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The challenge: How to design houses for people with mental illnesses

The world’s first architectural and interior design guidelines for those with mental health conditions were published by Irish institutions yesterday.

shutterstock_391428730 Shutterstock / Africa Studio Shutterstock / Africa Studio / Africa Studio

YESTERDAY, DESIGN GUIDELINES for those providing accommodation for people living with persistent mental health conditions, was launched by the Housing Agency and the HSE.

The 121-page book – thought to be the first of its kind worldwide – makes recommendations for those with “severe and enduring” conditions so that they can live independently.

These aren’t necessarily complicated or costly measures – but involve everyday solutions such as including key hooks so that the person can find their keys easily, automated systems and simplifying everyday tasks.

Occupational therapist Áine O’Reilly and assistant director of nursing Emer Whelan, both of the HSE, have spent the past four years compiling the report.

They looked at the various difficulties facing people – such as cognitive difficulties and memory problems. They looked at everything from the location of the home, the structure of the building, the garden, and even the colours used in rooms.

shutterstock_88166716 Shutterstock / ponsulak Shutterstock / ponsulak / ponsulak

“Many of the problems faced by people with mental health difficulties are problems that we all dealt with, but are magnified because of other factors,” says Áine O’Reilly. “Forgetting something can be particularly distressing for people with mental health conditions because of other cognitive difficulties.”

In one case we looked at, a woman had an oven with ‘touch’ buttons – but she had a tremor. Now for anyone else, we would find a way around this, but for this woman it was distressing [and can lead to people not using their appliances].

“These guidelines are all about problem-solving,” continues Emer Whelen. “We compiled them by going from room to room, system to system and solving various problems like these.”

“The guidelines might seem like ‘common sense’, but only if you already know it,” says Emer. “As individual problems, they might seem like simplistic solutions, but as a combination they make a difference.”

shutterstock_142028878 Shutterstock / PlusONE Shutterstock / PlusONE / PlusONE

What this method of problem solving resulted in is a list of guidelines which are simple but important. Here are some of the main points:

  • Maximizing daylight and reducing noise – which can exacerbate mental health issues if not designed into homes
  • Including natural elements such as plants and views of the natural environment from windows – this can reduce stress and diminish cognitive fatigue
  • Low maintenance accommodation and gardens – which reduces the need for additional support
  • Monitored smoke, gas, heat, CO2 detector alarms (also controls with audio and touch based clues for ease of use) – for safety reasons
  • Use of appliances that are undemanding and straightforward to operate, e.g. one action to turn on and off
  • Ensuring homes are located in diverse, active communities close to essential amenities and support services.

Architect Isoilde Dillon, who also worked on the report, says that it stands out because it not only makes recommendations, but gives a rationale for every piece of advice.

shutterstock_304391486 Shutterstock / Naphat_Jorjee Shutterstock / Naphat_Jorjee / Naphat_Jorjee

History of care

John O’Connor, CEO of the Housing Agency, says that the guidelines are important to fix Ireland’s track record of institutional care abuse and move ahead.

“This housing design guide is the first of its kind anywhere in the world. Drawing on best practice and the experience of mental health experts and others we hope that this guide will make it easier for those living with enduring mental health conditions to live independently in our communities.”

When asked if this logic will be applied to hospital-builds, he says that the guidelines only relate to housing, but that it does contain universal advice in terms of the benefit of natural lighting and difficulties faced by individuals.

“Up to now, housing was built quickly and effectively – these guidelines put the user at the centre of the design, and builds the house around them.”

The guidelines, described as “user-friendly” and “a menu of information” are intended from anyone who knows, works or lives with someone suffering from chronic or enduring mental health conditions; from health care professionals, to architects, to families, to the individuals themselves.

Although the guidelines don’t prevent mental health conditions from forming, the authors are quick to note that this is the first edition of its kind, and hope that others will look at various aspects of the report in more depth.

“This is the start of a conversation,” says Emer Whelan.

Read: “Without a shadow of a doubt the oddest thing I’ve come across” – Canadian houseboat washes up on Mayo beach

Read: Irish mathematicians working hard to make the perfect cup of coffee

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7 Comments
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    Mute Jim Bench
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    Nov 28th 2011, 10:17 AM

    Those f**king bastards. This is basically a non violent repeat of Hitler = Germany ruling all.

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    Mute Neil
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    Nov 28th 2011, 11:15 AM

    Oh great, another Daily Mail reader still fighting World War 2.

    Yeah, Germany want to rule Europe. The German taxpayers love sending billions to badly run countries like Ireland and Greece.

    If there was a referendum in Germany tomorrow on kicking Ireland out of the EU and the euro how do you think it would go?

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    Mute Cathal Henry
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    Nov 28th 2011, 11:27 AM

    @Neil would they be asked to vote twice if the EU didn’t like the first result? Germany are borrowing money true but it is Ireland that will pay for it with Interest to Germany.

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    Mute John Murphy
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    Nov 28th 2011, 11:36 AM

    It’s just basically the old order with new tools.

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    Mute Tom Kavanagh
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    Nov 28th 2011, 11:41 AM

    That comment is just offensive. Totally clueless.

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    Mute Neil
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    Nov 28th 2011, 11:43 AM

    @Cathal

    Ireland can leave the EU and the euro any time it wants.

    Unless you have mad visions of German stormtroopers parachuting into Ballyhaunis then you must admit this.

    We are in it because a unilateral withdrawal would be seen as such a kamikaze act that any new Irish currency would be worth buttons . And we would not have the access to cheap finance like we have at the moment which is avoiding the country having to balance the budget overnight.

    I repeat again: Ireland can leave the euro and EU anytime it wants. It’d be messy. Far more messy than those who woud Ireland to be part of the UK will admit. But it could do it.

    Do you really think the German army would invade? Is that your view?

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    Mute Cathal Henry
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    Nov 28th 2011, 11:50 AM

    @ Neil What planet are you on? To answer your question No.

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    Mute Brian Fitz
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    Nov 29th 2011, 3:43 PM

    I’m sorry but wasn’t the main problem with Hitler the violence? non violent hitler = shouty ginger with stupid tashe

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    Mute sbourke
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    Nov 28th 2011, 10:28 AM

    Will they kick France out of the elite bond system once they get downgraded or is this a ploy to protect the French

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    Mute John Murphy
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    Nov 28th 2011, 11:15 AM

    The Merkozy pact sbourke

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    Mute Jim Brown
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    Nov 28th 2011, 1:32 PM

    No they will not

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    Mute Neil
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    Nov 28th 2011, 11:11 AM

    Finland eh? A small country on the fringes of Europe, now one of the “elite”.

    Good luck to them. They took the euro, but are a very well run country, with well regulated banks, and fair levels of public sector pay.

    If only Ireland could have been more like them.

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    Mute Silent P
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    Nov 28th 2011, 12:44 PM

    Still blaming the public sector for our economic meltdown Neil. I give up…

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    Mute Neil
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    Nov 28th 2011, 1:01 PM

    High public sector pay rates are a major element in our yawning deficit. The public sector in Finland are paid less yet achieve far better results. They are widely thought to have the best education system in the world.

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    Mute Silent P
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    Nov 28th 2011, 1:30 PM

    Neil, change the record. You only seem to get your facts from the public sector bashing Sindo. I bet you public sector workers are paid much less in Ecuador too so unless you compare salary to cost of living your point is almost redundant. Yes I agree top ps salaries are unjustifiable but the vast majority in the public sector earn less that €50k and many perform specialized functions such as teaching, policing, health care etc so naturally professional salaries are going to be higher than the average industrial wage. I also agree as a public sector worker that millions could be saved by sharing services and better efficiencies etc. You want to see public sector pay slashed ok?? Was the 22% cut already taken not enough for you? I’d take another 20% paycut tomorrow but only if my mortgage provider agreed to give me a 20% write down on my mortgage. I use my salary to pay my bills. I’m not going off on 2 foreign holidays a year and driving a 11 reg car. I pay PAYE and I pay for my rolls royce pension as some commentators call it. I’m just about coping like everyone else, so listening to you rant on about public sector pay all the time when you’ve only got a distorted view point is tedious. Public sector workers did not ruin Ireland, the banks did. Compendo?

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    Mute Dave Harris
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    Nov 28th 2011, 2:14 PM

    The majority of public service workers never expected to be rich for doing important and difficult jobs (nurses, garda, social workers etc) and were almost looked down upon for choosing these careers when things were booming. Now all you twits who bought huge houses and apartments in Bulgaria etc complain that these same workers are the cause of all the trouble?

    17
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    Mute Donal McCarthy
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    Nov 28th 2011, 3:45 PM

    Silent P – you do know what will happen to your wages if didn’t have the bailout funds – right?

    We would be talking about an immediate €20Bn adjustment.

    The simple fact is this, we have to cut expenditure and raise income. Neither of these can be done in a palatable way but they still have to be done.

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    Mute Derek Healy
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    Nov 28th 2011, 4:49 PM

    Silent P….ah Finland is much more expensive to live in than Ireland. I’ll leave it to Neil to equate whether Their Public service get paid less relative to their own cost of living or indeed relative to the cost of our public service.

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    Mute Neil
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    Nov 28th 2011, 5:04 PM

    Silent P

    Pubic sector pay and pensions in Ireland were built up to highest average levels in Europe by a Fianna Fail government that gave us benchmarking and other giveaway,s without any thought to whether they could still pay all that when the property market cooled.

    Well that property bubble has collapsed and guess what, there’s no money to pay that massive PS pay and pension bill. The IMF are sending billions to help pay it. For how much longer they will pay it we will see.

    The elevated rate of PS pay in Ireland is a direct result of that property bubble then bankers fueled. If the bankers had been under a tight leash in Ireland like they were in Finland then there would have been no property bubble, but guess what, you would not have seen the Irish PS become the best paid in Europe either.

    I

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    Mute Silent P
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    Nov 28th 2011, 5:34 PM

    Part of me hopes we reach Armageddon and public sector salaries are cut by 40%+. I’ll be able to come on here in a years time and tell you it didn’t improve the economy one bit. In the meantime enjoy being so bitter.

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    Mute Derek Healy
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    Nov 28th 2011, 7:26 PM

    One doesn’t expect it to necessarily improve the economy, but it will certainly help close our budget deficit and reduce our borrowing. That in itself would be an important starting point.

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    Mute Niall McLaughlin
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    Nov 28th 2011, 10:50 AM

    So one of the enticing things about the Euro as a currency in the beginning was that it was tied to Germany’s old currency, yes…? What’s the point any more if Germany wants to race ahead with five others, four of whom it shares a border with? I don’t know how true this elite bond idea is, but if it turns out to have been seriously discussed she’s been completely rumbled as being only out for the good of Germany despite all her banal rhetoric about loving Europe.

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    Mute Peter Carroll
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    Nov 28th 2011, 11:31 AM

    Have you ever thought that any political leader anywhere is interested in anything other than their own country/ voters? Apart from dictators whose interests are even narrower.

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    Mute Kieran Gallagher
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    Nov 28th 2011, 1:40 PM

    one thing for sure our leaders are not interested in either their country or their voters

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    Mute Keith Graham
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    Nov 28th 2011, 10:40 AM

    OMG – she actually smiles !

    21
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    Mute John Murphy
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    Nov 28th 2011, 11:18 AM

    The journal.ie picture pixie has a wry humour!

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    Mute Doreen Savage
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    Nov 28th 2011, 2:22 PM

    Yeah she does, I had to look twice, thought the eyesight was going there!!

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    Mute CMD
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    Nov 28th 2011, 11:11 AM

    I know one could get tied up in conspiracy theories etc but the way the like of Moodies and S&P decide to downgrade ratings without explaining how or why they reach their decision one would wonder is there another agenda being followed behind the scenes. Who are these rating agencies. Who if anyone controls them. It seems sometimes that we are all being manipulated into a position where one big power in Europe ie Germany will eventually literally have control over all of Europe aided and abetted by France. More or less the same as was attempted in WW2. It also looks like if we are to be “freed” it will once again be Britain who will make the stand against this takeover. If Ireland had any sense it would pull out of euro now and align itself with sterling before we are relegated to being the beggar outside the door of the feast begging for scraps from our German masters.

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    Mute John Murphy
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    Nov 28th 2011, 11:33 AM

    Well put CMD. The historical precedence for all of this is uncanny – Europe divided along ancient lines and Britannica cautions it’s consuls.

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    Mute Niall Mulligan
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    Nov 28th 2011, 11:49 AM

    I do think it’s correct to look to historical parallels – but I’m not sure about the WWII analogy. Seems to me that Germany are as much at the mercy of “the markets” and global capital as any other sovereign nation at this point. It’s almost more a feudal situation, or even pre-feudal.

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    Mute John Murphy
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    Nov 28th 2011, 1:35 PM

    The new Reformation Niall. The Reformed Church of Mammon!

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    Mute Andrew Logue
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    Nov 28th 2011, 1:41 PM

    What brought the Nazis to power in Germany in the 1930s was massive deflation, austerity, high unemployment caused by a credit crunch as a result of global recession…..sounds familiar. Europes political leaders have a responsibility to ensure history does not repeat itself…so far they have failed miserably mainly due to Germany’s revisionism in thinking that inflation is the danger.

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    Mute Dave Harris
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    Nov 28th 2011, 2:17 PM

    Why would the Germans want to invade anybody now anyway? They are in charge already

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    Mute Ann Illing
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    Nov 28th 2011, 3:54 PM

    Just what was Nick Clegg coming over from the UK for ? He canceled out of respect for Enda Kennys bereavement. Bet hes back soon.

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    Mute John Murphy
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    Nov 28th 2011, 10:21 AM

    I wonder what Pontificus Maximus has to say about this?

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    Mute Mark Andrew Salmon
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    Nov 28th 2011, 1:41 PM

    If you want historical comparisons then WW1 is a better bet. A complex series of alliances that led to a large part of the world being drawn into a cataclysmic event leading to instability, a further cataclysmic event (WW2) and a consequent realignment of power structures.

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    Mute Réada Quinn
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    Nov 28th 2011, 2:46 PM

    Another historical comparison… Punishing citizens with austerity to pay for the sins of their leaders was another underlying cause of WWII.

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    Mute John Conniffe
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    Nov 28th 2011, 11:48 AM

    Comparisons to WWII ate not exactly helpful. I do think it’s true though that the situation is being mishandled, with the leaders of certain countries trying to gain leverage over other other states rather than concentrating on finding a stable solution. Is it better to be a general of a failing army than a lowly captain during peacetime. Merkel took a risk, choosing to use the current situation to strengthen Germany’s position within the EU, and she’s lost through backing the wrong horse. Unless she’s lucky enough to be around for a miracle, she’ll be out of a job when all of this settles down. The fact is that, no matter what, the EU member states are not going to vanish from the planet, and they will need to produce goods and services and to trade with one another. These needs will, eventually, overtake the political playground pushy-pushy. And sooner would be better than later…

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    Mute Cormac Ginty
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    Nov 28th 2011, 7:55 PM

    Either there is a technical issue with this site or my phone or I just can’t follow what’s going one here. The article is about elite bonds. Below it states tat there has been 2600+views and 39 comments. I scroll down and there are 4 comments only. 3 of which mention a world war (there is no mention of either war in the article) and the last comment focuses on pay cuts. I refreshed it twice.
    Anyway, what do you mean when you say Merkel backed the wrong horse. I believe Germany are major beneficiaries of this bail out era. And the only reason she is against Eurobonds is because Germany would lose out on the income they earn from lending to the likes of us.

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    Mute John Conniffe
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    Nov 28th 2011, 9:09 PM

    @cormac – I’ve been living in Germany for six and a half years now, and so I’ve been around for the whole of Merkel’s reign of power and for the euro crisis. I could go into detail, but Merkel was far from a unanimous choice when she was elected, there’s always been a large euro sceptic “bring back the Mark” lobby and the economic situation is rapidly heading south. Jobs dying up, no minimum wage, an over-generous but highly unfair social welfare system, bloated civil service, escalating cost of living and an office property bubble on the verge of bursting. This is only my opinion, but the view of Germany as superior and economically stable is both untrue and was actively promoted by the current federal government. And it’s begun to backfire over the last few months. I don’t mean to say it’s as bad a situation as Ireland’s in, and it’s easy to say ” ha ha” like Herman Munz, but life’s just scraping by and I’m getting used to seeing large groups of police in full riot gear. And that’s what I mean when I say that Merkel took a gamble but backed the wrong horse…

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    Mute Francis Mahon
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    Nov 28th 2011, 10:54 AM

    This is a great idea, let’s hope it pulls through.

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    Mute Eileen Gabbett
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    Nov 29th 2011, 9:52 AM

    Six Elite nations standing ,not on our shoulders, but on our backs mashing us into the ground! How long again before the elite split and they all want to be top dawg !!!Then what ???

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    Mute Silent P
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    Nov 28th 2011, 5:13 PM

    Donal I get that. My argument is the Government needs to look seriously at reducing the costs of running the country before they cut peoples income again. Cutting pay is the easy, lazy way of balancing the books on a macro level, but less income leads to less expenditure in the real economy etc and causes real pain to working families who pay for everything and get nothing back. The waste is the real problem not the average public sector salaries.

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    Mute Brian Fitz
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    Nov 29th 2011, 3:41 PM

    so she finally did something this is good. In fairness to her she was being asked to bailout italy which she could not do. Germany has to look out for its own too. unfortunately for them they need the euro too to keep their export costs low.

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