Click Here for the rest of this issue
Socialist Party Home
Health Service Crisis
"I’m going to die because of hospital waiting lists"

Rosie, a cancer patient from Kilkenny
Note: Rosie, a cancer patient in Kilkenny has given The Socialist permission to print extracts from an email she sent to Joe Duffy’s Liveline program (RTE Radio One) about her diagnosis of terminal bowel cancer and the two-tier health service.

For reasons of space, only an edited version of this letter was published in the print edition of this month's issue of The Socialist. Below we publish the full letter...

Dear Joe,

Today I had my 12th session of chemo. I got to talking to the partner of a man who was also getting chemo. She told me that when her partner’s GP requested a colonoscopy for him he was put on the waiting list. She then phoned the hospital and told them he had private health insurance and he was seen three days later. He had bowel cancer that was advanced, but had not broken through the bowel wall and spread to other organs. She said the tumour was the size of a fist and what made him go to the doctor was he started to lose weight rapidly. Thank goodness they got it in time and he’s going to recover.

I then came home, flicked on the TV and got into bed. The first ad on the TV was from the government telling people that bowel cancer can kill, but not if caught in time. If Bertie Ahern or Mary Harney or Michael McDowell were within reach I would have killed them. Literally. I’m not joking. I don’t have private health insurance.

In 2005, I got a lot of diarrhoea and after a few months it became constant and blood accompanied some of my bowel movements. I went to my GP clinic in the summer of 2005. The GP immediately sent a letter to the local hospital requesting a sonogram and a colonoscopy. Within weeks I was called for a sonogram and was diagnosed with gallstones. I expected to soon be called for the colonoscopy. I waited through the autumn, then through the start of winter. No word on the colonoscopy and no word on when my gall bladder would be removed.

In November I started to get serious lower abdominal pain after eating. I phoned and was assured I would be called soon. In December I started to rapidly lose weight. I phoned the hospital again after Christmas. Again I was told that I was still on the list and would definitely be called soon. Joe, from November to the end of February I was in agony. Apart from the pain and diarrhoea I was tired all the time.

Finally, on February 28, 2006, four days after I turned 40, I was called for a colonoscopy. I woke up in the middle of the procedure and saw on a large screen, them probing a blob on my colon. They were taking a biopsy. But I didn’t have to wait for the results. I knew what I had.

I was booked in for surgery to remove the tumour. I was in St Lukes hospital for over 50 days last year. Recovery was hard, but I did it. In March, in between surgeries, I was sent to the Mater in Dublin and had a PET Scan to see if the cancer had spread. If it hadn’t, I’d live. If it had spread to other organs, I’d die. It had spread to my lungs.

I felt bad enough to go to the doctor. She did what she was supposed to do. She told them I had diarrhoea and blood from my rectum. But what could they do? So do lots of people. Should I have skipped the list ahead of those other people with the same symptoms? I don’t think so. Should there be a list so long that it puts people at risk of dying? No definitely not.

I know in my heart and soul that when I started to feel really, really bad, especially in from December to February 2006, is when the cancer broke through the wall of my bowel. Of course I can’t prove it. But I know. Because it broke through the bowel I have been given two to four years from diagnosis to live. The chemo is to prolong life, not to save it. I have three years, tops, to go. Despite that, I’m going to try my best to make it for five more til my youngest turns 18. He needs me too much now.

My husband has suffered right along side of me in his own way knowing that the woman he loves will be dead soon. My 18 year old daughter has been told and has gone quiet and doesn’t want to talk about it. But I know she’s scared. I haven’t told my 13 year old son yet. He’s too young to handle it.

I don’t blame the wonderful people who work in St. Lukes in Kilkenny. St. Lukes has the best A&E unit in the country. What did the government do? Threaten to shut it down. They also threatened to shut down the maternity unit AFTER spending millions to improve it!

My time in the Mater was dreadful. I was terrified I’d pick up MRSA because it was filthy. I was put on a ward with cardiac patients, mostly men, who because of their ill health were unable to aim too well when they went to the toilet. Once when I used the toilet my pajama bottoms soaked up urine up to my ankles. There was excrement stuck to the sides of the toilet for days at a time.

Today, when I heard that a very nice man who was in the same, if not worse condition, than me when he went to his GP is going to live because he had private health insurance and I’m going to die because I didn’t, I had to bite my tongue. I’m happy he’s going to live. He deserves to live. But so do I. Then I came home and watched that ad which told people to hurry up and get checked out for bowel cancer because it will save their lives, and I fucking lost it.

The health service has been in the hands of Fianna Fail and the PD’s for years and all they can think to do is put resources into privatisation. But it’s not just the politicians. I’m also angry at every single voter who voted for Fianna Fail and the PDs because they thought they’d get a few more shillings in their pockets but were too greedy and stupid to realise that that money they saved in wage taxes would be made up with stealth taxes. We all knew before the last election what their health policies were and the majority of people ignored this and voted for them anyway.

I’m writing to you because the way this country is run leads me to believe that contacting a radio show is the only way to try to change things like this. I hope that when Ms. SUV and
Mr. Builder goes into the voting booth, they’ll think about me, my husband and especially my children.

Despite 11/2 incomes we couldn’t afford VHI or Bupa. But even if we could have we wouldn’t have gotten it because we believed (and still do) that all people should get good care despite their incomes. We thought jumping queues was wrong. We’re socialists... just like Bertie. Ha Ha. Now I feel like vomiting and it’s not the chemo!

- Rosie


Health Service Crisis
One year on... Health service still in crisis

Michael Murphy

One year on from the declaration of a crisis in A+E departments in hospitals throughout the country little has changed. The crisis was announced because of the numbers of patients on trolleys and waiting times in over-crowded, under resourced and under staffed A&E departments.

Five months from the end of their 10th anniversary in power, Fianna Fail and the PD’s stand over a situation where in the first week of January an average of 266 patients were on trolleys in hospitals throughout the state. In the same period last year, there was an average of 286. This would indicate a marginal improvement although this can be partly related to milder weather this year.

Despite the declaration of a crisis, the reality is that little has improved for patients in the last year. The Health Services Executive (HSE) has now come up with another “sure fire” scheme to solve the problem of patients on trolleys.

They have set a target that no patient should be left on a trolley for more than 12 hours, as a stepping-stone to six hours. This applies only after a doctor has decided they should be admitted. This takes no account of how long someone could be lying on a trolley waiting to be examined!

If someone has been lying on a trolley for ten hours waiting to be seen by a doctor then, even according to the new scheme, it can take up to up to 12 hours to accommodate them in a bed, then theoretically, they could be on a trolley for 22 hours! This at a time when the government has oceans of money in tax returns.

This plan by the HSE is simply an attempt at a quick fix solution that has no basis to work. There are no plans to increase the number of beds and effectively, they are just trying to speed up the pace at which the medical staff work. This implies that the problems with A&E in part lie with the already over burdened staff who are somehow not working hard or quick enough.

The primary reason why people are left on trolleys is that there are not sufficient beds on wards to take account of patients who need them, so they are left on trolleys until a bed is free.

Despite the increase in health funding in recent years, the government have still not made up for the massive cut back onslaught led by Fianna Fail under Charles Haughey in the late 80s.

Instead of schemes that will not work, what is needed is free primary health care in the community where people are not forced to attend A&E for treatment. Beds that were taken out of the system by successive government need to be replaced. Real tangible solutions such as these can begin to overcome the growing crisis.


Nurses
Six weeks extra work for less pay!

The Socialist

40,000 nurses have started to ballot on an action programme to achieve a series of demands, including a 35 hour week and a 10.6% pay increase.

The Socialist
spoke to Ger Hughes, an INO Nurses’ Representative (in a personal capacity) about the ballot and the proposals for action. Ger explained that there’s a five point action plan, some of which is already underway:

"First there is a process of information giving, with every workplace being visited by INO and PNA representatives. This is followed by a campaign in the media, involving local activists as well as the central leadership, which I think is a good idea.

“Then there is the ballot that is currently ongoing, and a work to rule, where nurses do as little other work as possible, without stopping us doing our job. For instance, this means not answering the phones. The fifth and final stage is then the initiation of action. This will start with lunch-time protests of an hour and escalate into strike action".

"We need to get a two thirds’ majority for action, but I’ll be very surprised if we don’t get it. The mood amongst nurses in general is one of brimstone and fire, the nurses are up for it."

The leadership of the INO and PNA had previously sowed illusions that the Labour Court would give a favourable recommendation. But as Ger explained, “The Labour Court said they couldn’t deal with the claims and sent them back to benchmarking, which we have already rejected. It shows again that the Labour Court never sides with the workers. Nurses currently work a 39 hour week, they’re the only grade in the health service that does that. That means they work about six weeks more per year than anyone else. Even the Labour Court 26 or 27 years ago recommended moving to the 35 hour week. There is also a 10% pay claim as a part of the dispute. At the moment, some unqualified carers earn €3,000 more than a qualified nurse, and it takes 21 years to catch up!"

The Health Service Executive Authority is attempting to divide and rule national and non-national nurses. "Every nurse got a letter from the HSEA asking if they were members of a union and were told that if they sent back saying they weren’t a member, they would get a 3% pay increase under 2016. This is designed to create a division in the workforce and is underhand. If we don’t win this campaign, it could damage the union and the profession quite badly. That’s why we need to be more aggressive in this dispute. We have the support of the vast majority of the public, and support amongst other health workers. If we play our cards right, we can capitalise on it."