Universal health insurance
Micheál Martin seeks details and a debate on universal health insurance, including costs and coverage; the Minister expects a discussion next week, while Members exchange brief political remarks.
The Government's proposals vis-à-vis the introduction of universal health insurance are causing considerable concern out there in terms of the implications of such an initiative on people's incomes, additional taxes that will emanate from it and also the lack of detail in terms of the pricing arrangements and the actual packages under which people will be covered. I ask the Minister, in terms of the allocation of Government time for debate, when it is proposed there will be a Dáil debate on this, and to help along the Dáil debate itself, and the public consultations that may ensue, would the Government be open to allowing the views of the Minister for Finance and of the Minister for Public Expenditure and Reform, and the memorandums that they prepared on this issue, to be published to give people the broadest and most diverse set of perspectives on this policy issue? Given the enormity of the issue, and its importance, that would be a welcome development if the various perspectives of the ministries could be put into the open to facilitate that debate.
In terms of the Government's legislative commitment to the introduction of free GP care for the under sixes, I am sure the Minister will be aware that GPs are up in arms, metaphorically speaking.
They are very angry at the way they are being treated and undermined. Serious issues are emanating from it. Will the Government indicate when the legislation will be introduced? Is the Government aware of the anger among GPs at what they perceive as the undermining of primary care and the undermining of discretionary medical cards and their removal from needy and sick people?
Comment on this
I understand the Whips are meeting this afternoon and the item on universal health insurance is one of the items to be discussed. The likelihood is arrangements will be made to have a discussion next week.
Regarding free GP care for those under six years of age, legislation is coming to Cabinet in the coming weeks and will provide a statutory basis for this.
The Minister for Public Expenditure and Reform, Deputy Howlin, and I have the same attitude to universal health insurance as to all legislation. We want to make sure costs are controlled but that is our general position across all legislation and policy brought before the Government. Under the new fiscal arrangements, we are operating under expenditure ceilings and it is our job to ensure the expenditure ceilings are not breached in any way. We scrutinise all measures on that basis but we are fully in support of the initiative. No one suggests that we can continue with the health service we have and everyone agrees it needs to be reformed.
Comment on this
Will the Government publish the memos?
Comment on this
We do not want to go back to the way it was when Deputy Noonan was the Minister for Health.
Comment on this
The Deputy beside Deputy Dooley was also the Minister for Health and Children.