Care and Administration at For-Profit and Other Hospitals in the United States
    http://www.whc.ki.se/files/whydownload.php
    http://www.oecd.org/dataoecd/60/27/35529803.xls

    -------------

  3. #3
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    On entrepreneur.com Comfort Keepers came in - just ahead of Chester's Int'l. LLC Quick-service chicken restaurant - at number 100 of the Franchise 500 2006 rankings

    100 Comfort Keepers
    Nonmedical in-home senior care startup costs $46K-69K
    101 Chester's Int'l. LLC
    Quick-service chicken restaurant startup costs $98.4K-395K
    Franchise 500® 2006 Rankings

    Master your future as a Brand Builder
    ....Ray Hays, Comfort Keepers' Director of International Franchising, outlines the requirements the American brand looks for in its Master Franchisees: "Fundamentally, we search for partners with the ability to build a business on a national scale. "They must have a business track record, but not necessarily in our line of work, a solid management team, some industry contacts, and be prepared to 'roll up their sleeves'."....

    ......Non-medical senior homecare franchise Comfort Keepers believes Ireland is ideally suited to Master Franchising. "Ireland is an excellent market in which to establish an early European presence and this is not unique to franchising," says Hays. "It is a relatively easy market, English speaking with commonalities to the US in its approach to business. However, you must not treat it as an extension of the US, it is a unique market in its own right. It is also a good proving ground for American franchise brands." ......

    Elder Healthcare Group saw a niche market for providing non-medical care to the elderly in their homes and decided that they wanted to be the first to market. "We wanted to buy into the experience of an existing business as Master Franchisee," Power clarifies. "By investing in Comfort Keepers we can roll out the business quickly and benefit from their knowledge and experience. In addition, the US is ahead of Ireland in terms of provision for the elderly at home and we can see how the market could potentially develop."....

    ...."Due diligence on the franchise concept, company and the benefits the franchise model presents, track record and the management; a careful evaluation of market demand; an evaluation of the financial metrics that will point to whether it will provide a good return on investment."....
    Profiting from 'elder care' since 1998. Have a nice day Ms Murphy....

  4. #4
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    Quote Originally Posted by s123mith View Post
    Hello,
    Privatization of home care help is necessary for good services for the needy human's because of no privatization private information regarding home care and about the registered people. So to take care of parents it’s necessary to privatize the information. Home care help services generally provide these type of private home care services.
    I nominate this for "best post of 2012".

  5. #5
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    Quote Originally Posted by feedmelies View Post
    I nominate this for "best post of 2012".
    I second that

  6. #6
    Dylan2010
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    Quote Originally Posted by s123mith View Post
    Hello,
    Privatization of home care help is necessary for good services for the needy human's because of no privatization private information regarding home care and about the registered people. So to take care of parents it’s necessary to privatize the information. Home care help services generally provide these type of private home care services.
    and so it begins....the rise of the machines

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