Doctors (GP) Fees - No recession in my surgery

try living in the UK. Income Tax, Council Tax (payable after income tax already taken), no mortgage relief. bin charges, car parking charges (outside yer own home no less in some places) water charges, bloody expensive commuting costs via public transport, etc etc... the cost of goods and services may be cheaper there, but you'll have less in your pocket to spend

Income tax is less than in Ireland.

Mortgage relief is on its way out here.

Bin tax is part of council tax. So are all the leisure centres, libraries, waste disposal centres and parks that are lacking here.

Parking enforcement in Dublin is every bit as draconian as it is in London.

Commuting is less expensive and more reliable in London than in Dublin.

I have friends in London who I visit regularly and I know all of this to be fact.
 
I disagree. When people get something for nothing (or nothing at the point of care) they are far more likely to abuse it.

In my experience this is true.
A good friend of mine was let go from his job earlier in the year and he got his medical card last week. Says he was in the doctors within hours of receiving it - no serious complaints but nothing that he would have gone to the doctor about if he'd had to pay for the privilege.
 
Income tax is less than in Ireland.

Mortgage relief is on its way out here.

Bin tax is part of council tax. So are all the leisure centres, libraries, waste disposal centres and parks that are lacking here.

Parking enforcement in Dublin is every bit as draconian as it is in London.

Commuting is less expensive and more reliable in London than in Dublin.

I have friends in London who I visit regularly and I know all of this to be fact.


You forgot that you can drop into your doctor in Ireland. I have relatives in London who in their local area have to make an appointment a week+ in advance!
 
I disagree. When people get something for nothing (or nothing at the point of care) they are far more likely to abuse it. Mrs Purple has been called to houses in the middle of the night because parents have run out of Calpol for their child. In her experience medical card patients account for over 70% of out of hours house calls yet less than one third of people are medical card holders. The same goes for A&E; people go there with a ailment that has been ongoing for weeks. Anyone presenting with such a complaint should be sent to their GP and told to make an outpatient appointment. Don’t get me going about people who present to E&E drunk or drugged; they cost the state tens if not hundreds of millions a year as they clog up the whole hospital system. The state should recover all costs from these people, even if it leaves them penniless.

Anyway, socialised medicine is very inefficient. Why create a bureaucracy to take taxes from people and then give the small proportion that is not squandered said bureaucracy back to them in the form of a socialised service delivery. At the end of the day the cost to the hospital/doctor is the same, why not cut out the bloated middleman and let people pay for it themselves through their insurance (or through insurance provided by the state)?
The argument about who can afford it themselves is no different to the one about who should pay what tax. If we were not paying for 5% of the workforce to be employed by the HSE then taxes should be lower.

There is a mindset in Ireland stating that if you give people free healthcare they will abuse it. This is because what should be a basic human right has been turned in to a business.

I'd say if the breathing of fresh air had been regulated and charged for and that charge was subsequently abolished, you'd most likely find people trying to breathe more than their fair share!

Our current situation is uncivilised and really harms those people on the cusp of qualifying for a medical card.
 

You forgot that you can drop into your doctor in Ireland. I have relatives in London who in their local area have to make an appointment a week+ in advance!

My wife recently cut her finger but not too badly. I patched up in the evening and she went to the GP the next day.

At the GP, she was seen by a nurse who cleaned it and rebandaged it. The doctor poked his head round the door and asked "everything OK here?" to which the nurse replied affirmatively and the doctor headed off again.

That cost €60.

It is no wonder the doctors don't have queues when they are pulling in such money for doing so little. I wouldn't turn anyone away if I was pulling in what they are.

Possibly the delay in appointments in London are due to the doctor taking time with each patient.
 
There is a mindset in Ireland stating that if you give people free healthcare they will abuse it.
It's not a mindset, it's the reality on the ground. The same it true for anything you don't have to pay for/earn.

This is because what should be a basic human right has been turned in to a business.
At what stage in the last 10'000 years was healthcare not a business? The problem is that it is not enough business competition, not that there is too much. Basic human rights are freedom and equality under the law and the right to retain a just proportion of the fruits of your labour. If you choose to sit on your ass while your neighbour works then there is no way in hell that he should have to foot the bill for your healthcare.

I'd say if the breathing of fresh air had been regulated and charged for and that charge was subsequently abolished, you'd most likely find people trying to breathe more than their fair share!
The production of air does not require human labour so the comparison is spurious. Drinking water would be a better analogy; if we had to pay for it more of us would turn off the tap when we brush our teeth and we would be more likely to collect rainwater to water our gardens.
Our current situation is uncivilised and really harms those people on the cusp of qualifying for a medical card.
What harms people most is working their asses off while their neighbour on welfare enjoys the same standard of living because those who work pay so much tax.
 
My wife recently cut her finger but not too badly. I patched up in the evening and she went to the GP the next day.

At the GP, she was seen by a nurse who cleaned it and rebandaged it. The doctor poked his head round the door and asked "everything OK here?" to which the nurse replied affirmatively and the doctor headed off again.

That cost €60.

It is no wonder the doctors don't have queues when they are pulling in such money for doing so little. I wouldn't turn anyone away if I was pulling in what they are.
Go to a doctor that charges less or ask why you are being charged so much when you only saw the nurse. The problem in this case in lack of backbone, not lack of socilaised medicine.

Possibly the delay in appointments in London are due to the doctor taking time with each patient.
No, it's because a vast state bureaucracy it trying to run what should be an open market of small businesses.
 
Income tax is less than in Ireland.
really?
http://www.hmrc.gov.uk/rates/it.htm
http://www.citizensinformation.ie/c...x/income-tax/how_your_tax_is_calculated#rules

Mortgage relief is on its way out here.
but not yet gone and still a long way to go...

Bin tax is part of council tax. So are all the leisure centres, libraries, waste disposal centres and parks that are lacking here.
they're looking to bring in bin charges... my mistake on that one.. as for the rest, we do have then here you know.. been to my local library frequently... it's a fact *g*

Parking enforcement in Dublin is every bit as draconian as it is in London.
not enforcement, charges... my local council in london wanted money from me so I could park outside my own house for example.

Commuting is less expensive and more reliable in London than in Dublin.
having lived in both cities, I don't agree..

I have friends in London who I visit regularly and I know all of this to be fact.
having lived in both cities I disagree...

I moved back to Ireland as it offered a better standard of living and more money in my pocket.
 
really?
http://www.hmrc.gov.uk/rates/it.htm
http://www.citizensinformation.ie/c...x/income-tax/how_your_tax_is_calculated#rules


but not yet gone and still a long way to go...


they're looking to bring in bin charges... my mistake on that one.. as for the rest, we do have then here you know.. been to my local library frequently... it's a fact *g*


not enforcement, charges... my local council in london wanted money from me so I could park outside my own house for example.


having lived in both cities, I don't agree..


having lived in both cities I disagree...

I moved back to Ireland as it offered a better standard of living and more money in my pocket.

The income tax links you provided seem to support what I have said and don't take income levy into account.

Do you know how much it costs to get a weekly ticket from Donabate to Sandyford combining train and Luas? About €36. Which allows you to travel from Rush & Lusk as far as Blackrock and three zones on the Luas. About 25 miles in total. How much is a weekly travelcard in London for two zones and how many miles on tube, overland and bus does that let you travel.

There is no bin tax in UK so your argument doesn't stand.

Mortgage relief has been severely diminished in Ireland, you can't deny it. In any case, it was described as a "middle class perk" by Gordon Brown when he abolished it in the UK and I tend to agree with him.

When I lived in Portobello, Dublin City Council wanted money off me to park outside my own front door. That was in 2002 - 2004. It may have changed since then but I am not sure.

Taxation in London is comparable, if not better, to Ireland in most regards and yet they don't have to pay €60 to go to the doctor, €80 to go to A&E and pay through the nose to get a fire engine or ambulance in a real emergency.

Tinpot banana republic.
 
The income tax links you provided seem to support what I have said and don't take income levy into account.
do the figures...

Do you know how much it costs to get a weekly ticket from Donabate to Sandyford combining train and Luas? About €36. Which allows you to travel from Rush & Lusk as far as Blackrock and three zones on the Luas. About 25 miles in total. How much is a weekly travelcard in London for two zones and how many miles on tube, overland and bus does that let you travel.
2 zones is hardly a fair comparison to travelling from lusk to presumably the city centre.
this links provides a better idea of the costs
http://www.londontoolkit.com/briefing/travelcard.htm

Mortgage relief has been severely diminished in Ireland, you can't deny it. In any case, it was described as a "middle class perk" by Gordon Brown when he abolished it in the UK and I tend to agree with him.
your political views are irrelevant. It still exists and is a benefit to anyone with a mortgage, regardless of social class.

Taxation in London is comparable, if not better, to Ireland in most regards and yet they don't have to pay €60 to go to the doctor, €80 to go to A&E and pay through the nose to get a fire engine or ambulance in a real emergency.

Tinpot banana republic.
Rubbish - so we pay for doctors and A&E - so what... by that logic the USA is a tinpot republic also... and to say taxation in london is better than here is plain wrong. try applying uk tax rates (and include community tax) to your irish pay packet and see where you get
 
If the doctor is part of a health centre, the charge is standard, what annoys me, is if the treatment does not work, they charge another €60 to try again with another treatment, it may take about 3 visits before they refer you to a consultant, and the charges start again.
 
do the figures...


2 zones is hardly a fair comparison to travelling from lusk to presumably the city centre.
this links provides a better idea of the costs
http://www.londontoolkit.com/briefing/travelcard.htm


your political views are irrelevant. It still exists and is a benefit to anyone with a mortgage, regardless of social class.


Rubbish - so we pay for doctors and A&E - so what... by that logic the USA is a tinpot republic also... and to say taxation in london is better than here is plain wrong. try applying uk tax rates (and include community tax) to your irish pay packet and see where you get

The Republic of Ireland was recently founded on the supposed basis of a socialist republic of equals. And two wrongs do not make a right. Take a simple google search and see how Irish healthcare compares to the rest of Europe. And nobody is holding up the USA model as a utopian system.

Mortgage relief is no longer a benefit to anyone with a mortgage in Ireland.

What about the rate of VAT in Ireland compared to what you pay in the UK?

Duty on alcohol? Less in the UK.

Stamp duty on housing? Less in the UK.

Stamp duty on credit and debit cards? NONE in the UK.

What about the tolling of standard infrastructure in Ireland which does not exist in the UK?

What about VRT which does not exist in the UK?

Listen, we are being ridden every which way by people feathering their own nests and cannot even hope to fall back on the state should we become ill.

I can put up with stamp duties, road tolls, VRT and all other things which are either more in Ireland or unique to Ireland. But we should all have the right to a free healthcare system which is free at the point of use or we are nothing more than a nation of savages who would gladly step on the head of our neighbour to clamber out of deep water.
 
The Republic of Ireland was recently founded on the supposed basis of a socialist republic of equals.
Eh??? Where does it say we are socialist in the Constitution?

and cannot even hope to fall back on the state should we become ill.
Yes we can; everyone can avail of our heath care system, if you can’t pay it’s free.

But we should all have the right to a free healthcare system which is free at the point of use or we are nothing more than a nation of savages who would gladly step on the head of our neighbour to clamber out of deep water.
What a load of rubbish. Holland, Germany etc have national insurance schemes. A free at the point of use system is wasteful and so those that really need help are less likely to get it.
Socialism doesn’t work; the last guys trying it live in North Korea and it ‘aint working out too well for them at the moment.
Now how about getting back on topic; the solution if you think your GP is overcharging it to query the charge and change doctor if you are not happy (it is a free market after all).
 
The Republic of Ireland was recently founded on the supposed basis of a socialist republic of equals. And two wrongs do not make a right. Take a simple google search and see how Irish healthcare compares to the rest of Europe. And nobody is holding up the USA model as a utopian system.
dear divine jaysus, give over with the leftie retoric. We're no more socialist than the pope's a hippy and thank god for that.

Mortgage relief is no longer a benefit to anyone with a mortgage in Ireland.
baloney. it's a benefit to me, and it's a benefit to many others. its money directly in my pocket every month.


What about the rate of VAT in Ireland compared to what you pay in the UK?
what about it, we're not talking about VAT

Duty on alcohol? Less in the UK.
much as i'd like it reduced, it's hard to argue against taxing unhealthy vices like fags and booze.

Stamp duty on housing? Less in the UK.
agreed

Stamp duty on credit and debit cards? NONE in the UK.
small change

What about the tolling of standard infrastructure in Ireland which does not exist in the UK?
ever driven up the m6 motorway?

What about VRT which does not exist in the UK?
what about it- unfair I agree...

Listen, we are being ridden every which way by people feathering their own nests and cannot even hope to fall back on the state should we become ill.
actually, we can
 
re tax

try this
http://www.deloitte.ie/tc/Default.aspx
http://listentotaxman.com/

put in 30 grand sterling and say 33000 irish and see the results
and then factor in a good 100 a month in the compulsory council tax

Try putting in 50k stg and 55k Euro you start hitting nearer the mark about the same 29% in deductions. You see we have a narrower tax base.


Back on topic in Dublin there are no ear doctors on duty in the Eye and Ear Hospital A&E at the weekend.
Gombeen land
 
re tax

try this
http://www.deloitte.ie/tc/Default.aspx
http://listentotaxman.com/

put in 30 grand sterling and say 33000 irish and see the results
and then factor in a good 100 a month in the compulsory council tax

Smoke and mirrors on your part.

You keep adding arbitrary elements to this thread and when they are challenged you keep shifting point.

The issue is that people in the UK are taxed less and have better public services.

And we have the second worst healthcare system in Europe (source http://www.rte.ie/news/2006/0626/health1.html)

And to top it off, it is not free at point of usage which leads people just above the medical card to ignore health concerns as they have better things to spend €60 on and do not have the confidence to go into a doctor's surgery and haggle with him.
 
Smoke and mirrors on your part.

You keep adding arbitrary elements to this thread and when they are challenged you keep shifting point.

The issue is that people in the UK are taxed less and have better public services.
no, the issue I disagreed with was that people in the uk are so much better off than us. I disagree. On an average salary it's clear from the calculators that somebody in Ireland has more disposable income than somebody in the UK, and thats without even factoring in community tax. Yes, we pay more for goods and services, but at least we have the cash in our pocket to do so, and indeed, a choice as to whether we do so or not.

And we have the second worst healthcare system in Europe (source http://www.rte.ie/news/2006/0626/health1.html)

And to top it off, it is not free at point of usage which leads people just above the medical card to ignore health concerns as they have better things to spend €60 on and do not have the confidence to go into a doctor's surgery and haggle with him.
as to ignoring health concerns, I think the real issue is the strain on A&E from people using it in lieu of a visit to the doctor.

Also, the NHS is hardly a panacea, yes, there are some nice freebies, but ultimately it's paid for through higher taxation and also, look at the lottery that is nhs cancer treatment - hardly a vision of equality now, is it?
 
Britain is one of the major financial centres in the world. They are a former empire with massive overseas economic interests. They are a major trading centre, have oil, gas and coal reserves and still have, in comparison to us, a massive manufacturing base backed up by some of the best universities in the world.
Ireland is a small peripheral island off the coast of Europe with little indigenous industry, no overseas interests, no natural resources that we control, a second rate university system and an economy about the same size of Manchester.

The idea that we could have the same level of services for the same (approximate tax rates) as the UK is laughable especially considering that we pay the people delivering those services so much more. Now this whole conversation is nonsensical so can we get back on topic before someone starts comparing us to one of the small but fully developed countries on the mainland like Belgium or Denmark?
 
In belgium you can walk in off the street to see any kind of specialist
You get most of this reimbursed via your state contributions, although they did have the Congo.

I have been sick in a lot of countries
 
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