Do you think healthy under 40s should get the vaccine or just vulnerable people and older people ?
what more can we do, give the over 80ās their booster and let them off, we canāt put our lives on hold any more
these tin foil hat, anti vac merchants with their horse tranquilizers and tiny penises need to be put in jail
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Grand for the universities but Joe public picks up the tab eventually. Shortages of consultants, GPās etc put the powers that be at a huge disadvantage when negotiating pay and conditions as well. Always the threat then that if their demands arenāt met they will go overseas. Its a hard fix but surely training more doctors that will stick around is the place to start.
Fair play to Jacqui. Sheād quieten the mentallers if she went face to face with them too.
I think itās the Irish who donāt stick around after qualifying we need to concentrate on ā¦
Thereās a lot in that. Itās very difficult and expensive to train doctors and consultants so they will always be in demand. We made a change recently whereby non-EU doctors can now get on Irish training schemes, I think. On getting them to stick around, weāve been hearing for years from Irish graduates that they can have a great life in Australia or other places with good working conditions rather than working in the shit Irish system, hard to stop that really. I suppose you could make the training conditional on some service in the Irish system on graduation. You also do need some people to go abroad and bring back expertise in medicine. But really you need to make it attractive for them to want to work here, long way to go on that.
So no one getting trained here is sticking around to work here! Thatās a seriously dysfunctional system and not fit for purpose.
Itās obviously most important for the elderly and those with underlying conditions, as they are the ones being hospitalized and dying. I would advise all adults to get vaccinated as a small subset donāt know that they are vulnerable, but the hysteria about it is ridiculous. Itās not stopping transmission, it wears off, so you have to assume anyone who was vaccinated in the first half of this year is as likely to get infected and transmit the virus as the vaccinated. Anecdotally younger healthy people who have had Covid seem to be doing better on the reinfection front, as you would expect.
Whatās the next step? Vaccine mandates for those who have not had a booster? Vaccine mandates next year for those that have not had their second booster?
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Good post but wrong sign in
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Thatās not really a reasonable conclusion. Lots stay, lots leave.
But there is a risk that consultants will vote with their feet and move to private, leaving the public side in trouble.
Are they not already over using public facilities to do their private work ? If so what will they do without that resource ?
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But they are paying for that privilege in public hospitals.
Itās the private private work in the private hospitals which is the most lucrative.
Hence I said over using .
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Yep there would. It would be a huge undertaking and this would be the least of the difficulties. But there would hardly be private sector jobs for all consultants and neither would the rest want to leave Ireland. And Iām sure thereād be lots of qualified international candidates that would take the jobs if the Irish all decided to fuck off. The whole upset only has to happen once, after that all new consultants know what theyāre entering and they can compete with each other for their choice of public/private jobs.
Absolutely. I mean how more entitled could you get than right-wing dark money funded fake scientists sanctimoniously preaching at ordinary workers to go and out get Covid for āthe teamā?
And if they do get Covid, well, tough shit, youāre on your own, and fuck sick pay, youāre not getting thatā¦
The let it rip Great Barrington mantra is that health is only for the rich.
But within consultant disciplines there are head specialists in the country etc. They would probably be attracted towards the higher paying private sector and then it becomes about the wealthier being able to access the best care.
Like I said earlier the current system is not without its flaws but for me there are other areas where the health service needs to get its house in order first.
How do you think it works now?
What would you think of scenarios where they over use public facilities to attend to private patients at the expense of public patients being looked at ? Like you said theres more money in private ā¦