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Dublin: 8 °C Sunday 19 May, 2013

Government plans free GP care by 2015, universal insurance by 2016

James Reilly unveils a programme of ambitious reform in the health sector – saying he’ll need two terms to totally finish it up.

Junior minister Alex White and Health minister James Reilly at yesterday's launch of the 'Future Health' document.
Junior minister Alex White and Health minister James Reilly at yesterday's launch of the 'Future Health' document.
Image: Laura Hutton/Photocall Ireland

HEALTH MINISTER James Reilly has published a strategic framework for the future of the Department of Health, outlining plans that will see free GP care extended to the entire public from 2015, and universal health insurance by 2016.

The ‘Future Health’ document outlines plans where GP and primary care would be free and available to all, with referrals to hospitals only coming from then on – and with hospital treatment also covered by a mandatory level of health insurance.

“Primary care will be available on a universal basis with GP care free at the point of use for the whole population. Where a person needs hospital care, it will be provided by independent hospitals or ‘not for profit’ hospital trusts,” the document outlines.

“An integrated payment system will allow incentives to be effectively aligned across different providers and will encourage collaboration in the provision of quality, continuous care across settings.”

Legislation to offer free GP care is to be published, with the free care delivered on a phased basis, beginning with those with chronic conditions who will be given free access from the middle of next year.

The Department says it will work with the HSE to increase the number of front-line health professionals working in primary care from next year onward, to prepare for universal access by 2015.

On health insurance, the Department said it would introduce a permanent scheme of risk equalisation from early next year – legislation for which is currently before the Dáil – and would end the special legal derogations for VHI by the end of next year.

The universal system will see all health insurers offer a basic minimum and standardised insurance package for customers, with the State stepping in to subside – or cover fully – the cost of the policy, depending on the customer’s ability to pay.

Further details on the health insurance reforms will be contained in a White Paper to be published next year.

The document also outlined plans to extend BreastCheck programmes to women aged between 65 and 69 by 2014, while a national colorectal screening programme for people aged between 60 and 69 is expected by the end of 2015.

Speaking at a press event to announce the plans yesterday, Reilly said he would need a second term in office – extending past the next general election in early 2016 – in order to fully complete the changes.

Read: Over 18,000 sign petition demanding equal access to healthcare

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Comments (88 Comments)

  • GP only cards promised for long term illness patients last March… then this December…NOW mid 2013!!! Reilly is a big ball of wind and has delivered a big fat ZERO so far……..

    Reply
    • I agree, not even the promise of free GP care could make me vote this man in again! He is the most arrogant of TD’s and it definitely trying to divert attention from our national disgrace this week in Galway. Maybe when he goes back into the real world after the next election he will realise how we all feel about him.

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  • Looks good in principal, but i will reserve judgement until I see how this will be financed.

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    • Not a word on this for months, then suddenly when this appalling tragedy in Galway makes headlines all over the world, the Government make an announcement of this magnitude. Talk about trying to get the heat off or what!!!

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    • Bingo Rodrigo, its the government taking us for eejits again. “LOOK OVER HERE….LOOK OVER HERE…..FREE STUFF FOR EVERYONE….ignore that dead womans body in the corner….LOOK OVER HERE”.

      And to make things worse, if they’re not voted back in reilly can blame the voter and say ‘told you I needed two terms’.

      Sick.

      Reply
    • FG2016 16/11/12 #

      You know how it will be financed, paulo, through the grit and hard work of people who go out and work, for the benefit of those who don’t.

      Reply
  • if the government says its free, than its not, someone has to pay for this, whether its taxes or cuts in other departments

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  • Good primary care will pay for itself. Preventative care, avoiding unnecessary referrals, increasing patient compliance will filter up through the system. If an illness is caught and treated at GP it’s >1% of the cost of it developing into a condition requiring a 3 day hospital stay

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    • Andrew, at last some logic and sence on this thread! Well said! In truth over 40% of people in Ireland are already entitled to free GP care anyways. This is ambitious but it is certainly a good idea!! Maybe we should have a rule that if it does come in all the people who comment with the usual negativity should continue to pay :-)

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    • I’m not convinced

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    • Shay
      It is a great idea in principal , very far reaching altho England have in place years (NHS)
      but I am not convinced . Like Rodrigo said , it is a diversion tactic to bring this out just now in light of Savita’s death.
      Call me cynical but No I can not see them get it off the ground, the government will make a bags of this too.

      Reply
  • He’s done so well implementing all the other policies after all.

    The Children’s Hospital, reducing waiting lists, reducing the health budget deficit, reducing consultants salaries…… Oh… Wait….

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  • Sounds great but I’ll only believe it when I see it. The cynic in my thinks this story is to neatly deflect our attention from the Savita Halappanavar (sic) case and the fiasco that ended her life and sparked a new abortion debate.

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  • Jesus..two years in and the next election campaign has started already. This is a lie…they’ll come up with some reason why it won’t work, O’Reilly will say he’s still committed to bringing it in and the circus will keep rolling. If he’s that serious about it, let the government sign some internationally binding contract saying if it isn’t brought in they’ll take a 30% cut in their grotesque salaries…fat chance though.

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    • These promises are quite disturbing because they simply cannot be implemented. The state simply relies so heavily on the payments from private health insurers. How, since our finances, have plummeted, does he think its possible to step in an pay theses monies? Madness and dreaming of the highest order. The fact that he will con some people is just unforgivable though.

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    • fine Gael will say anything just like the last time but low and behold we still have not received any of their promises

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    • Haha! I can’t believe he’s using this to try and get voted in again! I wonder what other bulls@it he’ll promise (and never deliver) before the next election.

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  • The plan is dreamland. There is no way in the world that this nonsense is affordable. What he is suggesting will require employee PRSI to be increased to at least 12% of wages and an income tax hike of a further 5% to 8%.

    Private insurance premiums have already increased by 50% in recent years and will continue to outstrip inflation.

    If Rielly thinks he can get universal health care on the cheap he is living in cloud cuckoo land.

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    • You’ve made those figures up mate, source please?

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    • Ben Gunn 16/11/12 #

      I looked at the cost of the NHS in the UK and divided it by 15 and then extrapolated that across the tax base. My figures may have understated the costs because I made no allowances for the economy of scale in the UK vs. Ireland nor did I allow for the act that our current rate of PRSI have to fund higher welare and pension rates than those enjoyed in the UK, similarly I did not factor in the higher salaries and drug costs here. The PRSI rates and tax hikes that I estimated would be lower overall than the equivalent rates paid in the Uk, but that should be balanced out by the fact that only 15% of UK citizens have Private Health cover whereas it is envisaged under these proposals that 30% of the Irish will have private coverage.

      Reply
  • Paul MC 16/11/12 #

    Free GP, universal healthcare, from this government.
    Look, a flying pig.

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  • i mean this in as nice a way as possible but stick your distracting sound bite up your arse Mr Reilly!!

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  • Anyone else notice the writing in the background “doh!” says it all really! This is his way of getting a second term in office, no bloody way, he has proved over the past few months that he not fit for the job. Now minister please just do the right thing and leave.

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  • What happens when your ‘basic’ medical insurance package doesnt cover a treatment or proceedure in hospital.????… Will the state cover the cost ? will the insurer? Will huge bills will follow patients home. Universal doesnt mean free, free doesnt mean free. Someones going to pay ……….

    Reply
  • Gerard 16/11/12 #

    Does the minister believe that we are all idiots? He is so full of shit it’s bordering on contempt at this stage.

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  • Mandatory health insurance….. with government stepping in based on ‘ability to pay”……..this will eventually be seen for what it is, getting more people to pay for health insurance , we can’t apparently ‘means test’ where we should or shouldn’t pay children allowances as that’s too complicated or expensive…. but it’s going to apparently manageable and easy to assess who can or cannot afford health cover…..this is Reilly scrambling to do some smoke and mirrors to fill EU up with shit that he has a way of getting health budgets under control , it’s not by reducing waste or overpaying top consultants , it’s by getting people who currently don’t pay for health insurance to start……

    Reply
  • Dear customer,

    Thank you for taking out your basic universal medical insurance with us. You will delighted to know that your cover includes one night in a hospital of our choice ( Bed not included, If you require a bed this can be supplied at a small additional cost). One medical consultation (Doctor not included, if you require a doctor one can be supplied at a small additional cost)…….

    However if you feel you do not have sufficient cover and wish to upgrade please call……..

    Reply
  • I actually thought when a doctor was assigned as health minister “finally! Someone who actually fits the position!” is it possible that he is actually threading dangerously close to being just as useless and as much of a bare faced liar as that Harney whomp?

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  • Sounds fine & dandy until the two more terms bit ! Sorry Doc – not a snowballs chance.

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  • Reilly said he would need a second term in office to implement this……. Need I say more. Phase one of this has already been delayed – free care for those with long term illnesses should have been extended since early this year. Why are they now announcing it like something new? It’s old news and running way behind schedule. The country can’t afford it.

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  • Is Reilly taking the Michael or does he think we are all gombeens.

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  • The only reason they are announcing it now is to ‘justify’ hikes in prsi and USC in the upcoming budget

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  • Less than half the population have health insurance but we pay 50 euro to visit doc, , so they will switch to free GP care , then a year later introduce the shiny new “universal health insurance’ ….CHA Ching!!!!!!……universal……they mean “mandatory’ , another annoying American word that tries to make new health charges on the public sound less harsh than it is….people are not fully grasping what’s being planned here , the only surprise is they out Phil Hogan in charge to the new health tax , I mean universal insurance…

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  • Deluded… Who’s gonna pay for this Minister? Sure why stop at health, lets have free food, drink, entertainment in this utopia of yours too…

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  • funniest line of the article “Speaking at a press event to announce the plans yesterday, Reilly said he would need a second term in office – extending past the next general election in early 2016 – in order to fully complete the changes.”

    good luck with that Mr Reilly.

    That plan as it stands is farcical, free health care will be abused like the way the medical card is abused right now. It worn’t be free as the workers of this country will be funding it with a larger Universal Social charge.

    The way I’d like to see it be is that everyone pays as they use the system but a reasonable amount, the more costly issues the state covers but the day to day health care we pay ourself.

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  • He is definitely going a bit Willy Wonka. Roll on the chocolate rivers. Whahey!

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  • Earth to James OReilly – FYI it will not be “Free” as our taxes will be paying for it you ignorant fool.

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  • This government have broken so many promises, I’m not even reading the article.

    I have zero faith in this government.

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  • I wonder who is going to finance this free healthcare? Is calling it free not a little paradoxical?

    I’d much rather like to see it made cheaper, and finance it by letting everyone pay as they use it.

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  • Rubbish. It’ll never happen.

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    • It’s the two-term promise you dig! Buy the second-installment of the book and see what happens, but no money-back guarantee if James doesn’t deliver… speaking of which, I’m looking for directions to the new children’s hospital????

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  • I won’t shoot the universal idea until I see the results. I pray it works well however if it doesn’t it could be a costly for all workers.

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  • I wonder how much the GPs will cream out of this one? The IMO says it cannot offer advice to GPs on their prices as to do so would be in breach of competition law given that all GPs are technically indepentdent sole traders. Bizarrely they all seem to charge in or around the same fees. Odd!

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  • Yeah, let’s put profit and more insurance company bureaucracy into health care. I’m sure Fine Gael already has their donors lined up. How many people in the U.S. die annually from their profit driven system? How many in France and Canada from single payer? Yes, the Irish system has problems but let’s fix them instead of turning things over to corporate. Do you really think banker types should decide your health needs?

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  • Universal healthcare is great but not if I’m going to be paying for a load of people that have a cushy life on the dole. I suppose all the Obama heads will be thrilled at the idea of this.

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    • Barry 16/11/12 #

      James, it works in the UK with the NHS, why shouldn’t it work in Ireland?

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    • not being smart but you already pay for free health for people on the dole they are entitled to a medical card as are people who’s income falls below a certain threshold..
      we should have implicated the house tax along with the free medical like in the UK which works

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    • @Barry the NHS is no model to follow there system is a shambles.

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    • I used to think that when I worked in the NHS in the UK. Now I’m over here I’d have to say that it is Good. Sure it has its’ issues but all systems do.

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    • I’ve lived in 3 countries in my adult life.

      The standard of healthcare I and my family have received in Ireland has been the worst and the only one that cost anything at the point of access.

      Bring on Universal healthcare. It’s the only way to sort out the shambles OUR healthcare system is in.

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    • What happens if you are already paying health insurance for you and your family? Are you going to be hit with another levy for “Universal Healthcare”. Are you going to have an option to continue with your own insurer or shoved into the new model? My own opinion is EVERYONE should have to pay or NOBODY pays. That’s way its fair and transparent.

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    • @Jacqui

      Same, and agree 100%..

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    • If healthy so important to everyone, everyone should pay, a 20e reduction in the dole/disability/pensioners should be implemented under a universal health charge. It shouldn’t always come down to the working man. Rest assured health insurance will sky rocket

      Reply
    • If health so important to everyone, everyone should pay, a 20e reduction in the dole/disability/pensioners should be implemented under a universal health charge. It shouldn’t always come down to the working man. Rest assured health insurance will sky rocket

      Reply
    • @James Attley – Ever read a newspaper called ‘The Daily Mail’ – I tells ya, it was an enlightening experience for myself! Who knew – apparently the Euro causes cancer, Muslim immigrants are eating live Irish babies and Éamon Gilmore is really a woman!!! It sounds like it might be your thing…

      Reply
  • Kat McG 16/11/12 #

    Because the “free” third level education worked out so well…

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  • Legalise abortion first ya’ moron

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  • Seriously Irish people have to be the biggest bunch of moaners in the world, if its bad news we give out, if there is someone with a good idea, we give out, if we get flipping good news, we put a bad spin on it. this government is not taking actions they promised, but if the health system can improved even by 10% then i say Great.

    Reply
  • ” Reilly said he would need a second term in office – extending past the next general election in early 2016″

    When I read that,the first thing that came to mind was the Alan Partridge lap dance scene “Do you want free GP care.Do I get a second term in office”

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  • Privitisation of healthcare has worked well all around the world….oh, wait a sec

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  • Everyone in this country already gets free healthcare. This is just another tax. It will change nothing. They should just bring the cost if visiting a GP down and make the rest of the health service efficient.

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  • FG2016 16/11/12 #

    Our health system is already generous enough and is costing enough.

    I hope these proposals go nowhere.

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  • Such a pack of whining moaners on the forum.

    Reilly has just made a very clear commitment to an ambitious objective. Let him deliver it.
    If the delivery date passes and he hasn’t delivered, then start hissing and spitting from your armchair.

    Until then, just keep stacking up the printer toner.

    We might just have a Health Minister who delivers something that makes a major positive difference after decades of bullshit and neglect from prior incumbents.

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    • Excellent point but you will get abused on this forum for that view. Free GP care for all is a fantastic vision and I for one hope the Minister is sucessful in this task. Problem is very large cohort on j.ie readers want things to actually get worse so they can complain even more..

      Reply
    • Arbitrasure a little bit of history on this story. All the below are the ministers claims.

      Free GP long term for the long term ill was meant to be introduced last March. In September the Minister claimed it was on track with a slight delay. Now he is claiming it will be mid 2013 before it’s introduced.

      So I’d say he hasn’t delivered based on his own time frame and claims. I’d say people are entitled to take what he claims with a pinch of salt.

      http://www.irishtimes.com/newspaper/ireland/2012/0915/1224324049439.html

      Reply
    • Blue shirt alert!!! Ready to lap up the lies and carry on regardless. Reily won’t get a second term so that blows his ‘vision’ out of the water.

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    • That article, flagging his intent, is sep 2012, did you expect it would be delivered yesterday?

      Judge at the next election if he has a credible amount of his plan in place.

      Assuming vested interests and opposition parties don’t try to pervert its progress purely to avoid any success.

      His publication of some clarity on what he is actually doing as Minister is a welcome step. Now he can be assessed as he progresses – or not.

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    • Just pointing out the minister has already missed his own time lines as he announced them in the Dail in January so I’d say it is pretty clear that he has failed to deliver. Once in March and then again when he said the Free long term GP scheme would be ready this summer. He has now moved it out to mid 2013.

      Would you not call that ‘failing to deliver’?

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    • Ohh don’t you worry arb, I can’t wait for the next GE. Taking back my vote to these lying hypocrites. We will see then. But in the mean time carry on defending an inept gov. And give us a lens of a few billion will ya, since your party are handing it out left right and centre. It’s a wonder how Stubbs will fund this? Magic beans perhaps…..oh wait MORE tax hikes for the middle income earner..ME!! Yes I will take back my vote with gusto. As you were.

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    • Of course you voted for FG Ryan!!! Give me a break!! So many on here seemed to have voted for FG im supprised they did not get 90% of the vote….
      Would people like free GP care or not?? Thats the only thing up for debate here….Its not just another chance to have a pop at the Goverment…Its just so boring…You are all just so boring

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    • I bet you’ll find a major drop in support next time cotter. People don’t like to be fed blatant lies to get into power. FG are out of the game sorry pal looks like you backed the wrong team.

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    • FG2016 16/11/12 #

      Fine Gael still have 50% more support than any other party, Ryan, a statistic that was measured during the worst period since the election.

      I know, I know that facts hurt you deeply inside, because you’ve some innate inability to deal with them, but your swinging from Fianna Fail – Fine Gael – Sinn Fein (presumably) is indicative of your unrealistic expectations from these parties more than anything else.

      Perhaps when you join us in reality some day you’ll see that not everyone is out to get you and that most people are just trying to do the best with what they have.

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    • Get over your self. FG carry out their own opinion polls for their own glorification!! As I’v said before the only poll that matters is polling day, we will see soon enough.

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  • Good, well off people now won’t have to pay their doctors. Is this communism or insanity? Can we have “free” pints next? Now that I think of it, why it it called “free”? Are the Germans paying the bills our are we paying the bills for this “free” service ourselves? It’s cutting back on spending the morons are supposed to be doing!!

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  • Sounds like the free medical card for all pensioners idea, unnecessarily expensive. Why cover free GP visits for people who can afford to pay when health service cuts mean essential dental care is denied to Medical Card holders (one example of many)?

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  • Would prefer to see a cap on GP charges say 20€ , overpaid middle men we have enough of

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  • well done minister.. think Reilly of all our health ministers in the past has the knowledge and the forward thinking to achieve this.. if anyone thought that health service was going to be fixed in a year and a half you are sadly mistaken..

    Reply
  • Once i can be a tax exile to avoid paying for it then sure

    Reply

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