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Dáil
‹ Order of Business

Medical card eligibility and primary care

Summary

Billy Kelleher challenges planned medical-card withdrawals, especially for cancer patients, arguing they conflict with commitments on free primary care. Despite repeated attempts to pursue the issue, the Chair limits the exchange to promised legislation; the Taoiseach cites current card numbers and says primary-care legislation is proceeding.

The Taoiseach may be able to help me because I have difficulty in squaring the circle. I note the fictional document called the programme for Government states that primary care will be free and available to everyone by the end of the life of the present Government. However, in the factual document that is the HSE's service plan, the Government proposes to withdraw 40,000 medical cards.

Comment on this
Seán Barrett An Ceann Comhairle Fine Gael

Hold on a second, Deputy. This is promised legislation.

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The Government has made a promise.

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Seán Barrett An Ceann Comhairle Fine Gael

Table a parliamentary question on the withdrawal of medical-----

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Legislation will be needed regarding medical card eligibility because there also is a commitment that long-term illness patients would receive medical cards. I have a difficulty in that if one adds it up, more people will lose medical cards this year-----

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Seán Barrett An Ceann Comhairle Fine Gael

We will not go into the debate. I ask the Deputy to note that many Members are waiting to speak and we only have a limited number of minutes.

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This issue was raised yesterday.

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Seán Barrett An Ceann Comhairle Fine Gael

Does the Deputy want to know whether there is promised legislation?

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We now have a situation in which cancer patients cannot get medical cards-----

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The Deputy is being selective. There will be 100,000 additional medical cards.

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Seán Barrett An Ceann Comhairle Fine Gael

Thank you.

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Medical cards are being withdrawn. I refer to cancer patients.

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Seán Barrett An Ceann Comhairle Fine Gael

We are not having a debate on that issue now. Is there promised legislation in this area?

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I have raised this issue previously. The Taoiseach stated he would take it on personally. It is the system that is failing.

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Seán Barrett An Ceann Comhairle Fine Gael

Deputy, would you please respect the Chair?

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I tried to raise this a number of times.

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Seán Barrett An Ceann Comhairle Fine Gael

I know, but this is not the time for questions on health.

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I met two people on Monday morning, both of whom were cancer patients.

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Seán Barrett An Ceann Comhairle Fine Gael

This is about promised legislation.

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One had had a double mastectomy-----

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Seán Barrett An Ceann Comhairle Fine Gael

I must ask the Deputy to resume his seat.

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-----and cannot get a medical card.

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Seán Barrett An Ceann Comhairle Fine Gael

Deputy, are you looking to be thrown out?

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Enda Kenny The Taoiseach Fine Gael

At present, there are 1.8 million medical cards issued, which is more than ever before.

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That is because of unemployment.

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Whose fault is that?

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The Government should not make false commitments.

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Seán Barrett An Ceann Comhairle Fine Gael

We are dealing with promised legislation. Is there promised legislation?

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Enda Kenny The Taoiseach Fine Gael

As for people who lose their medical cards, the vast majority of those who do so will have a doctor-only card. The Minister of State, Deputy White, is working on this area and it is the intention of the Government, obviously over its lifetime, to introduce universal health insurance.

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People are dying but cannot get medical cards. They are actually dying

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Seán Barrett An Ceann Comhairle Fine Gael

Would you please allow a reply to a question, which is out of order anyway-----

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Seán Barrett An Ceann Comhairle Fine Gael

-----and to which I would prefer there was no reply?

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Enda Kenny The Taoiseach Fine Gael

The Minister of State, Deputy White, is proceeding with the legislation in respect of primary care.

Comment on this