Long waiting
lists for elective surgery, overworked A & E departments and in-patients
having to be accommodated for long periods on hospital trolleys are the kind of
stories we keep hearing about in relation to the Irish public health service.
Of course these things are unacceptable. But bad as they are, a letter to the
editor of the Irish Times on May 27th 2012, from a GP, has described
a situation that should be made a criminal offence when and if a culprit can be
identified.
The letter
indicates a level of inequality that simply should not exist in any country,
developed or otherwise. It illustrates that ability to pay and not need is the
criterion for hospital treatment here in Ireland. Read it here.
There are
also the inadequate care services in Ireland for those who suffer from
Cystic Fibrosis, despite the fact that we are among the countries with the
highest incidence of this condition. These have been well documented on many
occasions by Orla Tinsley.
The letter above
prompted me to do some research. I was able to locate a report on European
health services that seems detailed and is up-to-date. It’s from a Swedish
benchmarking group called the Health Consumer Powerhouse, it’s called “Euro
Health Consumer Index 2012”, it’s by Arne Björnberg, Ph.D., and it can be
accessed here in .PDF format.
While
inequality of the type highlighted in the letter to the Irish Times as it
relates to Ireland
is not dealt with specifically in the report, it does examine the issues of
waiting lists and the cost of health care on a per capita basis in a total of
34 countries, the majority of them within the EU. In relation to Ireland, two
graphs stand out. The one for waiting list times shows Ireland six
places away from being the worst out of the total of 34. At the best end
of the list lie Switzerland, Belgium, Germany, The Netherlands, Denmark,
France, Austria, Finland and Sweden, with the lowest waiting times. But here’s
the thing: In the graph that shows healthcare spend per capita, Ireland is
right up there near the top along with Denmark, Germany, Belgium, Austria, The Netherlands,
Switzerland, Norway and Luxemburg.
The author of
the report has the following to say about waiting times:
“2.3 Major non-acute operations < 90 days
What is the interval between diagnosis and treatment
for a basket of coronary bypass / PTCA and hip/knee joint? It is difficult to
avoid the observation that for countries, which do have official waiting
time statistics (Ireland, Sweden, UK etc),
this is in itself a not very flattering circumstance. Countries such as Germany, where waiting times tend to vary in the
2 – 3 weeks range, have never felt the urge to produce waiting time data, for principally
the same type of reason that Madrid has less
snow-ploughs than Helsinki”.
A fair comment, but one is still left with the belief that
pure inequality, as opposed to typical waiting times, is unique to Ireland, at
least within the EU. This is supported by anecdotal evidence from people who
have experienced public healthcare in France, Belgium, The Netherlands and Germany.
Once again one is prompted to ask why there is such an
antipathy to the EU on the part of the radical left wing here in Ireland. If
they were real Socialists they would, surely, embrace Europe
as an exemplar of equality and anti-discrimination, and not as something to be
viewed with suspicion. If they were doing their jobs on behalf of the users of
health services in Ireland
they would be beating a path to Brussels
to highlight the woeful inequalities that have been described here, and getting
all available help to remedy the situation.