TheJournal.ie uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Click here to find out more »
Dublin: 6 °C Thursday 23 May, 2013

Expert group to examine universal health insurance proposal

The scheme will transform Ireland’s healthcare into a “single-tier” system, the Department of Health said.

Minister for Health James Reilly
Minister for Health James Reilly
Image: Leon Farrell/Photocall Ireland

A GROUP OF experts has been set up to examine the possibility of introducing a long-mooted universal health insurance scheme.

Minister for Health James Reilly today announced the establishment of the group, which will be comprised of figures from the HSE, major hospitals and universities.

The experts will explore ways to transform Ireland’s health system into a “single-tier” programme “supported by universal health insurance”, according to a statement from the Department of Health, which added:

It [the group] will be tasked with developing detailed implementation plans for universal health insurance and with actively driving implementation of various elements of the Government’s health reform programme.

Minister Reilly said the membership of the expert panel would be flexible. He acknowledged the selection of members, which comprises mainly senior figures in the public sector, did not represent all stakeholders in the process.

However, he said he would take on board the best advice at both a national and international level.

The Fine Gael/Labour coalition committed to introducing a universal health insurance scheme in its Programme for Government last year. It said at the time that such a scheme could “end the unfair, unequal and inefficient two-tier health system”.

More: VHI to hike premiums by up to 12.5 per cent>

Read next:

Comments (47 Comments)

  • made 24/02/12 #

    And we have another “expert group”. Just aswell there’s plenty of money in the country to pay for all these “expert groups”

    Reply
  • Ciaro 24/02/12 #

    Definition of a paradox?
    Expert panel comprised of senior public service figures

    My money’s on Colm Mccarthy picking up another gig, all those hours of hanging around outside the Dail gates finally paying dividends!

    Reply
  • I cannot believe it will be like the UK free access and free medicines and free
    hospitals

    Reply
  • Why do we have to have the most unhealthiest looking Td’s as health ministers!

    Reply
  • Looking between the lines, it seems to me like they’re proposing mandatory private health insurance. All part of FG’s grand privatisation plan….

    Reply
  • Reports too please, we def need more reports. Please Minister more reports please!

    Reply
  • Will it be the same experts that said you could put a children’s hospital on top of the mater?

    Reply
  • Health insurance in this country for younger people is a con. If you fall on the the ground screaming in agony you’ll get seen to just as quickly as the next guy, put your vhi contributions under your mattress and when you need to a consultant that costs about €150.. Pay cash you’ll see him quick enough. If your
    Going to hospital looking for a private room these days, well they are now only used for infection control, I just feel sorry for those who are under the illusion that they will get preferential treatment. Okay maybe it will benefit those who need longer term care, but ultimately you are better off without.

    Reply
  • They’re aiming for the Dutch system which means private hospitals and private health insurance. Everyone in Ireland will be obliged by law to have health insurance. It is a much more effective system than the one currently in use but will put serious strain on families struggling to pay their bills.

    Reply
  • something has to be done with oiur health system, i have a CRS and now multiple difficulties, just incase the services wanna let me die i have private gastro, rheumy, eye specialist, pay for hearing aids, endo, and visit St. Toms london once yearly, after a botched bit of surgery and the rest put down to anxiety would you blame me going private. that said i need physio, special shoes, adaptive aids and my mobility scooter needs mending, all entitled under my disab pension but do i get, no no no..no sign of it anyway and i can wait and wait and wait..there isnt much working in our public health service for someone like me so we have to do something to our health services, people are paying far too much and those who cannot are getting far too little help..

    Reply
  • toorkeel 24/02/12 #

    What if you already have health insurance? Are you going to have to pay for this as well?

    Reply
  • DaveC 24/02/12 #

    Please, not another ‘expert group’. Do the job yourselves like you’re supposed to.

    Reply
    • Naive comment …

      Reply
    • DaveC 24/02/12 #

      Why?

      Reply
    • The civil service is hardly overrun with experts in the field of anything in particular… Their job could be viewed as being the ones to implement such a scheme but to leave it to them to come up the scheme is naive… Experts I would hope be from clinical services, the private insurance sector, universities and think tanks, not just the dept of health…

      Reply
    • DaveC 25/02/12 #

      I strongly disagree. The department of health should be competent enough to come up with a new scheme themselves. They are the government department responsible for the system and the buck stops with them. Sure they can get find external help but they shouldn’t just fob it all off to someone else. The only reason they do this is so they can blame the ‘task force’ if it goes wrong but take the credit if it’s right.

      Reply
  • Funny, and there was me thinking you actually had to be an expert to be a government minister…

    Reply
  • Another expert think tank, I suppose? More tanks than the bleedin’ Chinese Army!

    Reply
  • Hundreds of thousands of civil servants but Reilly wants to burn up piles of taxpayers money on external experts. It is once again incontestable proof that government expenditure is a total farce. What has to happen before theses guys get it. SMEs want the government to stop spending cash unnecessarily. How hard is it to understand that?

    Reply
  • yes the current system needs to be changed completely – the 2 tier system is not fair. However what we don’t want is a new Universal Health Insurance tax on top of PRSI & the USC.

    As the end of the 2 tier system is proposed, the health insurance industry will probably be up in arms as their profits would surely be hit. Instead of paying premiums to that industry, maybe we should instead contribute to a Hospital Fund which would go to the local hospital in your area – e.g. in Cork, chances are you’ll end up in CUH or the Mercy; If the “local hospital area population” contributed say 5 or 10€ on a week, which would then be used to offset/cover any costs incurred as a patient, the hospitals would have a extra operating fund e.g. if 100,000 people in Cork and its environs gave even €5 weekly CUH/Mercy would have an additional 500,000 per week to use.

    I’m not sure tho if it’s a good idea or not………… I’ll look forward to any feedback (oh BTW I don’t work in the health sector at all)

    Reply
    • unfair ?? private health does nothing for those who pay it. my doc thought i may have slipped a Disk in my back, send me to the bons for a CT scan as he said it would be covered. na bah,€ 590 for the scan !! had to put it on the credit card. apparently VHI don’t cover CT scans. i can claim back 130 of it. so i cancelled the policy but had to pay to break the contract. explain that ? AND don’t say i should have gone to Euromed that’s not the point. i was in pain and couldnt wait.

      Reply
    • Too right Rob. Naas hospital sent my wife for a scan in Blackrock because she was covered by the VHI. But we still got a bill for one and a half thousand. So, that was over two grand for VHI fees and another one and a half grand on top. Then this year, when claiming back for doctors fees etc., we noticed a shortfall of 75 euro. Rang VHI and were told that there is a charge of 25 euro for each person applying for their rebate. Unbelievable!!!.

      Reply
    • Bob it is unfair and I’m talking about basic health care – like even going to the GP in the first place – I don’t have private health insurance – I had to give it up about 2 years ago – There are a whole class of people in my category – if you have a medical card or private health care, at least you can GO to the GP…….. the current system is terribly unfair to those of us who pay tax, earn that bit too much to get a medical card and who struggle to find money to go for BASIC health care.

      i hope both you and Dakina’s wife are recovered. And the charge for the rebate of 25 euros is just shocking….. the ordinary folk in this country just cannot catch a break at all – constantly hit from all sides.

      Reply
    • Thank’s, Sheila for your empathy regarding our situation. Unfortunately, we will not be getting a rebate for the 25 euro, nor will anybody else. New rules, new charges etc. The straw that broke the camels back, was charging customers to make a claim on their
      insurance policy, which they had already paid for. What the hell was the insurance policy supposed to be for then?. An absolute scam, is all I can think of.

      scam
      M

      Reply
    • I agree with your conclusion Dakina – that was why I was wondering if would be a better idea if we contributed more directly to the hospitals (via a fund) INSTEAD of profit making health insurance companies…. cut out the middle man as it were and give the cash strapped hospitals an operating (no pun intended) fund instead of increasing the profits of healthcare providers.

      Reply
  • Expert group that will cost a lot of money and will anything come out of it. Look at the mess they made of the plans for a new children’s hospital. 30 Million down the drain and for what.They should have thought of introducing a universal health insurance a long time ago.

    Reply
  • “Basic health care should be paid for and provided locally, the government will only create inefficiencies” ??

    Yes…because private (for profit) systems which (through legal loop hoops) will try and screw of over the little guy just to make a few extra bucks, are great!

    “Local communities with fund raising ect…would do a better job”

    Are you have a laugh?? Would you say the same for school’s, police force or prison system? Do you realize how many inequality’s in health service this would create between communities.

    “..hospitals with emergency departments than a great big government body, full of problems, ”

    You could apply this view point to any large government department, would you suggest we privatize the entire government?!

    “that answers to no-one”

    Since when do mega rich private institutions answer to anyone?

    “this would also stop people being taxed for a service they don’t receive”

    This all me, me, me. Above you stated that the community could fund raise, this would be paying for a service they dont receive. Make up your mind.

    Just because the state system has problems does mean it should be scrapped. IMO Universal Heath Care just like education are an inalienable right. We all contribute and we all benefit be behave Healthy, Educated population, as apposed to sick, uneducated idiots.

    We all know times are tough here in Ireland but thank fuck we dont live in America.

    Reply
  • Basic healthcare should be paid for and provided locally, the government will only create inefficiencies.

    Local communities with fund raising ect.. would do a better job at maintaining available healthcare and hospitals with emergency departments than a great big government body, full of problems, that answers to no-one.

    This would also stop people being taxed for a service they don’t receive.

    Reply
  • peter 24/02/12 #

    Jesus why can’t they just fix the system and leave people who can pay health insurance alone

    Reply
    • Because there are people like me and my wife who work hard but cannot afford health insurance. We would like to believe that if, God forbid, cancer should strike that the poor deserve to live as much as the rich.

      Reply
  • Surely u cannot force health insutance on sumone ??

    Reply
  • Some of the comments above would make you despair. Private health insurance for some means their kids get seen before the kids of poor people, which is an immoral disgrace.

    Good luck to the Minister. A lot of the population don’t dererve him.

    Reply
    • How do you work that one out Paid? I brought my son to A and E with winter vomiting bug over Christmas. Waited like everyone else for hours, he got admitted overnight and released the next morn. Bill in the post for €850 a week later. He didn’t even have a slice of toast and I had to take cushions of a chair and lie in the floor beside him. Why, because I have health insurance I am automatically billed as private. If I had walked in off the street and said I had nothing, my son would have got the same. Give me a break…

      Reply
    • That’s the situation in A&E, and it’s an absolute disgrace. But if your son needed (and I hope he never does) to see a consultant for a longer-term condition through the public system it could take months. Further still, if he required treatment such as surgery it could take many more months. So yes, in short, people who pay for health insurance do get better treatment overall!

      Reply
    • conor its not better treatment its quicker access…treatment standard is same. pedantic maybe but i think the distinction is important.

      Reply
  • skeolawn 24/02/12 #

    Remember the Boston versus Berlin discussion? Ireland got the worst elements of both … and Irish people pay through the nose.

    Reply
  • ”Yes…because private (for profit) systems which (through legal loop hoops) will try and screw of over the little guy just to make a few extra bucks, are great!” ”You could apply this view point to any large government department, would you suggest we privatize the entire government?!” – I never mentioned anything about privatizing anything I don’t think you got the point. Your GP is private BTW.
    If your local community paid less taxes, could they, with the extra money in their pockets persuade your GP to help the vulnerable in your community?
    The people in Roscommon pay the same taxes as everyone else…. ”Do you realize how many inequality’s in health service this would create between communities.” Their “inalienable right” has not been lost they just have drive for 50mins find it.

    Governments by their nature are inefficient, services from government should only be depended on where a private alternative is not viable such as health, roads and education.
    Directing the money at a local level will ALWAYS be more effective (than any group of experts, consultants who can make decisions far removed from the situation).

    ”We all know times are tough here in Ireland but thank fuck we dont live in America.” – MediCare in America will be the most expensive & wasteful system ever devised.

    Reply
  • Switzerland has compulsory health insurance, a family of 4 would pay €600 per month for middle of the road plan ….

    Reply
  • Universal Health Insurance sounds like a great idea. Maybe if we weren’t paying unsecured bondholders we might be able to afford it.
    Even then, we’d have to get permission from Germany first.

    Reply

Add New Comment