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Radical health reform, in terms of creating equality and accessibility, and stopping the agenda of privatisation and for-profit medicine, is one of the great challenges facing Irish society.
In this pamphlet, anarchists explain the reasons why such change is needed, give examples of important first steps in creating change, and describe the type of struggle that is necessary if we are going to win.
The healthcare system, upon which people in Ireland depend, is an apartheid system. Simply put, some lives are worth more than others. Rare attempts at reform have been stymied by historic, chronic underspending and vested interests. This legacy has forced the vast majority of working people to take out private health insurance and has laid the foundations for a neo-liberal push towards an American-style system of private medicine.
Despite the “economic miracle” called the Celtic Tiger that has led to Ireland having a higher GNP per head of population than much of the rest of the EU, it lags behind in terms of health outcomes. At age 65 we have the lowest life expectancy in the EU for both men and women. Indeed, the gap between Irish and EU life expectancy has been widening. Infant mortality rates are above the EU average. We have above EU mortality rates for cancer and coronary heart disease. Despite Ireland’s incidence of breast cancer being among the lowest in Europe, the death rate in 2001 from breast cancer was the highest in EU15. To cap it all, we have a widening income gap, which analysis suggests will of itself worsen our health experience since greater inequality is associated with higher mortality rates.
In the aftermath of the huge march in support of the nurses on Saturday [video] the government suddenly found a pay deal it could put on the table, leading to the INMO suspending the strike until that deal is discussed and voted on.
According to RTE the suggested deal, which some nurses have expressed strong reservations about, would see a "new grade being created including the Enhanced Nurse Practice Grade which is a pay scale that is higher than the existing scale, by an average €2,000 to €2,500 – around 7% - and will range from €35,806 to €45,841 per annum. Nurses would be eligible to apply for the enhanced grade after four years' service."
The West’s awake, so too the other provinces, as defiant nurses and midwives take to the picket lines. Buoyed by massive public support, members of the Irish Nurses and Midwives Organisation (INMO) took part in their first strike in 20 years.
Generally feeling undervalued and suffering the effects of prolonged understaffing and hospital overcrowding these workers counter-intuitively withdrew their labour in the first of a series of 24-hour work stoppages.
Known for their dedication and immense sense of good will which has for decades covered up the cracks in a health service that itself seems to be in ill-health, this female dominated profession has once again risen up to say “Enough is enough!”
As the number of patients reached a record high in recent days, healthcare workers in Emergency Departments (ED) in the country strive to maintain some acceptable standard of care delivery for patients. However nurses and doctors admit they are swamped and feel that current activity is unsustainable if the safety of patients is to be maintained. In some of the bigger centres in the country the huge backlog has created the situation where there is standing room only for ED patients. There is agreement among healthcare workers that the result of the over-crowding can only be increased morbidity and mortality for those requiring emergency treatment.
Last Wednesday workers representing all the main trade unions organised token lunchtime protests outside all the main hospitals in Northern Ireland including the RVH and Altnagelvin Hospital in Derry. These protests comes after the Tory led government in Westminster succeeded in passing its Health and Social Care bill through the houses of parliament on the 20thMarch. The bill marks the greatest shake up of the NHS since 1948 continuing the pattern of previous administrations in terms of cuts to essential services, staff and privatisation including the outsourcing of services to private companies subsidised by the tax-payer.
The tragic death of a 77 year old man who died alone and unnoticed waiting for treatment on a hospital trolley for 22 hours in Belfast’s main A&E ward in the Royal Hospital, is the result of savage healthcare cuts and the reduction of A&E services such as the closing down the ward in the Belfast city hospital last November.
PEOPLE HAVE got so used to the health cuts over the last ten years that they just accept them as their lot. The situation on hospital waiting lists for public patients is now so farcical that people are being offered appointments two years away. The waiting list for tonsils operations in Crumlin Children's Hospital is now two years long. Tell them that the child is missing a lot of school because of tonsillitis and produce doctors letters to that effect and you will get an appointment in 15 months!
Over Christmas I found myself at home babysitting my niece while my "better half B" had to go to work. Around 3.00 o'clock B rang me in pain that was so intense I could not make out what she was trying to tell me. After a few attempts it turned out that she had pain in her lower belly and she was on her way to the GP.
Thousands of health and education workers took strike actionyesterday across the North in protest against Budget cuts in the public service. The 24 hour strike action, the first in over 30 years involves all health workers except doctors, and some school staff.