DublinTexas
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How stupid do these people think the public is?
It will will be idiot FF backbenchers who'll end up being the biggest cause of the financial problems in this country.
They sat back and said nothing for years while we squandered public money and allowed the property market to overheat.
I can see them voting down the first steps on the road to recovery in the December budget and that will ultimately send the country into a terminal freefall.
It's democracy gone completely wrong.
In Tipperary North Lowry is a god like person. To the locals he can do no wrong. He has delivered for the locals time and time again, hence they keep electing him.Very stupid and they are probably right, how many times has Michael Lowry been elected since he resigned as Minister? How anyone one could vote for him after the McCracken report is beyond me....Politicians pull these stunts cause they know they can get away with them
Our politicians do not have the expertise to run a health service so we employ experts to help. We have employed a person of international renown in the deevelopment of cancer services. His recomendation based on his experience are to have a National Cancer strategy which has treatments based at certain locations. The idea being that Cancer Specialists will have the required volume of cases to maintain and develops skills, research and provide a top class sevice to all patients.
Instead of agreeing with this strategy our gombeen T.D. s of all parties want to have a Cancer Specialist in every hospital in the country and if that is not feasible to have it in the hospital in their constituency.
God forbid that I would get cancer but I would prefer to take my chances with Prof. Keanes strategy than with Jimmy Devins and his crew
Our politicians do not have the expertise to run a health service so we employ experts to help. We have employed a person of international renown in the deevelopment of cancer services. His recomendation based on his experience are to have a National Cancer strategy which has treatments based at certain locations. The idea being that Cancer Specialists will have the required volume of cases to maintain and develops skills, research and provide a top class sevice to all patients.
Instead of agreeing with this strategy our gombeen T.D. s of all parties want to have a Cancer Specialist in every hospital in the country and if that is not feasible to have it in the hospital in their constituency.
God forbid that I would get cancer but I would prefer to take my chances with Prof. Keanes strategy than with Jimmy Devins and his crew
He has delivered for the locals time and time again, hence they keep electing him.
Why? Is the health service a business? Perhaps the problem is the politically appointed board stacked with ´business experts´?Surely, somebody with business acumen should have been appointed.
Some nice back-pedalling there, Annet! There is a big difference between "world reknown health management experts with proven business acumen" (which I wouldn´t disagree with) and "somebody with business acumen".Health is a business - and it needs to be run like a business. That is why you need world reknown health management experts with proven business acumen that are non affiliated to any political party or have any conflict of interest. Unfortunately with the exception of Prof. Keane - and the cancer strategy - this does not exist in Ireland. We had the old boy political appointees on the old health board system and today the same - well our health system needs no explanation in relation to its efficacy. Hospitals for instance need to be run on performance basis where funding is awarded on throughput - the more activity the more money. Acute services need to be totally separated with separate trauma units so elective procedures can be undertaken without any encroachment on emergency trauma procedures. The Brennan Report is an interesting read (I thoroughly recommed it) - its findings clearly indicate that the services shortcomings and pinpoint the need for a business model. How much money was wasted on PPAR's and nobody was ever held accountable - would this level of waste be tolerated in a business environment? Then we had Consultants who purposely were not filling in forms for their private patients so that the public hospitals in whose facilities they were operating could not invoice the private insurers for payment. These self-interest groups need to be tackled.... but dont get me started!
Health isn´t a business.
Fair enough, not literally - but do you agree or not agree that it needs to be 'run like a business' in any sense of that phrase?
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