Medical Cards - many older people have a real fear of officialdom. Many have literacy problems so any sort of form filling is daunting.
This points to problems within the system of being unable to deal with exceptional cases.
Rather than go to a TD, there needs to be a citizens advocate within the system. Some one who makes sure that people have all that they are entitled to and have it clearly explained what that is. e.g. Some older people won't put on heating at home because of expense but are not aware of household benefits package.
If a TD needs to get involved, it points to failure of public service.Metrics should be collected on these failures and then systematically addressed. Its called continuous process improvement.
It would mean change in public services and free up TDs time - neither group are interested in that.