Letters to the Editor: Integrated healthcare is making a difference to older people

Two readers offer first-hand perspectives on healthcare for older people in Ireland, while other readers consider issues including public sector pay, transport, and peace in the Middle East
Letters to the Editor: Integrated healthcare is making a difference to older people

For Griffin's Hse's Programme Older Picture: About Persons, Icpop Istock Responding Article Care Are Integrated To Readers The Niamh

Regarding Niamh Griffin’s article ‘Older patients feel right at home with integrated healthcare’ (Irish Examiner, September 18): This is wonderful. My husband died recently after a long illness. He had to be hospitalised every few months mainly for IV antibiotics for chest infections. 

He always came home weaker than he went in not due to the care he received but to the loneliness and isolation. He had mild dementia. 

If this service had been available, life would have been so much easier for both of us. 

Bridget Cusick, Douglas, Cork

A good alternative to hospitalisation

At last, a practical approach to a very frustrating problem.

I am 69 years old with multiple health issues and limited mobility. I live alone following the death of my husband two years ago.

A former nurse with experience of care of the elderly, I have been appalled at the nightmare of ending up on a trolley in A&E on several occasions with health problems that could have been resolved in a system such as the one Niamh Griffin reported on in her article.

I won’t go on repeating the benefits of the system, but they speak for themselves.

The next step is to push for similar systems nationwide. 

Rosemary Briem, Castlerea, Roscommon

Frontline workers and people with disabilities are being left behind

I read in Tadgh McNally’s article (Irish Examiner, Thursday, September 14) that senior civil servants are to receive substantial increases to their already over-inflated salaries. They will even have them backdated.

The disgust and anger I feel about that announcement is not based on some petty jealously or small-mindedness. It is based on what I witness every day in the disability services sector.

I see people with disabilities struggling to survive on social welfare benefits which keep them under the poverty line. I witness their sense of betrayal and their sense of hopelessness for their future in a country where they are supposed to be equal citizens.

In addition, I have been witness to the 20-year continual loss of services, and chronic underfunding to the sector. I am also angry because the same Government presiding over these increases has recently refused to pay those who work in community and voluntary agencies equally for the same work. Most of these workers have not seen an increase in pay since 2008. Yes, 2008.

Yet the Government sees fit to pay workers in other agencies who are doing the same work upwards of 10% more. This chronic two-tier system of pay and underfunding has led to a haemorrhaging of committed and talented professionals from the community and voluntary agencies.

Why? Because they also cannot live on the dismal pay they receive. Who are these professionals? They are the nurses, care assistants, and personal assistants — generally those who go to work every day to try and make the equality of people with disabilities a reality. The people who do the ‘heavy lifting’ on the coalface. That is who they are. And, because trusted and capable people leave their jobs, it is the person with the disability who loses out again.

The Government however can stand over increases to the pay of senior civil servants which are larger than one person with a disability receives from the State in one full year. There is something wrong with the priorities of a Government who can stand over these inequalities.

PJ Cleere, Tinryland, Carlow

Three quarters of a century of eye care

In 1950, the Royal Victoria Eye and Ear Hospital in Dublin removed a pellet from my left eye, which had lodged there in an accident with an air gun.

Cataracts were removed from my eyes by the same hospital in 2018 and September 2023 — a trinity of goodness.

Rory Buckley, Ballinteer, Dublin 16

Oslo Accords have been betrayed

This month marks the 30th anniversary of the peace agreement between Israel and the PLO which became known as the Oslo Accords.

On September 13, 1993, I attended a reception hosted by the US consulate in East Jerusalem. Large screens relayed the signing ceremony from the South Lawn of the White House as a beaming US president Bill Clinton pushed Yitzhak Rabin and Yasser Arafat into a tentative handshake.

US president Clinton encouraging Israeli prime minister Yitzhak Rabin and Palestinian leader Yasser Arafat to shake hands on the South Lawn of the White House on September 13, 1993. File picture: Ron Edmonds/AP
US president Clinton encouraging Israeli prime minister Yitzhak Rabin and Palestinian leader Yasser Arafat to shake hands on the South Lawn of the White House on September 13, 1993. File picture: Ron Edmonds/AP

Rabin’s face betrayed the enormity of what he was doing. “You make peace with your enemies, not with your friends,” he said later. 

Arafat was in jubilant form, finally he and the PLO were recognised by Israel as the legitimate representatives of the Palestinian people. It was as good as it was going to get. 

Thirty years on, the Oslo Accords lie bloody, buried, and betrayed with little room left for hope. Israel has the most right-wing government in its tortured history, with extremist security ministers bent on annexing the West Bank.

Israeli civil society is convulsed as Netanyahu attempts to neuter the supreme court, the only checks and balances the state has. Israel has no upper house or constitution, only the Knesset which sets the basic laws by which it governs.

The Palestinians are hopelessly divided. Hamas won the last elections held in 2006 — the first since the 1999 when Arafat was elected president of the Palestinian Authority. I observed on both elections for the EU and the OSCE, and was hugely impressed by how well they were conducted. Shortly after the 2006 election, Hamas ousted Fatah in a bloody coup and took over full control of Gaza leading to several disastrous wars with Israel.

Mahmoud Abbas, or Abu Mazen, was elected as successor to Arafat as president of the Palestinian Authority. The aging unpopular leader has lost the support of the street and is becoming more and more authoritarian. The Palestinian Authority is also seen to be doing Israel’s dirty security work. There have been no elections since 2006.

The asymmetry of power always meant the process was skewed in Israel’s favour, with the duplicitous support of the US. 

As I sat watching 30 years ago I could not help thinking of another ‘land for peace’ agreement, when Michael Collins signed the Treaty. Similar to Rabin, he was a pragmatic soldier. Like Oslo, the Treaty was to be done in instalments and, like Rabin, Collins was assassinated by his own people.

Israelis celebrated the Jewish new year holiday, Rosh Hashanah, last weekend. Is it too much to expect that they will make peace with the Palestinians their new year’s wish?

Declan Greenway, Kinsale, Co Cork

 

Transport operators are not to blame

Regarding Seán MacCárthaigh’s article ‘Transport Authority withheld almost €20m from operators of bus and rail services in 2022’ (IrishExaminer.com, September 17): The service failures are not all the companies’ fault. 

They are victims of the National Transport Authority (NTA) making big promises that the companies cannot keep.

Staff shortages are not new, but the NTA insists on 24-hour services to be started. They insist on route changing and creating new services to replace others, which use more staff and vehicles.

They set schedules which have buses stopping for up to five minutes at a time to stay on target, then getting caught in traffic and being late and the companies being fined.

The are forcing one company to change the condition of service of their staff and staff are leaving because of this.

They order vehicles, 100 of them sitting in Broadstone Garage, but there are no chargers for them.

They are designing extremely dangerous bus stops and worse for the people of Cork, and they are using the same lines they fed us in Dublin. The designer of BusConnects said nothing could change in his design or everything would fail. We are at, I think, the fifth remodelling of it.

At least they cannot do too much damage to the railways as they must go on the rails. As in Dublin, they had buses going under bridges that were a metre too short for double deckers, and they have this strange idea that everybody will cycle everywhere. or walk a kilometre to a bus stop. Great if you can, damned if you cannot.

No use of local knowledge and experience and it shows.

The people at fault are the NTA and the Minister for Transport, even the Department of Transport, shies away from the NTA for fear of being tarred with the same brush.

Don’t mind the fancy presentations — they are brilliant at all that, just not particularly good at running the national transport system.

Gary Kearney, Dublin

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