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Introduction Like all societies, Ireland struggles to fund the rapidly escalating costs of modem healthcare. Expensive ââhigh techâ disciplines like cardiology and cardiothoracic surgery create particular difficulties for funding agencies. The purpose of this overview is to outline the current status of cardiac services in Ireland. Structure and Funding of Health Service Ireland has a small, mixed and open economy. Agriculture and tourism are the dominant industries. As with any country, healthcare expenditure must be judged in the context of the overall performance of the economy. Arguably, levels of public health funding cannot be discussed exclusively by reference to a fixed proportion of gross domestic product (GDP) or reference to international standards. The levels of funding can only be judged in the context of available resources and priorities attached to health and other social objectives. The current budget deficit in Ireland is 2% of gross national product (GNP). Taxation of personal income is relatively high and the total tax base is small. Service of the public debt consumes 69.9% of tax revenue.â This latter acts as a major constraint on expanding and further expansion in public healthcare expenditure. The state has assumed the major responsibility for provision and
Journal of Interventional Cardiology – Wiley
Published: Feb 1, 1995
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