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Hospitals should comptete for business and the money should follow the patient.
The best hospitals will attract more patients and therefore will have more money.
The poorer performing hospitals will need to up their service levels in order to attract more patients.
MRSA Stats should be published. A&E turnaround time e.t.c. should all be made available.
I think you would find that patients would not be on trolleys if the hospital thought they would not be paid. A bed would be found quickly.
I have my suspicions that patients being left on trolleys is coordinated by nursing unions in order to flex their muscle to advance their objectives.
So privatise all hospitals and let the money whether it be from Insurance or the medical card follow the patient. The patients will then have the power to decide where they go for their medical care based on the service from a particular hospital.
There seems to be an assumption that a privatised medical system would mean a free for all. What you are actually describing is an unregulated medical system.
Nobody is describing an unregulated system. The government regulates and funds where it has to fund (but it funds by buying the care, not running the hospital), the private and public sector compete to deliver the service.
It’s not a new idea; they do it all over the world.
However, in other areas of privatisation, there has been greater emphasis on the greater profit making side of things and a drain away from areas of less margin. There is a cherry picking from the private companies of all the nice chocolates and the state gets left with the coffee creams that no one likes.
It's all well and good having the tender process and rating performance when it's a rail service or a bus service, but not a health service. How bad does it get before they lose the contract?
How many nurses are there in Ireland and how many were struck off over the last 10 years due to incompetence?Niallers, I take grave exception to that comment. It is a complete insult to all nurses and it shows your own lack of knowledge. Nurses neither admit or discharge patients. That is done by doctors and to be fair to doctors, they make their decisions on admission on clinical need not on whether patients are rich are poor. Having worked as a nurse for many years, I have never, ever seen what you suggest and such an action would be construed as unethical .
Incidentally An Bord Altranais had given very clear guidelines to nurses as to their behaviour in relation to any industrial action and how the patient is always to be the primary focus of the nursing profession and nurses are disciplined regularly and struck off for unethical behaviour.
So to voice comments like this is insulting to an entire profession.
So how much would you quote to treat an adult for depression? Or anorexia?There's a price at which it is profitable to treat any patient for any condition.
So how much would you quote to treat an adult for depression? Or anorexia?
How many nurses are there in Ireland and how many were struck off over the last 10 years due to incompetence?
How many of the midwives in Lourdes Hospital were struck off for gross incompetence for saying/seeing nothing despite working with a man who was removing a hugely disproportionate number of patients’ wombs over many years?
If you want to be taken seriously as a “profession” by anyone other than yourselves and if you really are skilled healthcare workers then you have to stand up to the mark when the need arises.
It is right that whistleblowers should be protected, nowhere more so than in the health services. Brave people in these services have repeatedly exposed wrongdoing and neglect which has resulted in injury and sometimes loss of life. It was a courageous midwife who blew the whistle on the appalling scandal in the obstetrics and gynaecology department of Our Lady of Lourdes Hospital in Drogheda. Michael Neary’s professional peers protected him for years from the consequences of his brutal actions on dozens of women, and even tried to protect him after he had been exposed. Every protection should be offered to those who out of selfless motives act in the public interest. They should not be penalised. Too often it is the person who reports the wrongdoing who is punished while the culprit escapes censure.
She was not an Irish nurse.
7.4 At the same time as the Matron was trying to express her misgivings to the consultants, Sr. F. a temporary midwifery tutor, also a Medical Missionary, had serious reservations relating to two caesarean hysterectomies carried out in late 1979 by Dr. Neary. It was not entirely clear whether her concerns were ethical concerns (about possible sterilisations), concerns for the patients, or a combination of both. She had been looking for interesting case histories to present to her midwifery students and had become aware that two young mothers who were patients in the postnatal ward had hysterectomies following caesarean section in and around the same time.
The objective of a business is to make money. The objective of a public health service is to ensure the good health of the people of Ireland. Where you have some completely different objectives, the processes are not transferable.What have you got against it being run like a business?
It's not that simple. The public health service subsidises private healthcare. The charges for private beds in public hospitals are nowhere near the full economic cost of those beds. The private patient in those beds use all the public services in those hospitals (labs, radiology, physio, OT etc). Don't draw any conclusions about the cost/value/profitability of private health care until it stands on its own two feet, i.e. no subsidised beds, no subsidised services, no tax relief etc.The health service is not a public service for the vast numbers of people who hold private health insurance in this Country.
Rightly so in relation to the Childrens hospital. To move this facility into Bertie's back yard with no parking and no transport links is a crazy decision.Not all the fault lies with the HSE. Look at the opposition they face when they try to implement projects like the cancer programme and the merger of the the Childrens hospital.
That solution doesn't help those who can't afford insurance.The solution to this is that every insurance company is required to offer a minimum level of cover with all policies.
History. I don't like it any more than you do, but we are where we are.Then how come the majority of public health services in Ireland are delivered by the private sector e.g. major hospitals owned and run by private religious organisations/trusts?
Source please - where on earth did you get this from?In Ireland, public health care is very expensive, yet very inefficient.
Private health care is very expensive and very efficient.
Two points here - The US privatised model for fire-fighters means that when California burns in the summer, privatised fire-fighters will consult insurance records when deciding which houses are to be rescued. Is this really where we want to go?Pretty much my point though. Gardai, Defence, even the Fire Service, what's their efficiency and why aren't there calls for these to be privatised? In all cases there is the exact same argument to call for them to be run by the private sector.
Alright, there's a fair amount of hyperbole behind those statements, because getting health care isn't like buying a tv. Mainly in that when you need it most you don't have the luxury of shopping around for your health. You can't post on here with a thread, "Hi I need cancer treatment, just wondering what people's views are on MegaCorp Health care in Cork or GlobalGiants in Sligo".
So who's going to build and run a hospital to care for the huge rural community when first, there's less money there than in the biger cities and towns and less useage.
Then who runs the ambulance service or paramedics? Do you have to have different phone lines for different providers? Is it going to be like the taxi listings in the Golden Pages?
The American system works only for those who can afford it (and even then it's a fight with the insurance companies). I'm not prepared to sell out the health of the other 4 million people here on the basis that first, I'm ok and can afford it and second that the current system needs an overhaul, but not abandoning.
Indeed, so we are incentivising consultants to keep their public waiting lists high, so they get paid on the double for treating the same patients, once through their standard public sector contract, and then again from the NTPF.We have the NTPF who contracts from public and private hospitals services that have not been delivered under our public hospital system.
This is a huge issue - very important point.While I do agree that the money should follow the patient - and that hospitals should be financed on performance - to be a devils advocate how exactly would we measure performance and success?
She was an Irish lady - right? She was on TV3's breakfast show during the week.There was only one whistleblower in relation to Neary - she was a foreign trained nurse.
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