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Dáil
‹ Ceisteanna — Questions Oral Answers - Private Hospitals Subsidisation.

VHI Plans and High-Tech Hospital Subsidies

Summary

The Minister maintained that VHI Plans D and E are self-financing, while subscribers on Plans A, B and C receive only partial reimbursement for some treatment at high-tech hospitals. Molloy disputed this, arguing that the plans had not reached the subscriber numbers needed for self-financing and that ordinary subscribers were subsidising the hospitals.

asked the Minister for Health if he approves of ordinary VHI subscribers having to subsidise patients in luxury private hospitals.

Comment on this

I presume that the Deputy is referring to the new high technology hospitals which are particularly catered for by VHI Plans D and E. In fact the board's policy, and mine, is that all plans should be self-financing within the broad framework of community rating which avoids loading subscriptions for increasing age or for poor health status.

Comment on this

Will the Minister agree that the VHI subscribers who qualify for facilities in the high-tech hospitals, Blackrock Clinic and the Mater Private Hospital, are not providing self-financing and that they are being financed by the ordinary VHI subscriber?

Comment on this

No, people who subscribe to plans A, B and C are entitled to use the high-tech hospitals for certain procedures. If they use them for other than certain specified procedures they do not receive the full payment of the costs but a percentage of that payment.

Comment on this

Is the Minister aware of the concern being expressed by senior people in the medical profession about the amount of money being absorbed by the high-tech hospitals, the effect it is having on the stability of the VHI and on the cost to the ordinary VHI subscribers?

Comment on this

Certainly we would all be concerned at the high cost of health care, particularly the high cost of health care in the high technology hospitals but, as I pointed out, there are special plans, D and E, which are self-financing for the two high-tech hospitals.

Comment on this

They are not self-financing.

Comment on this

Patients who are in plans A, B and C are entitled to use those hospitals but they do not have the full cost of their treatment and maintenance paid for them.

Comment on this

Is it not true that when the former Minister was considering plans D and E and the question of self-financing, a certain figure was laid down as being the required number of subscribers to attain the self-financing level? Will the Minister agree that that number of subscribers was never attained and that there is a huge element of subsidisation involved now?

Comment on this

My understanding is that they are self-financing with the proviso I have outlined in regard to patients in plans A, B and C.

Comment on this